{
"description": "This profile is used to carry alert, new-onset or worsening confusion, voice, pain, and unresponsiveness observations for a patient.",
"_filename": "CareConnect-ACVPU-Observation-1.json",
"package_name": "careconnect.stu3.03.00.00",
"date": "2019-06-17",
"derivation": "constraint",
"meta": {
"lastUpdated": "2023-08-04T11:36:16.5160024+00:00"
},
"publisher": "HL7 UK",
"fhirVersion": "3.0.2",
"name": "CareConnect-ACVPU-Observation-1",
"abstract": false,
"copyright": "Copyright © 2018 HL7 UK\r\nLicensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at\r\n\r\nhttp://www.apache.org/licenses/LICENSE-2.0\r\n\r\nUnless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.\r\n\r\nHL7® FHIR® standard Copyright © 2011+ HL7\r\n\r\nThe HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at\r\n\r\nhttps://www.hl7.org/fhir/license.html",
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "3.1.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "oo"
} ],
"status": "draft",
"id": "03f92ee7-f075-49bb-98b9-86e97f272b42",
"kind": "resource",
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ACVPU-Observation-1",
"version": "1.1.0",
"differential": {
"element": [ {
"id": "Observation.identifier.system",
"min": 1,
"path": "Observation.identifier.system"
}, {
"id": "Observation.identifier.value",
"min": 1,
"path": "Observation.identifier.value"
}, {
"id": "Observation.identifier.assigner",
"path": "Observation.identifier.assigner",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
} ]
}, {
"id": "Observation.basedOn",
"path": "Observation.basedOn",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-CarePlan-1"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/DeviceRequest"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/NutritionOrder"
}, {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ReferralRequest-1"
}, {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1"
}, {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ProcedureRequest-1"
} ]
}, {
"id": "Observation.status",
"path": "Observation.status",
"fixedCode": "final"
}, {
"id": "Observation.category",
"path": "Observation.category",
"short": "Classification of type of observation."
}, {
"id": "Observation.code",
"path": "Observation.code",
"binding": {
"strength": "required",
"description": "A code from SNOMED Clinical Terminology UK",
"valueSetUri": "http://snomed.info/sct"
}
}, {
"id": "Observation.code.coding",
"max": "1",
"min": 1,
"path": "Observation.code.coding"
}, {
"id": "Observation.code.coding.system",
"min": 1,
"path": "Observation.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.code.coding.version",
"max": "0",
"path": "Observation.code.coding.version"
}, {
"id": "Observation.code.coding.code",
"min": 1,
"path": "Observation.code.coding.code",
"fixedCode": "1104441000000107"
}, {
"id": "Observation.code.coding.display",
"min": 1,
"path": "Observation.code.coding.display",
"fixedString": "ACVPU (Alert Confusion Voice Pain Unresponsive) scale score"
}, {
"id": "Observation.subject",
"path": "Observation.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
}, {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
} ]
}, {
"id": "Observation.context",
"path": "Observation.context",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-EpisodeOfCare-1"
}, {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"
} ],
"short": "Healthcare event during which this observation is made."
}, {
"id": "Observation.performer",
"path": "Observation.performer",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RelatedPerson-1"
}, {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
}, {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
}, {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"
} ]
}, {
"id": "Observation.value[x]:valueCodeableConcept",
"path": "Observation.valueCodeableConcept",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "required",
"description": "A code from the SNOMED Clinical Terminology UK coding system which describes whether a patient is mentally alert, unresponsive, responds to voice, responds to pain or is acutely confused.",
"valueSetReference": {
"reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ACVPU-1"
}
},
"sliceName": "valueCodeableConcept"
}, {
"id": "Observation.value[x]:valueCodeableConcept.coding",
"max": "1",
"min": 1,
"path": "Observation.valueCodeableConcept.coding"
}, {
"id": "Observation.value[x]:valueCodeableConcept.coding.system",
"min": 1,
"path": "Observation.valueCodeableConcept.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.value[x]:valueCodeableConcept.coding.version",
"max": "0",
"path": "Observation.valueCodeableConcept.coding.version"
}, {
"id": "Observation.value[x]:valueCodeableConcept.coding.code",
"min": 1,
"path": "Observation.valueCodeableConcept.coding.code"
}, {
"id": "Observation.value[x]:valueCodeableConcept.coding.display",
"min": 1,
"path": "Observation.valueCodeableConcept.coding.display"
}, {
"id": "Observation.bodySite.coding",
"path": "Observation.bodySite.coding",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "system",
"type": "value"
} ]
}
}, {
"id": "Observation.bodySite.coding:snomedCT",
"max": "1",
"path": "Observation.bodySite.coding",
"binding": {
"strength": "preferred",
"description": "A code from the SNOMED Clinical Terminology UK with the expression (<<442083009 |anatomical or acquired body structure|).",
"valueSetReference": {
"reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-BodySite-1"
}
},
"sliceName": "snomedCT"
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"id": "Observation.bodySite.coding:snomedCT.extension",
"min": 0,
"path": "Observation.bodySite.coding.extension",
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"rules": "open",
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"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.bodySite.coding:snomedCT.extension:snomedCTDescriptionID",
"min": 0,
"path": "Observation.bodySite.coding.extension",
"type": [ {
"code": "Extension",
"profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
} ],
"sliceName": "snomedCTDescriptionID"
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"id": "Observation.bodySite.coding:snomedCT.system",
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"path": "Observation.bodySite.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.bodySite.coding:snomedCT.version",
"max": "0",
"path": "Observation.bodySite.coding.version"
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"id": "Observation.bodySite.coding:snomedCT.code",
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"path": "Observation.bodySite.coding.code"
}, {
"id": "Observation.bodySite.coding:snomedCT.display",
"min": 1,
"path": "Observation.bodySite.coding.display"
}, {
"id": "Observation.method.coding",
"path": "Observation.method.coding",
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"discriminator": [ {
"path": "system",
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} ]
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"id": "Observation.method.coding:snomedCT",
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"path": "Observation.method.coding",
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"description": "A code from SNOMED Clinical Terminology UK",
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"reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ObservationMethod-1"
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},
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} ]
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"path": "Observation.method.coding.extension",
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"profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
} ],
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"path": "Observation.method.coding.system",
"fixedUri": "http://snomed.info/sct"
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"id": "Observation.method.coding:snomedCT.version",
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"path": "Observation.method.coding.version"
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"id": "Observation.method.coding:snomedCT.code",
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"path": "Observation.method.coding.code"
}, {
"id": "Observation.method.coding:snomedCT.display",
"min": 1,
"path": "Observation.method.coding.display"
}, {
"id": "Observation.specimen",
"path": "Observation.specimen",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Specimen-1"
} ]
}, {
"id": "Observation.related.target",
"path": "Observation.related.target",
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Sequence"
}, {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"
} ]
}, {
"id": "Observation.component.code.coding",
"path": "Observation.component.code.coding",
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"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.component.code.coding:snomedCT",
"max": "1",
"path": "Observation.component.code.coding",
"binding": {
"strength": "extensible",
"description": "A code from the SNOMED Clinical Terminology UK coding system describing a type of observation",
"valueSetReference": {
"reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ObservationType-1"
}
},
"sliceName": "snomedCT"
}, {
"id": "Observation.component.code.coding:snomedCT.extension",
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"path": "Observation.component.code.coding.extension",
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"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.component.code.coding:snomedCT.extension:snomedCTDescriptionID",
"min": 0,
"path": "Observation.component.code.coding.extension",
"type": [ {
"code": "Extension",
"profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
} ],
"sliceName": "snomedCTDescriptionID"
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"id": "Observation.component.code.coding:snomedCT.system",
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"path": "Observation.component.code.coding.system",
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}, {
"id": "Observation.component.code.coding:snomedCT.version",
"max": "0",
"path": "Observation.component.code.coding.version"
}, {
"id": "Observation.component.code.coding:snomedCT.code",
"min": 1,
"path": "Observation.component.code.coding.code"
}, {
"id": "Observation.component.code.coding:snomedCT.display",
"min": 1,
"path": "Observation.component.code.coding.display"
} ]
},
"contact": [ {
"name": "INTEROPen",
"telecom": [ {
"use": "work",
"value": "admin@interopen.org",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}