description: '**CHR:** Clinical note observations are recorded within the **Encounters** section of the patient chart, in the notes areas (H&P, Assessment & Plan, etc.). The note text is stored as the observation value.'
package_name: telus.dw.emr.extract-1-1-21
derivation: constraint
name: DwObservationClinicalNote
type: Observation
elements:
  category:
    mustSupport: true
    index: 8
    elements:
      text:
        pattern: {type: String, value: Progress Note}
        index: 9
  meta:
    elements:
      lastUpdated: {mustSupport: true, index: 1}
      source: {mustSupport: true, index: 2}
      security: {mustSupport: true, index: 3}
    required: [lastUpdated, source]
  derivedFrom:
    type: Reference
    mustSupport: true
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwDocumentReference']
    index: 25
  encounter:
    type: Reference
    mustSupport: true
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwEncounter']
    index: 16
  value:
    mustSupport: true
    choices: [valueString]
    index: 22
  valueString: {type: string, mustSupport: true, choiceOf: value, index: 23}
  note: {mustSupport: true, index: 24}
  status: {mustSupport: true, index: 7}
  effective:
    choices: []
    index: 18
  id: {mustSupport: true, index: 0}
  code:
    mustSupport: true
    index: 10
    elements:
      coding:
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/observation-codes'}
        mustSupport: true
        index: 11
        elements:
          system:
            pattern: {type: Uri, value: 'http://loinc.org'}
            mustSupport: true
            index: 12
          code: {mustSupport: true, index: 13}
      text: {index: 14}
  identifier:
    mustSupport: true
    index: 5
    elements:
      system: {mustSupport: true, index: 6}
  issued: {index: 19}
  subject:
    type: Reference
    mustSupport: true
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient']
    index: 15
  performer:
    type: Reference
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwCareTeam', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole']
    index: 20
  text: {mustSupport: true, index: 4}
package_version: 1.1.21
class: profile
kind: resource
url: https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationClinicalNote
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2.0.0
required: [id, subject]