{
  "description": null,
  "_filename": "DwObservationClinicalNote.StructureDefinition.json",
  "package_name": "telus.dw.emr.extract",
  "date": "2024-04-25T21:03:02.4786192+00:00",
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "DwObservationClinicalNote",
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.0.0",
  "status": "draft",
  "id": "1b7099e0-2eae-4ab0-aa1c-59cd4972524f",
  "kind": "resource",
  "url": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationClinicalNote",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Observation.id",
      "min": 1,
      "path": "Observation.id",
      "mustSupport": true
    }, {
      "id": "Observation.meta",
      "path": "Observation.meta"
    }, {
      "id": "Observation.meta.lastUpdated",
      "min": 1,
      "path": "Observation.meta.lastUpdated"
    }, {
      "id": "Observation.meta.source",
      "min": 1,
      "path": "Observation.meta.source"
    }, {
      "id": "Observation.text",
      "path": "Observation.text",
      "mustSupport": true
    }, {
      "id": "Observation.identifier",
      "path": "Observation.identifier",
      "mustSupport": true
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "comment": "Usage Note - Historical load do not send the deleted entries. For delta send all updated resource including deleted\r\nPSS -->FHIR\r\nNeeds Review, unfinished --> Final\r\nUpdated --> amended - only if delta is being send\r\ndeleted --> entered-in-error - only if delta is being sent\r\n\r\nMA --> FHIR\r\nActive --> Final\r\ndeleted --> entered-in-error - only if delta is being sent\r\n\r\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "mustSupport": true
    }, {
      "id": "Observation.category",
      "path": "Observation.category",
      "comment": "Usage note: For observation taken from the vist note template use the category.text \"progress note\"\r\n\r\nIn 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."
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "comment": "Usage note: Provide subjective and objective Code with appropriate Loinc code\r\n61150-9 Subjective Narrative\r\n61149-1 Objective Narrative\r\n51848-0  Assessment\r\n\r\n*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "path": "Observation.code.coding",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.system",
      "path": "Observation.code.coding.system",
      "fixedUri": "http://loinc.org",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.code",
      "path": "Observation.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "bundled" ],
        "targetProfile": [ "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.encounter",
      "path": "Observation.encounter",
      "mustSupport": true
    }, {
      "id": "Observation.performer",
      "path": "Observation.performer",
      "comment": "Usage note: the clinician who is performing the assessment. If there is doctor and nurse who wrote the note then provide doctor's user id. If no doctor is linked to the note provide the users information.\r\n\r\nReferences SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "string"
      } ],
      "comment": "Usage Note: Actual text documented in the subject, objective and assessment sections of the note. \r\n\r\nAn 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.",
      "mustSupport": true
    }, {
      "id": "Observation.note",
      "path": "Observation.note",
      "mustSupport": true
    }, {
      "id": "Observation.derivedFrom",
      "path": "Observation.derivedFrom",
      "comment": "Usage note \r\nPSS - The complete note is send as a documentReference, provide the reference to the document reference progress note from which the observation is derived. \r\nMA  - If there is document reference then provide reference to that. \r\n\r\nAll the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value.  The most common reference will be another Observation.  For a discussion on the ways Observations can assembled in groups together, see [Notes](observation.html#obsgrouping) below.",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}