description: A MCED Profile for validation purposes only. This profile shows the minimum vaible product
package_name: fhir.r4.nhsengland.programme
derivation: constraint
name: EnglandObservationMCED
type: Observation
elements:
  basedOn: {index: 0}
  code:
    elements:
      coding:
        index: 1
        slicing:
          rules: closed
          discriminator:
          - {path: code, type: value}
          min: 1
          max: 1
          slices:
            screeningGrouper:
              match: {code: '1148754001'}
              schema:
                index: 2
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 3
                  code:
                    pattern: {type: Code, value: '1148754001'}
                    index: 4
                  display:
                    pattern: {type: String, value: Screening for neoplasm}
                    index: 5
            screeningResult:
              match: {code: '1854971000000106'}
              schema:
                index: 6
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 7
                  code:
                    pattern: {type: Code, value: '1854971000000106'}
                    index: 8
                  display:
                    pattern: {type: String, value: Qualitative result of cancer methylation profile in cell free deoxyribonucleic acid by next generation sequencing}
                    index: 9
            primarySite:
              match: {code: '1873921000000106'}
              schema:
                index: 10
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 11
                  code:
                    pattern: {type: Code, value: '1873921000000106'}
                    index: 12
                  display:
                    pattern: {type: String, value: Multi-cancer early detection highest scored cancer signal origin by machine learning-based classifier}
                    index: 13
            secondaySite:
              match: {code: '1873931000000108'}
              schema:
                index: 14
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 15
                  code:
                    pattern: {type: Code, value: '1873931000000108'}
                    index: 16
                  display:
                    pattern: {type: String, value: Multi-cancer early detection second highest scored cancer signal origin by machine learning-based classifier}
                    index: 17
    required: [coding]
  subject: {index: 18}
  issued: {index: 19}
  performer: {index: 20}
  value:
    choices: [valueCodeableConcept]
    index: 22
  valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 23}
  component:
    elements:
      code:
        elements:
          coding:
            elements:
              system:
                pattern: {type: Uri, value: 'http://snomed.info/sct'}
                index: 24
              code:
                pattern: {type: Code, value: '123037004'}
                index: 25
              display:
                pattern: {type: String, value: Body structure}
                index: 26
      value:
        choices: [valueCodeableConcept]
        index: 28
      valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 29}
    required: [value, valueCodeableConcept]
package_version: 0.2.0
class: profile
kind: resource
url: https://fhir.nhs.uk/England/StructureDefinition/England-Observation-MCED
base: https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation
version: 0.0.1
required: [issued, subject, performer]