{ "description": "This is closely synchronized with the Alcohol Use profile created by the TELUS DW team", "_filename": "profile-observation-alcohol-use.StructureDefinition.json", "package_name": "ForgePatientChart.0830", "date": "2022-05-31T20:00:20.7714514+00:00", "derivation": "constraint", "meta": { "lastUpdated": "2022-07-20T20:57:13.0325485+00:00" }, "publisher": null, "fhirVersion": "4.0.1", "name": "ObservationAlcoholUse", "mapping": [ { "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern", "identity": "workflow" }, { "uri": "http://snomed.info/conceptdomain", "name": "SNOMED CT Concept Domain Binding", "identity": "sct-concept" }, { "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping", "identity": "v2" }, { "uri": "http://hl7.org/v3", "name": "RIM Mapping", "identity": "rim" }, { "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping", "identity": "w5" }, { "uri": "http://snomed.org/attributebinding", "name": "SNOMED CT Attribute Binding", "identity": "sct-attr" } ], "abstract": false, "type": "Observation", "experimental": null, "resourceType": "StructureDefinition", "title": "Observation Alcohol Use", "package_version": "0.1.0", "status": "draft", "id": "663aeaa2-b006-4152-b136-010a53ee9641", "kind": "resource", "url": "http://telus.com/fhir/patientChartStructureDefinition/profile-observation-alcohol-use", "version": null, "differential": { "element": [ { "id": "Observation", "path": "Observation", "comment": "Usage Note: This profile is used as a grouping observation with \"has.member\" observations to specify status, type of alcohol, drinks consumed and years of ETOH Use. \r\n\r\nNote: This is closely synchronized with the Alcohol Use profile created by the TELUS DW team\r\n\r\nUsed for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc." }, { "id": "Observation.id", "path": "Observation.id", "mustSupport": true }, { "id": "Observation.meta", "path": "Observation.meta", "mustSupport": true }, { "id": "Observation.meta.lastUpdated", "path": "Observation.meta.lastUpdated", "mustSupport": true }, { "id": "Observation.meta.source", "path": "Observation.meta.source", "mustSupport": true }, { "id": "Observation.meta.profile", "path": "Observation.meta.profile", "comment": "Usage: When \"http://telus.com/fhir/patientChartStructureDefinition/profile-observation-alcohol-use\" is specified, a message instance may be valiidated against this profile.\r\n\r\nIt is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.", "mustSupport": true }, { "id": "Observation.text", "path": "Observation.text", "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 send TBD question for Lloyd\r\n\r\nMA --> FHIR\r\nActive --> Final\r\ndeleted --> entered-in-error - only if delta is being send\r\n\r\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.\r\n\r\nConformance Rule - PSS status for active risk factors the status should be final. For updated risk factor the status should be updated to amended", "mustSupport": true }, { "id": "Observation.category", "path": "Observation.category", "mustSupport": true, "fixedCodeableConcept": { "text": "social-history" } }, { "id": "Observation.category.coding", "path": "Observation.category.coding", "mustSupport": true }, { "id": "Observation.category.coding.system", "path": "Observation.category.coding.system", "mustSupport": true }, { "id": "Observation.category.coding.code", "path": "Observation.category.coding.code", "mustSupport": true }, { "id": "Observation.code", "path": "Observation.code", "mustSupport": true }, { "id": "Observation.code.coding", "min": 1, "path": "Observation.code.coding", "mustSupport": true }, { "id": "Observation.code.coding.system", "path": "Observation.code.coding.system", "mustSupport": true }, { "id": "Observation.code.coding.code", "min": 1, "path": "Observation.code.coding.code", "fixedCode": "11330-8", "mustSupport": true }, { "id": "Observation.code.coding.display", "path": "Observation.code.coding.display", "comment": "Value = History of Alcohol use Narrative\r\n\r\nNote that FHIR strings SHALL NOT exceed 1MB in size", "mustSupport": true }, { "id": "Observation.code.text", "path": "Observation.code.text", "mustSupport": true }, { "id": "Observation.subject", "min": 1, "path": "Observation.subject", "mustSupport": true }, { "id": "Observation.subject.reference", "min": 1, "path": "Observation.subject.reference", "mustSupport": true }, { "id": "Observation.encounter", "path": "Observation.encounter", "mustSupport": true }, { "id": "Observation.effective[x]", "min": 1, "path": "Observation.effective[x]", "comment": "Usage note - Last updated date for the risk factor \r\n\r\nAt least a date should be present unless this olast updated datebservation is a historical report. For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.", "mustSupport": true }, { "id": "Observation.value[x]", "path": "Observation.value[x]", "comment": "Usage note - PSS provide description text \r\nMA - Consumption observation + comment\r\nAlignment: Not supported in PS-CA\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", "comment": "Usage Note: PSS provide Details if documented\r\nMA: Provide note in the task (on the left)\r\n\r\nMay include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.", "mustSupport": true }, { "id": "Observation.bodySite", "max": "0", "path": "Observation.bodySite" }, { "id": "Observation.specimen", "max": "0", "path": "Observation.specimen" }, { "id": "Observation.device", "max": "0", "path": "Observation.device" }, { "id": "Observation.referenceRange", "max": "0", "path": "Observation.referenceRange" }, { "id": "Observation.hasMember", "path": "Observation.hasMember", "type": [ { "code": "Reference", "profile": [ "http://telus.com/fhir/patientChart/StructureDefinition/observation-alcohol-use-years-of-etoh-use", "http://telus.com/fhir/patientChart/StructureDefinition/observation-alcohol-use-drinks-consumed", "http://telus.com/fhir/patientChart/StructureDefinition/observation-alcohol-use-current-status", "http://telus.com/fhir/patientChart/StructureDefinition/observation-alcohol-use-alcohol-type" ], "aggregation": [ "bundled" ] } ], "mustSupport": true }, { "id": "Observation.hasMember.reference", "min": 1, "path": "Observation.hasMember.reference", "mustSupport": true }, { "id": "Observation.hasMember.display", "path": "Observation.hasMember.display", "mustSupport": true } ] }, "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation" }