description: This profile is used to carry alert, new-onset or worsening confusion, voice, pain, and unresponsiveness observations for a patient.
package_name: NHSD.Assets.STU3
derivation: constraint
name: CareConnect-ACVPU-Observation-1
type: Observation
elements:
  category: {short: Classification of  type of observation., index: 4}
  method:
    elements:
      coding:
        index: 28
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: code, type: value}
          min: null
          slices:
            snomedCT:
              match: {code: null}
              schema:
                index: 29
                extensions:
                  snomedCTDescriptionID: {url: h, type: Extension, index: 31}
                elements:
                  extension:
                    index: 30
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: null
                      slices:
                        snomedCTDescriptionID:
                          match: {url: null}
                          schema: {type: Extension, url: h, index: 31}
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 32
                  version: {index: 33}
                  code: {index: 34}
                  display: {index: 35}
                required: [display, system, code]
  related:
    elements:
      target:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse', 'http://hl7.org/fhir/StructureDefinition/Sequence', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1']
        index: 36
  component:
    elements:
      code:
        elements:
          coding:
            index: 37
            slicing:
              rules: open
              ordered: false
              discriminator:
              - {path: code, type: value}
              min: null
              slices:
                snomedCT:
                  match: {code: null}
                  schema:
                    index: 38
                    extensions:
                      snomedCTDescriptionID: {url: h, type: Extension, index: 40}
                    elements:
                      extension:
                        index: 39
                        slicing:
                          rules: open
                          discriminator:
                          - {path: url, type: value}
                          min: null
                          slices:
                            snomedCTDescriptionID:
                              match: {url: null}
                              schema: {type: Extension, url: h, index: 40}
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 41
                      version: {index: 42}
                      code: {index: 43}
                      display: {index: 44}
                    required: [display, system, code]
  code:
    index: 5
    elements:
      coding:
        index: 6
        elements:
          system:
            pattern: {type: Uri, value: 'http://snomed.info/sct'}
            index: 7
          version: {index: 8}
          code:
            pattern: {type: Code, value: '1104441000000107'}
            index: 9
          display:
            pattern: {type: String, value: ACVPU (Alert Confusion Voice Pain Unresponsive) scale score}
            index: 10
        required: [display, system, code]
    required: [coding]
  identifier:
    elements:
      system: {index: 0}
      value: {index: 1}
      assigner:
        type: Reference
        refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1']
        index: 2
    required: [value, system]
  valueCodeableConcept:
    type: CodeableConcept
    index: 14
    slicing:
      slices:
        valueCodeableConcept:
          match: {}
          schema:
            type: CodeableConcept
            index: 14
            elements:
              coding:
                index: 15
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 16
                  version: {index: 17}
                  code: {index: 18}
                  display: {index: 19}
                required: [display, system, code]
            required: [coding]
  bodySite:
    elements:
      coding:
        index: 20
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: code, type: value}
          min: null
          slices:
            snomedCT:
              match: {code: null}
              schema:
                index: 21
                extensions:
                  snomedCTDescriptionID: {url: h, type: Extension, index: 23}
                elements:
                  extension:
                    index: 22
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: null
                      slices:
                        snomedCTDescriptionID:
                          match: {url: null}
                          schema: {type: Extension, url: h, index: 23}
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 24
                  version: {index: 25}
                  code: {index: 26}
                  display: {index: 27}
                required: [display, system, code]
  context:
    type: Reference
    short: Healthcare event during which this observation is made.
    refers: ['http://hl7.org/fhir/StructureDefinition/EpisodeOfCare', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1']
    index: 12
  basedOn:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'http://hl7.org/fhir/StructureDefinition/DeviceRequest', 'http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation', 'http://hl7.org/fhir/StructureDefinition/NutritionOrder', 'http://hl7.org/fhir/StructureDefinition/ProcedureRequest', 'http://hl7.org/fhir/StructureDefinition/ReferralRequest', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1']
    index: 3
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1']
    index: 11
  performer:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1']
    index: 13
package_version: 1.5.0
class: profile
kind: resource
url: https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ACVPU-Observation-1
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 1.0.0