description: The Observation resource is used for tracking the current and historical observations that have been made for a patient with further contraints applied to represent an observation of the date the child became a Looked After Child, to support the Digital Child Health project.
package_name: nhsdigital.fhir.stu3
derivation: constraint
name: CareConnect-DCH-LookedAfterChildStartDate-Observation-1
type: Observation
elements:
  category:
    index: 8
    elements:
      coding:
        index: 9
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            snomedCT:
              match: {system: 'http://snomed.info/sct'}
              schema:
                index: 10
                extensions:
                  snomedCTDescriptionID:
                    url: h
                    type: Extension
                    index: 12
                    elements:
                      url:
                        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                        index: 13
                elements:
                  extension:
                    index: 11
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: null
                      slices:
                        snomedCTDescriptionID:
                          match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                          schema:
                            type: Extension
                            url: h
                            index: 12
                            elements:
                              url:
                                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                                index: 13
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 14
                  version: {index: 15}
                  code: {index: 16}
                  display: {index: 17}
                required: [display, system, code]
  referenceRange: {index: 62}
  interpretation: {index: 38}
  method:
    index: 50
    elements:
      coding:
        index: 51
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            snomedCT:
              match: {system: 'http://snomed.info/sct'}
              schema:
                index: 52
                extensions:
                  snomedCTDescriptionID:
                    url: h
                    type: Extension
                    index: 54
                    elements:
                      url:
                        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                        index: 55
                elements:
                  extension:
                    index: 53
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: null
                      slices:
                        snomedCTDescriptionID:
                          match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                          schema:
                            type: Extension
                            url: h
                            index: 54
                            elements:
                              url:
                                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                                index: 55
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 56
                  version: {index: 57}
                  code: {index: 58}
                  display: {index: 59}
                required: [display, system, code]
  specimen: {index: 60}
  valueDateTime:
    type: dateTime
    index: 36
    slicing:
      slices:
        valueDateTime:
          match: {}
          schema: {type: dateTime, _required: true, index: 36}
          min: 1
  related:
    index: 63
    elements:
      target:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Sequence', 'https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-DCH-AssessmentScale-Observation-1']
        index: 64
  component:
    index: 65
    elements:
      code:
        elements:
          coding:
            index: 66
            slicing:
              rules: open
              ordered: false
              discriminator:
              - {path: system, type: value}
              min: null
              slices:
                snomedCT:
                  match: {system: 'http://snomed.info/sct'}
                  schema:
                    index: 67
                    extensions:
                      snomedCTDescriptionID:
                        url: h
                        type: Extension
                        index: 69
                        elements:
                          url:
                            pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                            index: 70
                    elements:
                      extension:
                        index: 68
                        slicing:
                          rules: open
                          discriminator:
                          - {path: url, type: value}
                          min: null
                          slices:
                            snomedCTDescriptionID:
                              match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                              schema:
                                type: Extension
                                url: h
                                index: 69
                                elements:
                                  url:
                                    pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                                    index: 70
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        index: 71
                      version: {index: 72}
                      code: {index: 73}
                      display: {index: 74}
                    required: [display, system, code]
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        reason:
          match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ReasonCondition-1'}
          schema:
            type: Extension
            url: h
            index: 1
            elements:
              url:
                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ReasonCondition-1'}
                index: 2
  effectiveDateTime:
    type: dateTime
    index: 32
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {type: dateTime, _required: true, index: 32}
          min: 1
  comment: {index: 39}
  code:
    elements:
      coding:
        index: 18
        extensions:
          snomedCTDescriptionID:
            url: h
            type: Extension
            index: 20
            elements:
              url:
                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                index: 21
        elements:
          extension:
            index: 19
            slicing:
              rules: open
              discriminator:
              - {path: url, type: value}
              min: null
              slices:
                snomedCTDescriptionID:
                  match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                  schema:
                    type: Extension
                    url: h
                    index: 20
                    elements:
                      url:
                        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                        index: 21
          system:
            pattern: {type: Uri, value: 'http://snomed.info/sct'}
            index: 22
          version: {index: 23}
          code:
            pattern: {type: Code, value: '764841000000100'}
            index: 24
          display:
            pattern: {type: String, value: Looked after child}
            index: 25
          userSelected: {index: 26}
        required: [display, system, code]
      text: {index: 27}
    required: [coding]
  identifier:
    index: 3
    elements:
      system: {index: 4}
      value: {index: 5}
      assigner:
        type: Reference
        refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1']
        index: 6
    required: [value, system]
  bodySite:
    index: 40
    elements:
      coding:
        index: 41
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            snomedCT:
              match: {system: 'http://snomed.info/sct'}
              schema:
                index: 42
                extensions:
                  snomedCTDescriptionID:
                    url: h
                    type: Extension
                    index: 44
                    elements:
                      url:
                        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                        index: 45
                elements:
                  extension:
                    index: 43
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: null
                      slices:
                        snomedCTDescriptionID:
                          match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                          schema:
                            type: Extension
                            url: h
                            index: 44
                            elements:
                              url:
                                pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'}
                                index: 45
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 46
                  version: {index: 47}
                  code: {index: 48}
                  display: {index: 49}
                required: [display, system, code]
  context:
    type: Reference
    refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-DCH-Encounter-1']
    index: 30
    elements:
      reference: {index: 31}
    required: [reference]
  issued: {index: 33}
  device: {index: 61}
  basedOn: {index: 7}
  subject:
    type: Reference
    refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-DCH-Patient-1']
    index: 28
    elements:
      reference: {index: 29}
    required: [reference]
  performer:
    type: Reference
    short: Who is responsible for the observation i.e. Local Authority responsible
    refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1']
    index: 34
    elements:
      reference: {index: 35}
    required: [reference]
  dataAbsentReason: {index: 37}
package_version: 1.1.0
extensions:
  reason:
    url: h
    type: Extension
    index: 1
    elements:
      url:
        pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ReasonCondition-1'}
        index: 2
class: profile
kind: resource
url: https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-DCH-LookedAfterChildStartDate-Observation-1
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 1.2.0
required: [effectiveDateTime, valueDateTime, context, subject]