{
  "description": "Proposed constraints and extensions on JCPM Pregnancy-Summary Resource",
  "_filename": "StructureDefinition-jcpm-pregnancy-summary.json",
  "package_name": "fhir.outburn.co.il",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "JCPMPregnancySummary",
  "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": "JCPM Pregnancy-Summary Profile",
  "package_version": "0.2.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
    "valueString": "Clinical.Diagnostics"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode": "patient"
  } ],
  "status": "draft",
  "id": "bee154a7-def0-4f14-8545-04059ba355d0",
  "kind": "resource",
  "url": "http://fhir.outburn.co.il/StructureDefinition/jcpm-obs-pregnancy-summary",
  "version": "0.3.0",
  "differential": {
    "element": [ {
      "id": "Observation.status",
      "path": "Observation.status",
      "patternCode": "final"
    }, {
      "id": "Observation.code.coding",
      "max": "1",
      "min": 1,
      "path": "Observation.code.coding"
    }, {
      "id": "Observation.code.coding.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.code.coding.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "90767-5"
    }, {
      "id": "Observation.code.coding.display",
      "path": "Observation.code.coding.display",
      "fixedString": "Pregnancy summary Document"
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.outburn.co.il/StructureDefinition/jcpm-patient" ]
      } ]
    }, {
      "id": "Observation.focus",
      "max": "1",
      "min": 1,
      "path": "Observation.focus"
    }, {
      "id": "Observation.focus.type",
      "path": "Observation.focus.type",
      "fixedUri": "condition"
    }, {
      "id": "Observation.focus.identifier",
      "min": 1,
      "path": "Observation.focus.identifier"
    }, {
      "id": "Observation.focus.identifier.system",
      "min": 1,
      "path": "Observation.focus.identifier.system"
    }, {
      "id": "Observation.focus.identifier.value",
      "min": 1,
      "path": "Observation.focus.identifier.value"
    }, {
      "id": "Observation.focus.display",
      "path": "Observation.focus.display",
      "fixedString": "הריון"
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "Period"
      } ],
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.effectivePeriod",
      "max": "1",
      "min": 0,
      "path": "Observation.effectivePeriod"
    }, {
      "id": "Observation.value[x]",
      "max": "0",
      "path": "Observation.value[x]"
    }, {
      "id": "Observation.specimen",
      "max": "0",
      "path": "Observation.specimen"
    }, {
      "id": "Observation.referenceRange",
      "max": "0",
      "path": "Observation.referenceRange"
    }, {
      "id": "Observation.component",
      "min": 2,
      "path": "Observation.component",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "code.coding.system",
          "type": "value"
        }, {
          "path": "code.coding.code",
          "type": "value"
        } ]
      },
      "mustSupport": false
    }, {
      "id": "Observation.component:outcome",
      "max": "*",
      "min": 1,
      "path": "Observation.component",
      "sliceName": "outcome"
    }, {
      "id": "Observation.component:outcome.code.coding",
      "min": 2,
      "path": "Observation.component.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "mustSupport": false
    }, {
      "id": "Observation.component:outcome.code.coding:loinc",
      "max": "1",
      "min": 1,
      "path": "Observation.component.code.coding",
      "sliceName": "loinc"
    }, {
      "id": "Observation.component:outcome.code.coding:loinc.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:outcome.code.coding:loinc.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "63893-2"
    }, {
      "id": "Observation.component:outcome.code.coding:loinc.display",
      "path": "Observation.component.code.coding.display",
      "fixedString": "Outcome of pregnancy"
    }, {
      "id": "Observation.component:outcome.code.coding:snomed",
      "max": "1",
      "min": 1,
      "path": "Observation.component.code.coding",
      "sliceName": "snomed"
    }, {
      "id": "Observation.component:outcome.code.coding:snomed.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://snomed.info/sct"
    }, {
      "id": "Observation.component:outcome.code.coding:snomed.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "267013003"
    }, {
      "id": "Observation.component:outcome.code.coding:snomed.display",
      "path": "Observation.component.code.coding.display",
      "fixedString": "Past pregnancy outcome"
    }, {
      "id": "Observation.component:outcome.code.text",
      "path": "Observation.component.code.text",
      "fixedString": "תוצאות הריון"
    }, {
      "id": "Observation.component:outcome.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.component:outcome.valueCodeableConcept",
      "max": "1",
      "min": 1,
      "path": "Observation.component.valueCodeableConcept",
      "binding": {
        "strength": "required",
        "valueSet": "http://loinc.org/vs/LL1475-4"
      }
    }, {
      "id": "Observation.component:method-induced-abortion",
      "max": "*",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "method-induced-abortion"
    }, {
      "id": "Observation.component:method-induced-abortion.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding"
    }, {
      "id": "Observation.component:method-induced-abortion.code.coding.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "comment": "Should be Loinc, but no loinc code currently exists. Will be updated if status changes. Kippi 30/1/21",
      "fixedUri": "http://fhir.outburn.co.il/CodeSystem/TBD-Codes"
    }, {
      "id": "Observation.component:method-induced-abortion.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "method-of-induced-abortion"
    }, {
      "id": "Observation.component:method-induced-abortion.code.coding.display",
      "path": "Observation.component.code.coding.display",
      "fixedString": "method of induced abortion"
    }, {
      "id": "Observation.component:method-induced-abortion.code.text",
      "path": "Observation.component.code.text",
      "patternString": "שיטת הפלה"
    }, {
      "id": "Observation.component:method-induced-abortion.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.component:method-induced-abortion.valueCodeableConcept",
      "max": "1",
      "min": 1,
      "path": "Observation.component.valueCodeableConcept",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.outburn.co.il/ValueSet/jcpm-method-of-induced-abortion"
      }
    }, {
      "id": "Observation.component:date-end-pregnancy",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "date-end-pregnancy"
    }, {
      "id": "Observation.component:date-end-pregnancy.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding"
    }, {
      "id": "Observation.component:date-end-pregnancy.code.coding.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:date-end-pregnancy.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "63963-3"
    }, {
      "id": "Observation.component:date-end-pregnancy.code.coding.display",
      "path": "Observation.component.code.coding.display",
      "fixedString": "Date of end of pregnancy"
    }, {
      "id": "Observation.component:date-end-pregnancy.code.text",
      "path": "Observation.component.code.text",
      "patternString": "תאריך סיום הריון"
    }, {
      "id": "Observation.component:date-end-pregnancy.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.component:date-end-pregnancy.valueDateTime",
      "max": "1",
      "min": 1,
      "path": "Observation.component.valueDateTime"
    }, {
      "id": "Observation.component:last-menstruation-start",
      "max": "*",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "last-menstruation-start"
    }, {
      "id": "Observation.component:last-menstruation-start.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding"
    }, {
      "id": "Observation.component:last-menstruation-start.code.coding.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:last-menstruation-start.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "8665-2"
    }, {
      "id": "Observation.component:last-menstruation-start.code.coding.display",
      "path": "Observation.component.code.coding.display",
      "fixedString": "Last menstrual period start date"
    }, {
      "id": "Observation.component:last-menstruation-start.code.text",
      "path": "Observation.component.code.text",
      "patternString": "תאריך תחילת וסת אחרון"
    }, {
      "id": "Observation.component:last-menstruation-start.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.component:last-menstruation-start.valueDateTime",
      "max": "1",
      "min": 1,
      "path": "Observation.component.valueDateTime"
    }, {
      "id": "Observation.component:delivery-date",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "delivery-date"
    }, {
      "id": "Observation.component:delivery-date.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding"
    }, {
      "id": "Observation.component:delivery-date.code.coding.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:delivery-date.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "93857-1"
    }, {
      "id": "Observation.component:delivery-date.code.coding.display",
      "path": "Observation.component.code.coding.display",
      "fixedString": "Date and time of obstetric delivery"
    }, {
      "id": "Observation.component:delivery-date.code.text",
      "path": "Observation.component.code.text",
      "patternString": "תאריך לידה"
    }, {
      "id": "Observation.component:delivery-date.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.component:delivery-date.valueDateTime",
      "max": "1",
      "min": 1,
      "path": "Observation.component.valueDateTime"
    }, {
      "id": "Observation.component:gestational-age",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "gestational-age"
    }, {
      "id": "Observation.component:gestational-age.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding"
    }, {
      "id": "Observation.component:gestational-age.code.coding.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:gestational-age.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "76516-4"
    }, {
      "id": "Observation.component:gestational-age.code.coding.display",
      "path": "Observation.component.code.coding.display",
      "fixedString": "gestational age at birth"
    }, {
      "id": "Observation.component:gestational-age.code.text",
      "path": "Observation.component.code.text",
      "patternString": "שבוע לידה"
    }, {
      "id": "Observation.component:gestational-age.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.component:gestational-age.valueQuantity",
      "max": "1",
      "min": 1,
      "path": "Observation.component.valueQuantity"
    }, {
      "id": "Observation.component:gestational-age.valueQuantity.unit",
      "path": "Observation.component.valueQuantity.unit",
      "fixedString": "wk"
    }, {
      "id": "Observation.component:gestational-age.valueQuantity.system",
      "path": "Observation.component.valueQuantity.system",
      "fixedUri": "http://unitsofmeasure.org"
    }, {
      "id": "Observation.component:gestational-age.valueQuantity.code",
      "path": "Observation.component.valueQuantity.code",
      "fixedCode": "wk"
    }, {
      "id": "Observation.component:diagnostic-procedures",
      "max": "*",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "diagnostic-procedures"
    }, {
      "id": "Observation.component:diagnostic-procedures.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding"
    }, {
      "id": "Observation.component:diagnostic-procedures.code.coding.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:diagnostic-procedures.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "LP130361-1"
    }, {
      "id": "Observation.component:diagnostic-procedures.code.coding.display",
      "path": "Observation.component.code.coding.display",
      "fixedString": "Diagnostic procedures performed"
    }, {
      "id": "Observation.component:diagnostic-procedures.code.text",
      "path": "Observation.component.code.text",
      "patternString": "פרוצדורה אבחנתית שבוצעה"
    }, {
      "id": "Observation.component:diagnostic-procedures.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.component:diagnostic-procedures.valueCodeableConcept",
      "max": "1",
      "min": 0,
      "path": "Observation.component.valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://fhir.outburn.co.il/ValueSet/diagnostic-procedures"
      }
    }, {
      "id": "Observation.component:weight-pre-pregnancy",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "weight-pre-pregnancy"
    }, {
      "id": "Observation.component:weight-pre-pregnancy.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding"
    }, {
      "id": "Observation.component:weight-pre-pregnancy.code.coding.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:weight-pre-pregnancy.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "69460-4"
    }, {
      "id": "Observation.component:weight-pre-pregnancy.code.coding.display",
      "path": "Observation.component.code.coding.display",
      "fixedString": "Body weight pre current pregnancy"
    }, {
      "id": "Observation.component:weight-pre-pregnancy.code.text",
      "path": "Observation.component.code.text",
      "patternString": "משקל בתחילת הריון"
    }, {
      "id": "Observation.component:weight-pre-pregnancy.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.component:weight-pre-pregnancy.valueQuantity",
      "max": "1",
      "min": 0,
      "path": "Observation.component.valueQuantity"
    }, {
      "id": "Observation.component:weight-pre-pregnancy.valueQuantity.value",
      "min": 1,
      "path": "Observation.component.valueQuantity.value"
    }, {
      "id": "Observation.component:weight-pre-pregnancy.valueQuantity.system",
      "min": 1,
      "path": "Observation.component.valueQuantity.system",
      "fixedUri": "http://unitsofmeasure.org"
    }, {
      "id": "Observation.component:weight-pre-pregnancy.valueQuantity.code",
      "min": 1,
      "path": "Observation.component.valueQuantity.code",
      "short": "Coded responses from the common UCUM units for vital signs value set.",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/ucum-bodyweight|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "BodyWeightUnits"
        } ],
        "description": "Common UCUM units for Body Weight."
      },
      "definition": "Coded responses from the common UCUM units for vital signs value set."
    }, {
      "id": "Observation.component:weight-at-delivery",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "weight-at-delivery"
    }, {
      "id": "Observation.component:weight-at-delivery.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding"
    }, {
      "id": "Observation.component:weight-at-delivery.code.coding.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component:weight-at-delivery.code.coding.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "fixedCode": "69461-2"
    }, {
      "id": "Observation.component:weight-at-delivery.code.coding.display",
      "path": "Observation.component.code.coding.display",
      "fixedString": "Body weight at delivery"
    }, {
      "id": "Observation.component:weight-at-delivery.code.text",
      "path": "Observation.component.code.text",
      "patternString": "משקל בסיום הריון"
    }, {
      "id": "Observation.component:weight-at-delivery.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.component:weight-at-delivery.valueQuantity",
      "max": "1",
      "min": 0,
      "path": "Observation.component.valueQuantity"
    }, {
      "id": "Observation.component:weight-at-delivery.valueQuantity.value",
      "min": 1,
      "path": "Observation.component.valueQuantity.value"
    }, {
      "id": "Observation.component:weight-at-delivery.valueQuantity.unit",
      "min": 1,
      "path": "Observation.component.valueQuantity.unit"
    }, {
      "id": "Observation.component:weight-at-delivery.valueQuantity.system",
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      "fixedUri": "http://unitsofmeasure.org"
    }, {
      "id": "Observation.component:num-stillborn-births.valueQuantity.code",
      "min": 1,
      "path": "Observation.component.valueQuantity.code",
      "patternCode": "#"
    } ]
  },
  "contact": [ {
    "name": "Outburn LTD",
    "telecom": [ {
      "value": "http://outburn.co.il",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://fhir.health.gov.il/StructureDefinition/il-core-observation"
}