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 for the Newborn Hearing Screening summary outcome, to support the Digital Child Health project. package_name: NHSD.Assets.STU3 derivation: constraint name: CareConnect-DCH-HearingScreeningSummaryOutcome-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: 64} interpretation: {index: 41} method: index: 52 elements: coding: index: 53 slicing: rules: open ordered: false discriminator: - {path: system, type: value} min: null slices: snomedCT: match: {system: 'http://snomed.info/sct'} schema: index: 54 extensions: snomedCTDescriptionID: url: h type: Extension index: 56 elements: url: pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} index: 57 elements: extension: index: 55 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: 56 elements: url: pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} index: 57 system: pattern: {type: Uri, value: 'http://snomed.info/sct'} index: 58 version: {index: 59} code: {index: 60} display: {index: 61} required: [display, system, code] specimen: {index: 62} related: index: 65 elements: target: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Sequence', 'https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-DCH-AssessmentScale-Observation-1'] index: 66 component: index: 67 elements: code: elements: coding: index: 68 slicing: rules: open ordered: false discriminator: - {path: system, type: value} min: null slices: snomedCT: match: {system: 'http://snomed.info/sct'} schema: index: 69 extensions: snomedCTDescriptionID: url: h type: Extension index: 71 elements: url: pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} index: 72 elements: extension: index: 70 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: 71 elements: url: pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} index: 72 system: pattern: {type: Uri, value: 'http://snomed.info/sct'} index: 73 version: {index: 74} code: {index: 75} display: {index: 76} 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 code: elements: coding: index: 18 extensions: snomedCTDescriptionID: url: h type: Extension short: The SNOMED CT Description ID for the display 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 short: The SNOMED CT Description ID for the display 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: '276771000000107'} index: 24 display: pattern: {type: String, value: Newborn hearing screening programme outcome (situation)} 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] valueCodeableConcept: type: CodeableConcept index: 36 slicing: slices: valueCodeableConcept: match: {} schema: type: CodeableConcept _required: true index: 36 elements: coding: elements: system: {index: 37} code: {index: 38} display: {index: 39} required: [display, system, code] bodySite: index: 42 elements: coding: index: 43 slicing: rules: open ordered: false discriminator: - {path: system, type: value} min: null slices: snomedCT: match: {system: 'http://snomed.info/sct'} schema: index: 44 extensions: snomedCTDescriptionID: url: h type: Extension index: 46 elements: url: pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} index: 47 elements: extension: index: 45 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: 46 elements: url: pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} index: 47 system: pattern: {type: Uri, value: 'http://snomed.info/sct'} index: 48 version: {index: 49} code: {index: 50} display: {index: 51} 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: 63} 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 refers: ['https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-DCH-Practitioner-1'] index: 34 elements: reference: {index: 35} required: [reference] dataAbsentReason: {index: 40} package_version: 1.0.0 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-HearingScreeningSummaryOutcome-Observation-1 base: http://hl7.org/fhir/StructureDefinition/Observation version: 1.2.0 required: [effectiveDateTime, context, subject, valueCodeableConcept, performer]