{
  "description": null,
  "_filename": "DwObservationTobaccoUseCurrentStatus.StructureDefinition.json",
  "package_name": "telus.dw.emr.extract",
  "date": "2024-04-25T21:03:02.4786192+00:00",
  "derivation": "constraint",
  "meta": {
    "lastUpdated": "2024-04-25T16:51:26.2363918+00:00"
  },
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "DwObservationTobaccoUseCurrentStatus",
  "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": null,
  "package_version": "1.0.0",
  "status": "draft",
  "id": "f3fc7cc4-32b5-4312-a7d6-0b93a8764394",
  "kind": "resource",
  "url": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationTobaccoUseCurrentStatus",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Observation.id",
      "min": 1,
      "path": "Observation.id",
      "mustSupport": true
    }, {
      "id": "Observation.meta",
      "path": "Observation.meta"
    }, {
      "id": "Observation.meta.id",
      "min": 1,
      "path": "Observation.meta.id"
    }, {
      "id": "Observation.meta.lastUpdated",
      "min": 1,
      "path": "Observation.meta.lastUpdated"
    }, {
      "id": "Observation.meta.source",
      "path": "Observation.meta.source",
      "mustSupport": true
    }, {
      "id": "Observation.text",
      "path": "Observation.text",
      "mustSupport": true
    }, {
      "id": "Observation.identifier",
      "path": "Observation.identifier",
      "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 sent\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\r\n\r\nMA --> FHIR\r\nActive --> Final\r\ndeleted --> entered-in-error - only if delta is being sent\r\n\r\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "mustSupport": true
    }, {
      "id": "Observation.category",
      "path": "Observation.category",
      "comment": "social-history\r\nIn addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.",
      "mustSupport": true,
      "fixedCodeableConcept": {
        "text": "social-history"
      }
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "path": "Observation.code.coding",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.system",
      "path": "Observation.code.coding.system",
      "fixedUri": "http://loinc.org",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.code",
      "path": "Observation.code.coding.code",
      "fixedCode": "72166-2",
      "mustSupport": true
    }, {
      "id": "Observation.code.text",
      "path": "Observation.code.text",
      "mustSupport": true
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "bundled" ],
        "targetProfile": [ "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.encounter",
      "path": "Observation.encounter",
      "comment": "Useage Note - Provide encounter for MA if available\r\n\r\nThis will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).",
      "mustSupport": true
    }, {
      "id": "Observation.effective[x]",
      "min": 1,
      "path": "Observation.effective[x]",
      "mustSupport": true
    }, {
      "id": "Observation.issued",
      "path": "Observation.issued",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "comment": "Usage note - Use valueCodeableConcept, provide smoking status + comment as text\r\n \r\n266919005 Never smoked tobacco\r\n8392000 Non-smoker\r\n281018007 Ex-cigarette smoker \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.value[x].coding",
      "path": "Observation.value[x].coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.value[x].coding:SNOMEDCTCoding",
      "path": "Observation.value[x].coding",
      "comment": "Usage note - Use valueCodeableConcept, provide EMR smoking status + comment as text\r\n \r\n266919005 Never smoked tobacco\r\n8392000 Non-smoker\r\n281018007 Ex-cigarette smoker \r\n\r\nCodes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
      "sliceName": "SNOMEDCTCoding",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding:SNOMEDCTCoding.system",
      "path": "Observation.value[x].coding.system",
      "fixedUri": "http://snomed.info/sct/20621000087109",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding:SNOMEDCTCoding.code",
      "path": "Observation.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding:SNOMEDCTCoding.display",
      "path": "Observation.value[x].coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding:SNOMEDCTCoding.userSelected",
      "path": "Observation.value[x].coding.userSelected",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding:LOINCCoding",
      "path": "Observation.value[x].coding",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/current-smoking-status-uv-ips"
      },
      "sliceName": "LOINCCoding",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding:LOINCCoding.system",
      "path": "Observation.value[x].coding.system",
      "fixedUri": "http://loinc.org",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding:LOINCCoding.version",
      "path": "Observation.value[x].coding.version",
      "fixedString": "1.1.0",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding:LOINCCoding.code",
      "path": "Observation.value[x].coding.code",
      "comment": "Usage Note:  EMR selections will be mapped to the following code set.\r\n\r\nCode          Display\r\nLA18976-3 Current every day smoker\r\nLA18977-1 Current some day smoker\r\nLA15920-4 Former smoker\r\nLA18978-9 Never smoker\r\nLA18979-7 Smoker, current status unknown\r\nLA18980-5 Unknown if ever smoked\r\nLA18981-3 Heavy tobacco smoker\r\nLA18982-1 Light tobacco smokerNote that FHIR strings SHALL NOT exceed 1MB in size"
    }, {
      "id": "Observation.value[x].coding:LOINCCoding.display",
      "path": "Observation.value[x].coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding:LOINCCoding.userSelected",
      "path": "Observation.value[x].coding.userSelected",
      "comment": "Usage Note:  MA - False  PSS- False\r\n\r\nAmongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].text",
      "path": "Observation.value[x].text",
      "comment": "Usage Note:  For coding.text we will be providint the text selected within the EMR \r\n\r\nVery often the text is the same as a displayName of one of the codings.",
      "mustSupport": true
    }, {
      "id": "Observation.note",
      "path": "Observation.note",
      "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.derivedFrom",
      "max": "0",
      "path": "Observation.derivedFrom"
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}