FHIR IG Statistics: StructureDefinition/England-Observation-MCED

Resources that use this resource

No resources found

Resources that this resource uses

Narrative

No narrative content found in resource

Source

{
  "resourceType": "StructureDefinition",
  "id": "England-Observation-MCED",
  "url": "https://fhir.nhs.uk/England/StructureDefinition/England-Observation-MCED",
  "version": "0.0.1",
  "name": "EnglandObservationMCED",
  "title": "England Observation MCED",
  "status": "draft",
  "experimental": true,
  "date": "2024-03-22",
  "publisher": "NHS England",
  "contact": [
    {
      "name": "NHS England",
      "telecom": [
        {
          "system": "email",
          "value": "interoperabilityteam@nhs.net",
          "use": "work",
          "rank": 1
        }
      ]
    }
  ],
  "description": "A MCED Profile for validation purposes only. This profile shows the minimum vaible product",
  "purpose": "This profile is made available to assist implementers who are creating and sending Observation FHIR instances to test that the created instances conform to the MCED FHIR implementation guide. It may also assist receivers testing that received instances are conformant with the MCED FHIR implementation guide.",
  "copyright": "Copyright © 2023+ NHS England Licensed under the Apache License, Version 2.0 (the \\"License\\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \\"AS IS\\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "constraint": [
          {
            "key": "England-Obs-MCED-001",
            "severity": "error",
            "human": "If the code is 1148754001 | Screening for neoplasm, the result SHALL be referenced in hasMember, and a specimen SHALL be referenced",
            "expression": "code.coding.code = 1148754001 implies (specimen.exists() and hasMember.exists())"
          },
          {
            "key": "England-Obs-MCED-002",
            "severity": "error",
            "human": "If the code is 1854971000000106 | Qualitative result of cancer..., the result SHALL have basedOn, value[x], specimen populated",
            "expression": "code.coding.code = 1854971000000106 implies (basedOn.exists() and value.exists() and specimen.exists())"
          },
          {
            "key": "England-Obs-MCED-003",
            "severity": "error",
            "human": "If the code is 1873921000000106 | MCED highest scored cancer signal origin... or 1873931000000108 | MCED second highest scored cancer signal origin..., the site SHALL be in component.code and component.value[x]",
            "expression": "(code.coding.code = 1873921000000106 or code.coding.code = 1873931000000108) implies (component.code.exists() and component.value.exists())"
          }
        ]
      },
      {
        "id": "Observation.basedOn",
        "path": "Observation.basedOn"
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.code.coding:screeningGrouper",
        "path": "Observation.code.coding",
        "sliceName": "screeningGrouper"
      },
      {
        "id": "Observation.code.coding:screeningGrouper.system",
        "path": "Observation.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.code.coding:screeningGrouper.code",
        "path": "Observation.code.coding.code",
        "fixedCode": "1148754001"
      },
      {
        "id": "Observation.code.coding:screeningGrouper.display",
        "path": "Observation.code.coding.display",
        "fixedString": "Screening for neoplasm"
      },
      {
        "id": "Observation.code.coding:screeningResult",
        "path": "Observation.code.coding",
        "sliceName": "screeningResult"
      },
      {
        "id": "Observation.code.coding:screeningResult.system",
        "path": "Observation.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.code.coding:screeningResult.code",
        "path": "Observation.code.coding.code",
        "fixedCode": "1854971000000106"
      },
      {
        "id": "Observation.code.coding:screeningResult.display",
        "path": "Observation.code.coding.display",
        "fixedString": "Qualitative result of cancer methylation profile in cell free deoxyribonucleic acid by next generation sequencing"
      },
      {
        "id": "Observation.code.coding:primarySite",
        "path": "Observation.code.coding",
        "sliceName": "primarySite"
      },
      {
        "id": "Observation.code.coding:primarySite.system",
        "path": "Observation.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.code.coding:primarySite.code",
        "path": "Observation.code.coding.code",
        "fixedCode": "1873921000000106"
      },
      {
        "id": "Observation.code.coding:primarySite.display",
        "path": "Observation.code.coding.display",
        "fixedString": "Multi-cancer early detection highest scored cancer signal origin by machine learning-based classifier"
      },
      {
        "id": "Observation.code.coding:secondaySite",
        "path": "Observation.code.coding",
        "sliceName": "secondaySite"
      },
      {
        "id": "Observation.code.coding:secondaySite.system",
        "path": "Observation.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.code.coding:secondaySite.code",
        "path": "Observation.code.coding.code",
        "fixedCode": "1873931000000108"
      },
      {
        "id": "Observation.code.coding:secondaySite.display",
        "path": "Observation.code.coding.display",
        "fixedString": "Multi-cancer early detection second highest scored cancer signal origin by machine learning-based classifier"
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.issued",
        "path": "Observation.issued",
        "min": 1
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "To state whether a multi-cancer early signal was detected or not",
          "valueSet": "https://fhir.nhs.uk/England/ValueSet/England-MCEDSignalResult"
        }
      },
      {
        "id": "Observation.component.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.component.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "123037004"
      },
      {
        "id": "Observation.component.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "fixedString": "Body structure"
      },
      {
        "id": "Observation.component.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "To state the body site where a multi-cancer early signal was detected",
          "valueSet": "https://fhir.nhs.uk/England/ValueSet/England-BodyStructure"
        }
      }
    ]
  }
}