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Source1

{
  "resourceType": "StructureDefinition",
  "url": "https://gen.kanta.fi/fhir/StructureDefinition/extension/ObservationFunctionalAmendment",
  "version": "1.1.0",
  "name": "ObservationFunctionalAmendment",
  "title": "Observation Functional Amendment extension",
  "status": "draft",
  "date": "2025-11-17",
  "publisher": "Kela",
  "description": "Laajennoksella ilmoitetaan toimintakyvyn mittaustuloksen muutos lukuarvona sekä tarvittaessa tekstimuodossa.",
  "fhirVersion": "4.0.1",
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "observation"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Toimintakyvyn muutos lukuarvona ja tekstinä",
        "definition": "Laajennoksella ilmoitetaan toimintakyvyn mittaustuloksen muutos lukuarvona sekä tarvittaessa tekstimuodossa.",
        "max": "1"
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "max": "0"
      },
      {
        "id": "Extension.extension:AmendmentValue",
        "path": "Extension.extension",
        "sliceName": "AmendmentValue",
        "short": "Toimintakyvyn muutos lukuarvona",
        "definition": "Tietoon kirjataan kahden mittaustuloksen välinen numeerinen muutos.",
        "max": "1"
      },
      {
        "id": "Extension.extension:AmendmentValue.id",
        "path": "Extension.extension.id",
        "max": "0"
      },
      {
        "id": "Extension.extension:AmendmentValue.extension",
        "path": "Extension.extension.extension",
        "max": "0"
      },
      {
        "id": "Extension.extension:AmendmentValue.url",
        "path": "Extension.extension.url",
        "fixedUri": "AmendmentValue"
      },
      {
        "id": "Extension.extension:AmendmentValue.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Toimintakyvyn muutos lukuarvona",
        "definition": "Tietonn kirjataan toimintakyvyn mittaustuloksen muutos lukuarvona. Tietoon kirjataan kahden mittaustuloksen välinen numeerinen muutos.",
        "min": 1,
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "Extension.extension:AmendmentDescription",
        "path": "Extension.extension",
        "sliceName": "AmendmentDescription",
        "short": "Toimintakyvyn muutoksen kuvaus",
        "definition": "Kenttään kirjataan toimintakyvyn muutoksen tulkinta mittaustuloksen perusteella tai kuvataan muutosta ilman mittausta.",
        "max": "1"
      },
      {
        "id": "Extension.extension:AmendmentDescription.id",
        "path": "Extension.extension.id",
        "max": "0"
      },
      {
        "id": "Extension.extension:AmendmentDescription.extension",
        "path": "Extension.extension.extension",
        "max": "0"
      },
      {
        "id": "Extension.extension:AmendmentDescription.url",
        "path": "Extension.extension.url",
        "fixedUri": "AmendmentDescription"
      },
      {
        "id": "Extension.extension:AmendmentDescription.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Toimintakyvyn muutos tekstinä",
        "definition": "Tietoon kirjataan toimintakyvyn muutoksen tulkinta mittaustuloksen perusteella tai kuvataan muutosta ilman mittausta.",
        "min": 1,
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "fixedUri": "https://gen.kanta.fi/fhir/StructureDefinition/extension/ObservationFunctionalAmendment"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "max": "0"
      }
    ]
  }
}