{
  "resourceType": "StructureDefinition",
  "id": "mesures-observation-pain-severity",
  "url": "https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-pain-severity",
  "name": "MesObservationPainSeverity",
  "title": "Niveau de douleur",
  "status": "active",
  "description": "Profil de la ressource Observation pour définir un niveau de douleur",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/vitalsigns",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.meta.source",
        "path": "Observation.meta.source",
        "short": "Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’une oid : « urn:oid:xx.xx.xx »"
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Observation.extension:supportingInfo",
        "path": "Observation.extension",
        "sliceName": "supportingInfo",
        "definition": "Autres ressources pertinentes *du dossier patient*",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension:MesReasonForMeasurement",
        "path": "Observation.extension",
        "sliceName": "MesReasonForMeasurement",
        "short": "Motif de la mesure",
        "definition": "Motif de la mesure\r\nTexte libre (ex. diabète, surpoids, hypercholestérolémie, risque cardiovasculaire, suivi, ...)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement"
            ]
          }
        ]
      },
      {
        "id": "Observation.category:VSCat",
        "path": "Observation.category",
        "sliceName": "VSCat"
      },
      {
        "id": "Observation.category:VSCat.coding.display",
        "path": "Observation.category.coding.display",
        "patternString": "vital-signs"
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            },
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Observation.code.coding:painServerCode",
        "path": "Observation.code.coding",
        "sliceName": "painServerCode",
        "min": 1,
        "max": "1",
        "patternCoding": {
          "code": "72514-3",
          "system": "http://loinc.org"
        }
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient"
            ]
          }
        ]
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter"
            ]
          }
        ]
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/CareTeam",
              "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-related-person",
              "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient",
              "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-organization"
            ]
          }
        ]
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Observation.value[x].unit",
        "path": "Observation.value[x].unit",
        "min": 1,
        "patternString": "Level"
      },
      {
        "id": "Observation.value[x].system",
        "path": "Observation.value[x].system",
        "patternUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.value[x].code",
        "path": "Observation.value[x].code",
        "min": 1,
        "patternCode": "1"
      },
      {
        "id": "Observation.dataAbsentReason.coding.system",
        "path": "Observation.dataAbsentReason.coding.system",
        "min": 1
      },
      {
        "id": "Observation.dataAbsentReason.coding.code",
        "path": "Observation.dataAbsentReason.coding.code",
        "min": 1
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "short": "Lieu de la douleur - Texte libre"
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J159-MethodPainSeverity-ENS/FHIR/JDV-J159-MethodPainSeverity-ENS"
        }
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "short": "Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. \r\nSi la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice"
            ]
          }
        ],
        "mustSupport": true
      }
    ]
  }
}