Standard Health Record

MedicationAdherenceStatementProfile

 

The official URL for this profile is:

http://standardhealthrecord.org/fhir/StructureDefinition/cimi-medication-MedicationAdherenceStatement

The degree (frequency) that the stated treatment plan, prescription, or protocol was followed. A statement of the ability and cooperation of the patient in taking medicine or supplement as recommended or prescribed. This includes correct timing, dosage, and frequency.

This profile builds on US Core Results Profile.

This profile was published on Wed Aug 22 00:00:00 EDT 2018 as a draft by The MITRE Corporation: Standard Health Record Collaborative.

Summary

Mandatory: 0 element (2 nested mandatory elements)
Fixed Value: 2 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.code.coding is sliced based on the value of value:code
  • The element Observation.value[x] is sliced based on the value of type:$this

SHR Mapping Source

This structure represents the following SHR mapping definition:

cimi.medication.MedicationAdherenceStatement maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults:
  EvaluationResultTopic.Category maps to category
  EvaluationResultTopic.FindingMethod maps to method
  EvaluationResultTopic.TopicCode maps to code
  EvaluationResultTopic.AnatomicalLocation maps to bodySite
  EvaluationResultTopic.Specimen maps to specimen
  EvaluationResultRecordedContext.ResultValue maps to value[x]
  EvaluationResultRecordedContext.ExceptionValue maps to dataAbsentReason
  EvaluationResultRecordedContext.Interpretation maps to interpretation
  EvaluationResultRecordedContext.RelevantTime maps to effective[x]
  EvaluationResultRecordedContext.FindingStatus maps to status
  EvaluationResultTopic.ReferenceRange maps to referenceRange
  EvaluationResultTopic.ReferenceRange.Range.LowerBound maps to referenceRange.low
  EvaluationResultTopic.ReferenceRange.Range.UpperBound maps to referenceRange.high
  EvaluationResultTopic.ReferenceRange.Type maps to referenceRange.type
  EvaluationResultTopic.ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo
  EvaluationResultTopic.ReferenceRange.ApplicableAgeRange maps to referenceRange.age
  EvaluationResultTopic.EvaluationComponent maps to component (slice on = coding.code; slice strategy = includes)
  EvaluationResultTopic.EvaluationComponent._Concept maps to component.code
  EvaluationResultTopic.EvaluationComponent.ComponentResultValue maps to component.value[x]
  EvaluationResultTopic.EvaluationComponent.ExceptionValue maps to component.dataAbsentReason
  EvaluationResultTopic.EvaluationComponent.Interpretation maps to component.interpretation
  EvaluationResultTopic.EvaluationComponent.ReferenceRange maps to component.referenceRange

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation SHR MedicationAdherenceStatement Profile
... cimi-core-SubjectOfInformation-extension 1..1(Complex)SHR SubjectOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SubjectOfInformation-extension
... cimi-core-SourceOfInformation-extension 0..1(Complex)SHR SourceOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SourceOfInformation-extension
... cimi-element-Annotation-extension 0..*AnnotationProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-element-Annotation-extension
... cimi-core-RecordStatus-extension 0..1CodeableConceptProfileSHR RecordStatus Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-RecordStatus-extension
... cimi-core-Recorded-extension 0..1(Complex)SHR Recorded Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Signed-extension 0..1(Complex)SHR Signed Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Signed-extension
... cimi-core-Cosigned-extension 0..*(Complex)SHR Cosigned Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Cosigned-extension
... cimi-core-Verified-extension 0..*(Complex)SHR Verified Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Verified-extension
... cimi-medication-MedicationNonAdherenceReason-extension 0..*CodeableConceptProfileSHR MedicationNonAdherenceReason Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-medication-MedicationNonAdherenceReason-extension
Binding: SHR MedicationNonAdherenceReasonVS ValueSet (required)
... category CodeableConceptProfileBinding: Observation Category Codes (extensible)
... code CodeableConceptProfile
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfile
..... system Fixed Value: http://ncimeta.nci.nih.gov
..... code Fixed Value: C2364172
... value[x] QuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, PeriodSlice: Unordered, Open by type:$this
... valueCodeableConcept CodeableConceptProfileBinding: SHR QualitativeFrequencyVS ValueSet (required)
... dataAbsentReason CodeableConceptProfileBinding: SHR ExceptionValueVS ValueSet (extensible)
... interpretation CodeableConceptProfile
... bodySite CodeableConceptProfileBinding: SHR AnatomicalLocationVS ValueSet (required)
... method CodeableConceptProfileBinding: LOINC Codes (preferred)
... specimen Reference(SHR Specimen Profile)
... referenceRange 0..0
... component
.... code CodeableConceptProfile
.... value[x] QuantityProfile, CodeableConceptProfile, string, RangeProfile, RatioProfile, Attachment, time, dateTime, Period
.... dataAbsentReason CodeableConceptProfile
.... interpretation CodeableConceptProfile
.... referenceRange 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*SHR MedicationAdherenceStatement Profile
us-core-2: If there is no component or related element then either a value[x] or a data absent reason must be present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... cimi-core-SubjectOfInformation-extension 1..1(Complex)SHR SubjectOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SubjectOfInformation-extension
... cimi-core-SourceOfInformation-extension 0..1(Complex)SHR SourceOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SourceOfInformation-extension
... cimi-element-Annotation-extension 0..*AnnotationProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-element-Annotation-extension
... cimi-core-RecordStatus-extension 0..1CodeableConceptProfileSHR RecordStatus Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-RecordStatus-extension
... cimi-core-Recorded-extension 0..1(Complex)SHR Recorded Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Signed-extension 0..1(Complex)SHR Signed Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Signed-extension
... cimi-core-Cosigned-extension 0..*(Complex)SHR Cosigned Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Cosigned-extension
... cimi-core-Verified-extension 0..*(Complex)SHR Verified Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Verified-extension
... cimi-medication-MedicationNonAdherenceReason-extension 0..*CodeableConceptProfileSHR MedicationNonAdherenceReason Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-medication-MedicationNonAdherenceReason-extension
Binding: SHR MedicationNonAdherenceReasonVS ValueSet (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)Fulfills plan, proposal or order
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category SI1..*CodeableConceptProfileClassification of type of observation
Binding: Observation Category Codes (extensible)
us-core-5: Must have a category of 'laboratory' and a code system 'http://hl7.org/fhir/observation-category'
... code SΣ1..1CodeableConceptProfileLaboratory Test Name
Binding: LOINC Codes (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingProfileCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfile
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://ncimeta.nci.nih.gov
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: C2364172
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what this is about
... context 0..1Reference(Encounter | EpisodeOfCare)Healthcare event during which this observation is made
... effective[x] SΣI0..1dateTime, PeriodClinically relevant time/time-period for observation
us-core-1: Datetime must be at least to day.
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(Practitioner | Organization | Patient | RelatedPerson)Who is responsible for the observation
... value[x] SΣIQuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, PeriodResult Value
Slice: Unordered, Open by type:$this
us-core-4: SHOULD use Snomed CT for coded Results
us-core-3: SHALL use UCUM for coded quantity units.
... valueCodeableConcept Σ0..1CodeableConceptProfileResult Value
Binding: SHR QualitativeFrequencyVS ValueSet (required)
... dataAbsentReason SI0..1CodeableConceptProfileWhy the result is missing
Binding: SHR ExceptionValueVS ValueSet (extensible)
... interpretation 0..1CodeableConceptProfileHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
... comment 0..1stringComments about result
... bodySite 0..1CodeableConceptProfileObserved body part
Binding: SHR AnatomicalLocationVS ValueSet (required)
... method 0..1CodeableConceptProfileHow it was done
Binding: LOINC Codes (preferred)
... specimen 0..1Reference(SHR Specimen Profile)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... related ΣI0..*BackboneElementResource related to this observation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required)
.... target 1..1Reference(Observation | QuestionnaireResponse | Sequence)Resource that is related to this one
... component ΣI0..*BackboneElementComponent results
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code Σ1..1CodeableConceptProfileType of component observation (code / type)
Binding: LOINC Codes (example)
.... value[x] Σ0..1QuantityProfile, CodeableConceptProfile, string, RangeProfile, RatioProfile, Attachment, time, dateTime, PeriodActual component result
.... dataAbsentReason I0..1CodeableConceptProfileWhy the component result is missing
Binding: Observation Value Absent Reason (extensible)
.... interpretation 0..1CodeableConceptProfileHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)

doco Documentation for this format

Summary

Mandatory: 0 element (2 nested mandatory elements)
Fixed Value: 2 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.code.coding is sliced based on the value of value:code
  • The element Observation.value[x] is sliced based on the value of type:$this

SHR Mapping Source

This structure represents the following SHR mapping definition:

cimi.medication.MedicationAdherenceStatement maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults:
  EvaluationResultTopic.Category maps to category
  EvaluationResultTopic.FindingMethod maps to method
  EvaluationResultTopic.TopicCode maps to code
  EvaluationResultTopic.AnatomicalLocation maps to bodySite
  EvaluationResultTopic.Specimen maps to specimen
  EvaluationResultRecordedContext.ResultValue maps to value[x]
  EvaluationResultRecordedContext.ExceptionValue maps to dataAbsentReason
  EvaluationResultRecordedContext.Interpretation maps to interpretation
  EvaluationResultRecordedContext.RelevantTime maps to effective[x]
  EvaluationResultRecordedContext.FindingStatus maps to status
  EvaluationResultTopic.ReferenceRange maps to referenceRange
  EvaluationResultTopic.ReferenceRange.Range.LowerBound maps to referenceRange.low
  EvaluationResultTopic.ReferenceRange.Range.UpperBound maps to referenceRange.high
  EvaluationResultTopic.ReferenceRange.Type maps to referenceRange.type
  EvaluationResultTopic.ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo
  EvaluationResultTopic.ReferenceRange.ApplicableAgeRange maps to referenceRange.age
  EvaluationResultTopic.EvaluationComponent maps to component (slice on = coding.code; slice strategy = includes)
  EvaluationResultTopic.EvaluationComponent._Concept maps to component.code
  EvaluationResultTopic.EvaluationComponent.ComponentResultValue maps to component.value[x]
  EvaluationResultTopic.EvaluationComponent.ExceptionValue maps to component.dataAbsentReason
  EvaluationResultTopic.EvaluationComponent.Interpretation maps to component.interpretation
  EvaluationResultTopic.EvaluationComponent.ReferenceRange maps to component.referenceRange

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation SHR MedicationAdherenceStatement Profile
... cimi-core-SubjectOfInformation-extension 1..1(Complex)SHR SubjectOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SubjectOfInformation-extension
... cimi-core-SourceOfInformation-extension 0..1(Complex)SHR SourceOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SourceOfInformation-extension
... cimi-element-Annotation-extension 0..*AnnotationProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-element-Annotation-extension
... cimi-core-RecordStatus-extension 0..1CodeableConceptProfileSHR RecordStatus Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-RecordStatus-extension
... cimi-core-Recorded-extension 0..1(Complex)SHR Recorded Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Signed-extension 0..1(Complex)SHR Signed Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Signed-extension
... cimi-core-Cosigned-extension 0..*(Complex)SHR Cosigned Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Cosigned-extension
... cimi-core-Verified-extension 0..*(Complex)SHR Verified Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Verified-extension
... cimi-medication-MedicationNonAdherenceReason-extension 0..*CodeableConceptProfileSHR MedicationNonAdherenceReason Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-medication-MedicationNonAdherenceReason-extension
Binding: SHR MedicationNonAdherenceReasonVS ValueSet (required)
... category CodeableConceptProfileBinding: Observation Category Codes (extensible)
... code CodeableConceptProfile
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfile
..... system Fixed Value: http://ncimeta.nci.nih.gov
..... code Fixed Value: C2364172
... value[x] QuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, PeriodSlice: Unordered, Open by type:$this
... valueCodeableConcept CodeableConceptProfileBinding: SHR QualitativeFrequencyVS ValueSet (required)
... dataAbsentReason CodeableConceptProfileBinding: SHR ExceptionValueVS ValueSet (extensible)
... interpretation CodeableConceptProfile
... bodySite CodeableConceptProfileBinding: SHR AnatomicalLocationVS ValueSet (required)
... method CodeableConceptProfileBinding: LOINC Codes (preferred)
... specimen Reference(SHR Specimen Profile)
... referenceRange 0..0
... component
.... code CodeableConceptProfile
.... value[x] QuantityProfile, CodeableConceptProfile, string, RangeProfile, RatioProfile, Attachment, time, dateTime, Period
.... dataAbsentReason CodeableConceptProfile
.... interpretation CodeableConceptProfile
.... referenceRange 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*SHR MedicationAdherenceStatement Profile
us-core-2: If there is no component or related element then either a value[x] or a data absent reason must be present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... cimi-core-SubjectOfInformation-extension 1..1(Complex)SHR SubjectOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SubjectOfInformation-extension
... cimi-core-SourceOfInformation-extension 0..1(Complex)SHR SourceOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SourceOfInformation-extension
... cimi-element-Annotation-extension 0..*AnnotationProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-element-Annotation-extension
... cimi-core-RecordStatus-extension 0..1CodeableConceptProfileSHR RecordStatus Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-RecordStatus-extension
... cimi-core-Recorded-extension 0..1(Complex)SHR Recorded Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Signed-extension 0..1(Complex)SHR Signed Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Signed-extension
... cimi-core-Cosigned-extension 0..*(Complex)SHR Cosigned Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Cosigned-extension
... cimi-core-Verified-extension 0..*(Complex)SHR Verified Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Verified-extension
... cimi-medication-MedicationNonAdherenceReason-extension 0..*CodeableConceptProfileSHR MedicationNonAdherenceReason Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-medication-MedicationNonAdherenceReason-extension
Binding: SHR MedicationNonAdherenceReasonVS ValueSet (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)Fulfills plan, proposal or order
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category SI1..*CodeableConceptProfileClassification of type of observation
Binding: Observation Category Codes (extensible)
us-core-5: Must have a category of 'laboratory' and a code system 'http://hl7.org/fhir/observation-category'
... code SΣ1..1CodeableConceptProfileLaboratory Test Name
Binding: LOINC Codes (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingProfileCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfile
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://ncimeta.nci.nih.gov
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: C2364172
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what this is about
... context 0..1Reference(Encounter | EpisodeOfCare)Healthcare event during which this observation is made
... effective[x] SΣI0..1dateTime, PeriodClinically relevant time/time-period for observation
us-core-1: Datetime must be at least to day.
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(Practitioner | Organization | Patient | RelatedPerson)Who is responsible for the observation
... value[x] SΣIQuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, PeriodResult Value
Slice: Unordered, Open by type:$this
us-core-4: SHOULD use Snomed CT for coded Results
us-core-3: SHALL use UCUM for coded quantity units.
... valueCodeableConcept Σ0..1CodeableConceptProfileResult Value
Binding: SHR QualitativeFrequencyVS ValueSet (required)
... dataAbsentReason SI0..1CodeableConceptProfileWhy the result is missing
Binding: SHR ExceptionValueVS ValueSet (extensible)
... interpretation 0..1CodeableConceptProfileHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
... comment 0..1stringComments about result
... bodySite 0..1CodeableConceptProfileObserved body part
Binding: SHR AnatomicalLocationVS ValueSet (required)
... method 0..1CodeableConceptProfileHow it was done
Binding: LOINC Codes (preferred)
... specimen 0..1Reference(SHR Specimen Profile)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... related ΣI0..*BackboneElementResource related to this observation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required)
.... target 1..1Reference(Observation | QuestionnaireResponse | Sequence)Resource that is related to this one
... component ΣI0..*BackboneElementComponent results
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code Σ1..1CodeableConceptProfileType of component observation (code / type)
Binding: LOINC Codes (example)
.... value[x] Σ0..1QuantityProfile, CodeableConceptProfile, string, RangeProfile, RatioProfile, Attachment, time, dateTime, PeriodActual component result
.... dataAbsentReason I0..1CodeableConceptProfileWhy the component result is missing
Binding: Observation Value Absent Reason (extensible)
.... interpretation 0..1CodeableConceptProfileHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

Terminology Bindings

PathNameConformanceValueSet
Observation.languageCommon LanguagesextensibleCommon Languages
Observation.statusObservationStatusrequiredObservationStatus
Observation.categoryObservation Category CodesextensibleObservation Category Codes
Observation.codeLOINC CodesextensibleLOINC Codes
Observation.valueCodeableConceptSHR QualitativeFrequencyVS ValueSetrequiredQualitativeFrequencyVS
Observation.dataAbsentReasonSHR ExceptionValueVS ValueSetextensibleExceptionValueVS
Observation.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes
Observation.bodySiteSHR AnatomicalLocationVS ValueSetrequiredAnatomicalLocationVS
Observation.methodLOINC CodespreferredLOINC Codes
Observation.referenceRange.typeObservation Reference Range Meaning CodesextensibleObservation Reference Range Meaning Codes
Observation.referenceRange.appliesToObservation Reference Range Applies To CodesextensibleObservation Reference Range Applies To Codes
Observation.related.typeObservationRelationshipTyperequiredObservationRelationshipType
Observation.component.codeLOINC CodesexampleLOINC Codes
Observation.component.dataAbsentReasonObservation Value Absent ReasonextensibleObservation Value Absent Reason
Observation.component.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes
Observation.component.referenceRange.typeObservation Reference Range Meaning CodesextensibleObservation Reference Range Meaning Codes
Observation.component.referenceRange.appliesToObservation Reference Range Applies To CodesexampleObservation Reference Range Applies To Codes

 

Constraints

IdPathDetailsRequirements
dom-2ObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1ObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4ObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3ObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
obs-7ObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or code!=component.code
obs-6ObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
us-core-2ObservationIf there is no component or related element then either a value[x] or a data absent reason must be present
: (component.empty() and related.empty()) implies (dataAbsentReason or value)
us-core-5Observation.categoryMust have a category of 'laboratory' and a code system 'http://hl7.org/fhir/observation-category'
: where(coding.system='http://hl7.org/fhir/observation-category' and coding.code='laboratory').exists()
us-core-1Observation.effective[x]Datetime must be at least to day.
: ($this as dateTime).toString().length() >= 8
us-core-4Observation.value[x]SHOULD use Snomed CT for coded Results
: valueCodeableConcept.coding.system.empty() or valueCodeableConcept.coding.system = 'http://snomed.info/sct'
us-core-3Observation.value[x]SHALL use UCUM for coded quantity units.
: valueQuantity.system.empty() or valueQuantity.system = 'http://unitsofmeasure.org'
ele-1Observation.relatedAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Observation.componentAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())