Standard Health Record

PanelRecordedProfile

 

The official URL for this profile is:

http://standardhealthrecord.org/fhir/StructureDefinition/cimi-statement-PanelRecorded

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: 3 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.category.coding is sliced based on the value of value:code

SHR Mapping Source

This structure represents the following SHR mapping definition:

cimi.statement.PanelRecorded maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults:
  PanelTopic.Category maps to category
  PanelTopic.FindingMethod maps to method
  PanelTopic.TopicCode maps to code
  PanelTopic.AnatomicalLocation maps to bodySite
  PanelTopic.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
  PanelTopic.ReferenceRange maps to referenceRange
  PanelTopic.ReferenceRange.Range.LowerBound maps to referenceRange.low
  PanelTopic.ReferenceRange.Range.UpperBound maps to referenceRange.high
  PanelTopic.ReferenceRange.Type maps to referenceRange.type
  PanelTopic.ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo
  PanelTopic.ReferenceRange.ApplicableAgeRange maps to referenceRange.age
  PanelTopic.EvaluationComponent maps to component (slice on = coding.code; slice strategy = includes)
  PanelTopic.EvaluationComponent._Concept maps to component.code
  PanelTopic.EvaluationComponent.ComponentResultValue maps to component.value[x]
  PanelTopic.EvaluationComponent.ExceptionValue maps to component.dataAbsentReason
  PanelTopic.EvaluationComponent.Interpretation maps to component.interpretation
  PanelTopic.EvaluationComponent.ReferenceRange maps to component.referenceRange
  fix related.type to #has-member
  PanelTopic.PanelMembers.EvaluationResultRecorded maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation SHR PanelRecorded 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-statement-DiagnosticService-extension 0..*CodeableConceptProfileSHR DiagnosticService Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-statement-DiagnosticService-extension
Binding: SHR DiagnosticServiceVS ValueSet (extensible)
... category CodeableConceptProfileBinding: Observation Category Codes (extensible)
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfile
..... system Fixed Value: http://hl7.org/fhir/observation-category
..... code Fixed Value: laboratory
... code CodeableConceptProfile
... value[x] QuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, Period
... 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
.... low SimpleQuantityProfile
.... high SimpleQuantityProfile
.... type CodeableConceptProfile
.... appliesTo CodeableConceptProfileBinding: Observation Reference Range Applies To Codes (extensible)
.... age RangeProfile
... related
.... type Fixed Value: has-member
.... target Reference(SHR EvaluationResultRecorded Profile)
... component
.... code CodeableConceptProfile
.... value[x] QuantityProfile, CodeableConceptProfile, string, RangeProfile, RatioProfile, Attachment, time, dateTime, Period
.... dataAbsentReason CodeableConceptProfile
.... interpretation CodeableConceptProfile

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*SHR PanelRecorded 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-statement-DiagnosticService-extension 0..*CodeableConceptProfileSHR DiagnosticService Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-statement-DiagnosticService-extension
Binding: SHR DiagnosticServiceVS ValueSet (extensible)
... 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'
.... 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://hl7.org/fhir/observation-category
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
..... 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
... code SΣ1..1CodeableConceptProfileLaboratory Test Name
Binding: LOINC Codes (extensible)
... 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] SΣI0..1QuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, PeriodResult Value
us-core-4: SHOULD use Snomed CT for coded Results
us-core-3: SHALL use UCUM for coded quantity units.
... 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
... referenceRange I0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... low I0..1SimpleQuantityProfileLow Range, if relevant
.... high I0..1SimpleQuantityProfileHigh Range, if relevant
.... type 0..1CodeableConceptProfileReference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible)
.... appliesTo 0..*CodeableConceptProfileReference range population
Binding: Observation Reference Range Applies To Codes (extensible)
.... age 0..1RangeProfileApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... 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)
Fixed Value: has-member
.... target 1..1Reference(SHR EvaluationResultRecorded Profile)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)
.... referenceRange 0..*BackboneElementProvides guide for interpretation of component result
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... low I0..1SimpleQuantityLow Range, if relevant
..... high I0..1SimpleQuantityHigh Range, if relevant
..... type 0..1CodeableConceptReference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible)
..... appliesTo 0..*CodeableConceptReference range population
Binding: Observation Reference Range Applies To Codes (example)
..... age 0..1RangeApplicable age range, if relevant
..... text 0..1stringText based reference range in an observation

doco Documentation for this format

Summary

Mandatory: 0 element (2 nested mandatory elements)
Fixed Value: 3 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.category.coding is sliced based on the value of value:code

SHR Mapping Source

This structure represents the following SHR mapping definition:

cimi.statement.PanelRecorded maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults:
  PanelTopic.Category maps to category
  PanelTopic.FindingMethod maps to method
  PanelTopic.TopicCode maps to code
  PanelTopic.AnatomicalLocation maps to bodySite
  PanelTopic.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
  PanelTopic.ReferenceRange maps to referenceRange
  PanelTopic.ReferenceRange.Range.LowerBound maps to referenceRange.low
  PanelTopic.ReferenceRange.Range.UpperBound maps to referenceRange.high
  PanelTopic.ReferenceRange.Type maps to referenceRange.type
  PanelTopic.ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo
  PanelTopic.ReferenceRange.ApplicableAgeRange maps to referenceRange.age
  PanelTopic.EvaluationComponent maps to component (slice on = coding.code; slice strategy = includes)
  PanelTopic.EvaluationComponent._Concept maps to component.code
  PanelTopic.EvaluationComponent.ComponentResultValue maps to component.value[x]
  PanelTopic.EvaluationComponent.ExceptionValue maps to component.dataAbsentReason
  PanelTopic.EvaluationComponent.Interpretation maps to component.interpretation
  PanelTopic.EvaluationComponent.ReferenceRange maps to component.referenceRange
  fix related.type to #has-member
  PanelTopic.PanelMembers.EvaluationResultRecorded maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation SHR PanelRecorded 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-statement-DiagnosticService-extension 0..*CodeableConceptProfileSHR DiagnosticService Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-statement-DiagnosticService-extension
Binding: SHR DiagnosticServiceVS ValueSet (extensible)
... category CodeableConceptProfileBinding: Observation Category Codes (extensible)
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfile
..... system Fixed Value: http://hl7.org/fhir/observation-category
..... code Fixed Value: laboratory
... code CodeableConceptProfile
... value[x] QuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, Period
... 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
.... low SimpleQuantityProfile
.... high SimpleQuantityProfile
.... type CodeableConceptProfile
.... appliesTo CodeableConceptProfileBinding: Observation Reference Range Applies To Codes (extensible)
.... age RangeProfile
... related
.... type Fixed Value: has-member
.... target Reference(SHR EvaluationResultRecorded Profile)
... component
.... code CodeableConceptProfile
.... value[x] QuantityProfile, CodeableConceptProfile, string, RangeProfile, RatioProfile, Attachment, time, dateTime, Period
.... dataAbsentReason CodeableConceptProfile
.... interpretation CodeableConceptProfile

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*SHR PanelRecorded 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-statement-DiagnosticService-extension 0..*CodeableConceptProfileSHR DiagnosticService Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-statement-DiagnosticService-extension
Binding: SHR DiagnosticServiceVS ValueSet (extensible)
... 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'
.... 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://hl7.org/fhir/observation-category
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
..... 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
... code SΣ1..1CodeableConceptProfileLaboratory Test Name
Binding: LOINC Codes (extensible)
... 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] SΣI0..1QuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, PeriodResult Value
us-core-4: SHOULD use Snomed CT for coded Results
us-core-3: SHALL use UCUM for coded quantity units.
... 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
... referenceRange I0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... low I0..1SimpleQuantityProfileLow Range, if relevant
.... high I0..1SimpleQuantityProfileHigh Range, if relevant
.... type 0..1CodeableConceptProfileReference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible)
.... appliesTo 0..*CodeableConceptProfileReference range population
Binding: Observation Reference Range Applies To Codes (extensible)
.... age 0..1RangeProfileApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... 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)
Fixed Value: has-member
.... target 1..1Reference(SHR EvaluationResultRecorded Profile)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)
.... referenceRange 0..*BackboneElementProvides guide for interpretation of component result
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... low I0..1SimpleQuantityLow Range, if relevant
..... high I0..1SimpleQuantityHigh Range, if relevant
..... type 0..1CodeableConceptReference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible)
..... appliesTo 0..*CodeableConceptReference range population
Binding: Observation Reference Range Applies To Codes (example)
..... age 0..1RangeApplicable age range, if relevant
..... text 0..1stringText based reference range in an observation

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.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.referenceRangeAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
obs-3Observation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
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())