Personal Health Device Implementation Guide
current - CI Build

Personal Health Device Implementation Guide, published by HL7 International - Health Care Devices Work Group. This is not an authorized publication; it is the continuous build for version current). This version is based on the current content of https://github.com/HL7/PHD/ and changes regularly. See the Directory of published versions

Resource Profile: PhdBitsEnumerationObservation

Defining URL:http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBitsEnumerationObservation
Version:current
Name:PhdBitsEnumerationObservation
Status:Draft as of 2017-06-02T14:29:52.39367-04:00
Definition:

StructureDefinition for Observation Resources representing measurement data coming from a medical device where the measurement is an ASN1 BITS value.

Publisher:HL7 International - Health Care Devices Work Group
Committee:Orders and Observations
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBitsEnumerationObservation

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from PhdBaseObservation

Summary

Mandatory: 3 elements (14 nested mandatory elements)
Fixed Value: 6 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

  • The element Observation.meta.profile is sliced based on the value of value:value
  • The element Observation.dataAbsentReason.coding is sliced based on the value of value:system
  • The element Observation.component.valueCodeableConcept.coding is sliced based on the value of value:system (ordered)
  • The element Observation.component.dataAbsentReason.coding is sliced based on the value of value:system

This structure is derived from PhdBaseObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*PhdBaseObservationMeasurements and simple assertions
... meta 1..1MetaMetadata about the resource
.... Slices for profile 1..*canonical(StructureDefinition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:value
..... profile:phdProfile 1..1canonical(StructureDefinition)Profiles this resource claims to conform to
Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBitsEnumerationObservation
... value[x] 0..0
... dataAbsentReason 0..1CodeableConceptWhy the result is missing
.... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:FhirDefault 1..1CodingCode defined by a terminology system
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code 1..1codeSymbol in syntax defined by the system
.... code 1..1CodeableConceptType of component observation (code / type)
Binding: ANS1ToHL7 codes defined for measurement attributes (required)
..... coding 1..*CodingThe ANS1 BITs code for the measurement
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7
...... code 1..1codeSymbol in syntax defined by the system
.... valueCodeableConcept 0..1CodeableConceptActual component result
..... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Ordered, Open by value:system
...... coding:v2BinaryValue 1..1CodingCode defined by a terminology system
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0136
....... code 1..1codeSymbol in syntax defined by the system
.... dataAbsentReason 0..1CodeableConceptFor the optional reporting of unsupported bits
..... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:FhirDefault 1..1CodingFHIR default code system for reporting 'unsupported'
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code 1..1codeSymbol in syntax defined by the system
Fixed Value: unsupported

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*PhdBaseObservationMeasurements and simple assertions
... id Σ0..1stringLogical id of this artifact
... meta Σ1..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... Slices for profile Σ1..*canonical(StructureDefinition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:value
..... profile:phdProfile Σ1..1canonical(StructureDefinition)Profiles this resource claims to conform to

Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBitsEnumerationObservation
.... Slices for security Σ0..*CodingSecurity Labels applied to this resource
Slice: Unordered, Open by value:system, value:code
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:PhdHtest Σ0..1CodingSecurity value set to HTEST when measurement status indicates demo or test data
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: HTEST
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..1ExtensionExtension for the PHG
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference()Reference to the Personal Health Gateway (PHG) Device
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierBusiness Identifier for observation
Slice: Unordered, Open by exists:value, exists:system, exists:type
.... identifier:conditionalCreate Σ0..1IdentifierUnique identifier of this measurement for a given patient and device
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:MDCType Σ1..1CodingThe 11073-10101 MDC code for the measurement
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:LoincCoding Σ0..1CodingThe LOINC code for the measurement
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringIt is recommended to display at least the reference identifier for the MDC code
... subject Σ1..1Reference(Patient | Group | Device | Location)Who and/or what the observation is about
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] Σ1..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... dataAbsentReason I0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:FhirDefault Σ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... 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
... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:MsmtStatusInterpretation Σ1..1CodingMeasurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... 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
... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 1..1Reference(Device | DeviceMetric)(Measurement) Device
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI1..1stringReference to the device responsible for the measurement
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... referenceRange I0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Reference to the Coincident Time Stamp Observation and/or Source-Handle-Reference Observation
... Slices for component Σ0..*BackboneElementComponent results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueBooleanboolean
...... valueIntegerinteger
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:supplementalTypesComponent Σ0..*BackboneElementSupplemental Type: A further description of the measurement type.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: CodeableConcept 11073 Attributes (required)
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MdcType Σ1..1CodingThe 11073-10101 MDC code for the measurement
........ id 0..1stringUnique id for inter-element referencing
........ Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 68193
........ 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
..... value[x]:valueCodeableConcept Σ1..1CodeableConceptActual component result
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MDCType Σ1..1CodingRequired MDC code entry.
........ id 0..1stringUnique id for inter-element referencing
........ Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ1..1codeSymbol in syntax defined by the system
........ 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
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:relativeTimeComponent Σ0..1BackboneElementRelative time stamp of the measurement reported by the PHD.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: Quantity 11073 Attributes (required)
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MdcType Σ1..1CodingThe 11073-10101 MDC code for the measurement
........ id 0..1stringUnique id for inter-element referencing
........ Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 67985
........ 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
..... value[x]:valueQuantity Σ1..1QuantityActual component result
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ1..1decimalNumerical value (with implicit precision)
...... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

...... unit Σ0..1stringUnit representation
...... system ΣI1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ1..1codeCoded form of the unit
Fixed Value: us
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:hiresRelativeTimeComponent Σ0..1BackboneElementHi-Resolution Relative time stamp of the measurement reported by the PHD.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: Quantity 11073 Attributes (required)
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MdcType Σ1..1CodingThe 11073-10101 MDC code for the measurement
........ id 0..1stringUnique id for inter-element referencing
........ Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 68073
........ 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
..... value[x]:valueQuantity Σ1..1QuantityActual component result
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ1..1decimalNumerical value
...... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

...... unit Σ0..1stringUnit representation
...... system ΣI1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ1..1codeCoded form of the unit
Fixed Value: us
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:bitsComponent Σ0..*BackboneElementBITs measurements entry components
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: ANS1ToHL7 codes defined for measurement attributes (required)
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ1..*CodingThe ANS1 BITs code for the measurement
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... 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
..... Slices for value[x] Σ0..1CodeableConceptActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept Σ0..1CodeableConceptActual component result
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Ordered, Open by value:system
........ coding:v2BinaryValue Σ1..1CodingCode defined by a terminology system
......... id 0..1stringUnique id for inter-element referencing
......... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
......... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0136
......... version Σ0..1stringVersion of the system - if relevant
......... code Σ1..1codeSymbol in syntax defined by the system
......... 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
..... dataAbsentReason I0..1CodeableConceptFor the optional reporting of unsupported bits
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:FhirDefault Σ1..1CodingFHIR default code system for reporting 'unsupported'
........ id 0..1stringUnique id for inter-element referencing
........ Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: unsupported
........ 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
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

This structure is derived from PhdBaseObservation

Summary

Mandatory: 3 elements (14 nested mandatory elements)
Fixed Value: 6 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

  • The element Observation.meta.profile is sliced based on the value of value:value
  • The element Observation.dataAbsentReason.coding is sliced based on the value of value:system
  • The element Observation.component.valueCodeableConcept.coding is sliced based on the value of value:system (ordered)
  • The element Observation.component.dataAbsentReason.coding is sliced based on the value of value:system

Differential View

This structure is derived from PhdBaseObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*PhdBaseObservationMeasurements and simple assertions
... meta 1..1MetaMetadata about the resource
.... Slices for profile 1..*canonical(StructureDefinition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:value
..... profile:phdProfile 1..1canonical(StructureDefinition)Profiles this resource claims to conform to
Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBitsEnumerationObservation
... value[x] 0..0
... dataAbsentReason 0..1CodeableConceptWhy the result is missing
.... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:FhirDefault 1..1CodingCode defined by a terminology system
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code 1..1codeSymbol in syntax defined by the system
.... code 1..1CodeableConceptType of component observation (code / type)
Binding: ANS1ToHL7 codes defined for measurement attributes (required)
..... coding 1..*CodingThe ANS1 BITs code for the measurement
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7
...... code 1..1codeSymbol in syntax defined by the system
.... valueCodeableConcept 0..1CodeableConceptActual component result
..... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Ordered, Open by value:system
...... coding:v2BinaryValue 1..1CodingCode defined by a terminology system
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0136
....... code 1..1codeSymbol in syntax defined by the system
.... dataAbsentReason 0..1CodeableConceptFor the optional reporting of unsupported bits
..... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:FhirDefault 1..1CodingFHIR default code system for reporting 'unsupported'
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
....... code 1..1codeSymbol in syntax defined by the system
Fixed Value: unsupported

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*PhdBaseObservationMeasurements and simple assertions
... id Σ0..1stringLogical id of this artifact
... meta Σ1..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... Slices for profile Σ1..*canonical(StructureDefinition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:value
..... profile:phdProfile Σ1..1canonical(StructureDefinition)Profiles this resource claims to conform to

Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBitsEnumerationObservation
.... Slices for security Σ0..*CodingSecurity Labels applied to this resource
Slice: Unordered, Open by value:system, value:code
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:PhdHtest Σ0..1CodingSecurity value set to HTEST when measurement status indicates demo or test data
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: HTEST
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..1ExtensionExtension for the PHG
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference()Reference to the Personal Health Gateway (PHG) Device
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierBusiness Identifier for observation
Slice: Unordered, Open by exists:value, exists:system, exists:type
.... identifier:conditionalCreate Σ0..1IdentifierUnique identifier of this measurement for a given patient and device
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:MDCType Σ1..1CodingThe 11073-10101 MDC code for the measurement
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:LoincCoding Σ0..1CodingThe LOINC code for the measurement
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringIt is recommended to display at least the reference identifier for the MDC code
... subject Σ1..1Reference(Patient | Group | Device | Location)Who and/or what the observation is about
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] Σ1..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... dataAbsentReason I0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:FhirDefault Σ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version Σ0..1string