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: PhdNumericObservation

Defining URL:http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation
Version:current
Name:PhdNumericObservation
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 number.

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/PhdNumericObservation

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 (65 nested mandatory elements)
Fixed Value: 22 elements
Prohibited: 6 elements

Slices

This structure defines the following Slices:

  • The element Observation.meta.profile is sliced based on the value of value:value
  • The element Observation.category.coding is sliced based on the value of value:system
  • The element Observation.dataAbsentReason.coding is sliced based on the value of value:system
  • The element Observation.component.code.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

This structure is derived from PhdBaseObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*PhdBaseObservationSimple Numeric measurement
... 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/PhdNumericObservation
... category:vitalSignsCategory 0..*CodeableConceptRequired by the FHIR specification if the measurement value is a vital sign
.... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:vitalSigns 1..1CodingRequired Vital Signs category code system entry
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
... valueQuantity 0..1QuantityActual result
.... value 1..1decimalNumerical value (with implicit precision)
.... system 1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... code 1..1codeThe UCUM code for the units of this measurement.
.... 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
... component:accuracyComponent 0..1BackboneElementThe accuracy of the measurement
.... code 1..1CodeableConceptType of component observation (code / type)
Binding: Quantity 11073 Attributes (required)
..... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:MdcType 1..1CodingThe 11073-10101 MDC code for the measurement
....... system 1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
....... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 67914
..... text 0..1stringPlain text representation of the concept
.... valueQuantity:valueQuantity 1..1QuantityActual component result
..... value 1..1decimalNumerical value (with implicit precision)
..... system 1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code 1..1codeCoded form of the unit
.... dataAbsentReason 0..0
... component:alertOpStateComponent 0..*BackboneElementThe Alert Operations State component
.... code 1..1CodeableConceptType of component observation (code / type)
Binding: ANS1ToHL7 codes defined for non-measurement attributes (required)
..... coding 1..1CodingOnly the ASN1 to HL7 coding for this item.
...... 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 1..1CodeableConceptActual component result
..... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:V2Binary 1..1CodingThe required Version 2 Table 0136 Binary code entry
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1codeSymbol in syntax defined by the system
.... dataAbsentReason 0..0
... component:currentLimitsComponent 0..1BackboneElementThe Current-Limits values
.... code 1..1CodeableConceptType of component observation (code / type)
Binding: Range 11073 Attributes (required)
..... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:MdcType 1..1CodingThe 11073-10101 MDC code for the measurement
....... system 1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
....... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 67892
..... text 0..1stringPlain text representation of the concept
.... valueRange 1..1RangeActual component result
..... low:SimpleQuantity 1..1SimpleQuantityA fixed quantity (no comparator)
...... value 1..1decimalNumerical value (with implicit precision)
...... system 1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1codeCoded form of the unit
..... high:SimpleQuantity 1..1SimpleQuantityA fixed quantity (no comparator)
...... value 1..1decimalNumerical value (with implicit precision)
...... system 1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1codeCoded form of the unit
.... dataAbsentReason 0..0
... component:alertOpTextStringComponent 0..1BackboneElementThe Alert-Op-Text human readable strings
.... code 1..1CodeableConceptType of component observation (code / type)
Binding: String 11073 Attributes (required)
..... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:MdcType 1..1CodingThe 11073-10101 MDC code for the measurement
....... system 1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
....... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 68104
..... text 0..1stringPlain text representation of the concept
.... valueString:valueString 1..1stringActual component result
..... value 1..1stringPrimitive value for string
.... dataAbsentReason 0..0
... component:measurementConfidence95Component 0..1BackboneElementThe Measurement-Confidence-95 range
.... code 1..1CodeableConceptType of component observation (code / type)
Binding: Range 11073 Attributes (required)
..... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:MdcType 1..1CodingThe 11073-10101 MDC code for the measurement
....... system 1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
....... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 68236
..... text 0..1stringPlain text representation of the concept
.... valueRange 1..1RangeActual component result
..... low:SimpleQuantity 1..1SimpleQuantityA fixed quantity (no comparator)
...... value 1..1decimalNumerical value (with implicit precision)
...... system 1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1codeCoded form of the unit
..... high:SimpleQuantity 1..1SimpleQuantityA fixed quantity (no comparator)
...... value 1..1decimalNumerical value (with implicit precision)
...... system 1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1codeCoded form of the unit
.... dataAbsentReason 0..0
... component:thresholdNotificationTextStringComponent 0..1BackboneElementThe Threshold-Notification-Text-String attribute value entry
.... code 1..1CodeableConceptType of component observation (code / type)
Binding: String 11073 Attributes (required)
..... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:MdcType 1..1CodingThe 11073-10101 MDC code for the measurement
....... system 1..1uriIdentity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
....... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 68232
..... text 0..1stringPlain text representation of the concept
.... valueString:valueString 1..1stringActual component result
..... value 1..1stringPrimitive value for string
.... dataAbsentReason 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*PhdBaseObservationSimple Numeric measurement
... 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/PhdNumericObservation
.... 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:vitalSignsCategory 0..*CodeableConceptRequired by the FHIR specification if the measurement value is a vital sign
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... 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:vitalSigns Σ1..1CodingRequired Vital Signs category code system 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: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
...... 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 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
... Slices for value[x] ΣI0..1QuantityActual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity ΣI0..1QuantityActual 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..1codeThe UCUM code for the units of this measurement.
... dataAbsentReason I0..1CodeableConceptPopulated when a special value occurs or Measurement-Status indicates invalid, not unavailable, or msmt ongoing
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:accuracyComponent Σ0..1BackboneElementThe accuracy of the measurement
..... 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: 67914
........ 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] Σ1..1QuantityActual component result
Slice: Unordered, Closed by type:$this
...... 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
..... 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:alertOpStateComponent Σ0..*BackboneElementThe Alert Operations State component
..... 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 non-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..1CodingOnly the ASN1 to HL7 coding for this item.
....... 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] Σ1..1CodeableConceptActual component result
Slice: Unordered, Closed by type:$this
...... 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:V2Binary Σ1..1CodingThe required Version 2 Table 0136 Binary 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: http://terminology.hl7.org/CodeSystem/v2-0203
......... 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:currentLimitsComponent Σ0..1BackboneElementThe Current-Limits values
..... 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: Range 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: 67892
........ 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] Σ1..1RangeActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueRange Σ1..1RangeActual 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
....... low:SimpleQuantity Σ1..1SimpleQuantityA fixed quantity (no comparator)
........ 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)
........ unit Σ0..1stringUnit representation
........ system ΣI1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
........ code Σ1..1codeCoded form of the unit
....... high:SimpleQuantity Σ1..1SimpleQuantityA fixed quantity (no comparator)
........ 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)
........ unit Σ0..1stringUnit representation
........ system ΣI1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
........ code Σ1..1codeCoded form of the unit
..... 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:alertOpTextStringComponent Σ0..1BackboneElementThe Alert-Op-Text human readable strings
..... 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: String 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: 68104
........ 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] Σ1..1stringActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueString Σ1..1stringActual component result
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionAdditional content defined by implementations
....... value 1..1stringPrimitive value for string
Max Length: 1048576
..... 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:measurementConfidence95Component Σ0..1BackboneElementThe Measurement-Confidence-95 range
..... 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: Range 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