Profile Comparison between http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment

Left:IPA-Observation (http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation)
Right:US Core Observation Screening Assessment Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment'
ErrorStructureDefinition.versionValues for version differ: '1.1.0' vs '10.0.0-ballot'
InformationStructureDefinition.nameValues for name differ: 'IPAObservation' vs 'USCoreObservationScreeningAssessmentProfile'
InformationStructureDefinition.titleValues for title differ: 'IPA-Observation' vs 'US Core Observation Screening Assessment Profile'
InformationStructureDefinition.dateValues for date differ: '2022-08-02' vs '2024-11-16'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Patient Care' vs 'HL7 International / Cross-Group Projects'
InformationStructureDefinition.jurisdictionRemoved the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
InformationStructureDefinition.jurisdictionAdded the item 'urn:iso:std:iso:3166#US'
InformationStructureDefinition.shortValues for short differ: 'Measurements and simple assertions' vs 'Survey Observation'
InformationObservation.languageExample/preferred bindings differ at Observation.language using binding from IPAObservation
InformationObservation.categoryElement minimum cardinalities differ: '0' vs '1'
InformationObservation.categoryExample/preferred bindings differ at Observation.category using binding from IPAObservation
InformationObservation.codeExample/preferred bindings differ at Observation.code using binding from USCoreObservationScreeningAssessmentProfile
InformationStructureDefinition.definitionValues for definition differ: 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the 'physiologically relevant time'. This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.' vs 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g., human patients - this is usually called the 'physiologically relevant time'.'
InformationStructureDefinition.commentValues for comment differ: 'At least a date should be present unless this observation is a historical report. For recording imprecise or 'fuzzy' times (For example, a blood glucose measurement taken 'after breakfast') use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.' vs 'At least a date should be present unless this observation is a historical report.'
WarningObservation.performerElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.commentValues for comment differ: 'An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.' vs 'An observation may have a value if it represents an individual survey, screening, or assessment question and answer pair. An observation should not have a value if it represents a multi-question or multi-select “check all that apply” responses. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.'
InformationStructureDefinition.commentValues for comment differ: 'Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be 'detected', 'not detected', 'inconclusive', or 'specimen unsatisfactory'. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code 'error' could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.' vs ''Null' or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For a given LOINC question, if the LOINC answer list includes concepts such as 'unknown' or 'not available', they should be used for Observation.value. Where these concepts are not part of the value set for Observation.value, the Observation.dataAbsentReason can be used if necessary and appropriate.'
InformationObservation.referenceRange.typeExample/preferred bindings differ at Observation.referenceRange.type using binding from IPAObservation
InformationStructureDefinition.shortValues for short differ: 'Related resource that belongs to the Observation group' vs 'Reference to panel members or multi-select responses'
InformationStructureDefinition.definitionValues for definition differ: 'This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.' vs 'Aggregate set of Observations that represent question answer pairs for both multi-question surveys, screenings, and assessments and multi-select questions.'
InformationStructureDefinition.commentValues for comment differ: 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.' vs 'This grouping element is used to represent surveys, screenings, and assessments that group several questions together or individual questions with “check all that apply” responses. For example in the simplest case a flat multi-question survey where the 'panel' observation is the survey instrument itself and instead of an `Observation.value` the `hasMember` element references other Observation that represent the individual questions answer pairs. When there is a heirarchical grouping of questions, the observation 'panels' can be nested. Because surveys, screenings, and assessments can be arbitrarily complex structurally, not all structures can be represented using this Observation grouping pattern.'
WarningObservation.hasMemberElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.definitionValues for definition differ: 'The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.' vs 'Observations or other resource such as a QuestionnaireResponse from which this observation value is derived.'
WarningObservation.derivedFromElements differ in definition for mustSupport: 'false' vs 'true'
ErrorObservation.derivedFromType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])

Metadata

NameValueComments
abstractfalse
    baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      copyrightUsed by permission of HL7 International all rights reserved Creative Commons License
      • Removed the item 'Used by permission of HL7 International all rights reserved Creative Commons License'
      date2022-08-022024-11-16
      • Values Differ
      descriptionMinimum expectations for an Observation resource when accessed via a International Patient Access APIThe US Core Observation Screening Assessment Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to it for scope and usage definitions. Beginning with US Core Version 6.0.0, this profile supersedes the US Core Observation Survey Profile (see the [Changes Between Versions](changes-between-versions.html) page for a summary of cross-version comparisons of US Core Profiles). This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Health Status Assessments* Data Class. It sets the minimum expectations for the Observation Resource to record, search, and fetch observations representing the questions and responses to surveys and screening and assessment tools. For example, a social history status such as education or food insecurity or an assessment of cognitive, functional, or disability status. It can represent a single response, multiple responses, and multi-select "check all that apply" type questions. This profile specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. Before reviewing this profile, implementers are encouraged to read the Screening and Assessments guidance page, which documents the process of recording responses and capturing assertions/determinations resulting from surveys and questionnaires.
      • Values Differ
      experimentalfalse
      • Removed the item 'false'
      fhirVersion4.0.1
        jurisdiction
          jurisdiction / jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#001
          • Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
          jurisdiction / jurisdiction[1]urn:iso:std:iso:3166#US
          • Added the item 'urn:iso:std:iso:3166#US'
          kindresource
            nameIPAObservationUSCoreObservationScreeningAssessmentProfile
            • Values Differ
            publisherHL7 International / Patient CareHL7 International / Cross-Group Projects
            • Values Differ
            purpose
              statusactive
                titleIPA-ObservationUS Core Observation Screening Assessment Profile
                • Values Differ
                typeObservation
                  urlhttp://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observationhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment
                  • Values Differ
                  version1.1.010.0.0-ballot
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                  Observation C0..*ObservationMeasurements and simple assertions
                  Constraints: ipa-obs-1
                  C0..*ObservationSurvey Observation
                  Constraints: us-core-2
                    Observation.id This element is included in summaries. 0..1idLogical id of this artifact This element is included in summaries. 0..1idLogical id of this artifact
                      Observation.meta This element is included in summaries. 0..1MetaMetadata about the resource This element is included in summaries. 0..1MetaMetadata about the resource
                        Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created
                          Observation.language 0..1codeLanguage of the resource content
                          Binding: ?? (preferred): A human language.
                          Additional BindingsPurpose
                          ??Max Binding
                          0..1codeLanguage of the resource content
                          Binding: ?? (preferred): A human language.
                          Additional BindingsPurpose
                          ??Max Binding
                          • Example/preferred bindings differ at Observation.language using binding from IPAObservation
                          Observation.text 0..1NarrativeText summary of the resource, for human interpretation
                          This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                          0..1NarrativeText summary of the resource, for human interpretation
                          This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                            Observation.contained 0..*ResourceContained, inline Resources
                            0..*ResourceContained, inline Resources
                              Observation.extension 0..*ExtensionAdditional content defined by implementations
                              0..*ExtensionAdditional content defined by implementations
                                Observation.modifierExtension This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                  Observation.identifier This element is included in summaries. 0..*IdentifierBusiness Identifier for observation
                                  This element is included in summaries. 0..*IdentifierBusiness Identifier for observation
                                    Observation.basedOn This element is included in summaries. 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                    This element is included in summaries. 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                      Observation.partOf This element is included in summaries. 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                      This element is included in summaries. 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                        Observation.status This element is a modifier element. This element has obligations and must be supported. This element is included in summaries. 1..1coderegistered | preliminary | final | amended +
                                        Binding: ?? (required): Codes providing the status of an observation.
                                        ObligationsActor
                                        SHALL:populate-if-knownServer
                                        SHALL:handleClient
                                        This element is a modifier element. This element must be supported. This element is included in summaries. 1..1coderegistered | preliminary | final | amended +
                                        Binding: ?? (required): Codes providing the status of an observation.
                                          Observation.category This element has obligations and must be supported. 0..*CodeableConceptClassification of type of observation
                                          Binding: ?? (preferred): Codes for high level observation categories.
                                          ObligationsActor
                                          SHALL:populate-if-knownServer
                                          SHOULD:handleClient
                                          This element must be supported. 1..*CodeableConceptClassification of type of observation
                                          Slice: Unordered, Open by value:$this
                                          Binding: ?? (preferred): Codes for high level observation categories.

                                          Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                          • Element minimum cardinalities differ: '0' vs '1'
                                          • Example/preferred bindings differ at Observation.category using binding from IPAObservation
                                          Observation.code This element has obligations and must be supported. This element is included in summaries. 1..1CodeableConceptType of observation (code / type)
                                          Binding: ?? (example): Codes identifying names of simple observations.
                                          ObligationsActor
                                          SHALL:populate-if-knownServer
                                          SHALL:handleClient
                                          This element must be supported. This element is included in summaries. 1..1CodeableConceptType of observation (code / type)
                                          Binding: ?? (preferred)
                                          • Example/preferred bindings differ at Observation.code using binding from USCoreObservationScreeningAssessmentProfile
                                          Observation.subject This element has obligations and must be supported. This element is included in summaries. 1..1Reference(IPA-Patient)Who and/or what the observation is about
                                          ObligationsActor
                                          SHALL:populate-if-knownServer
                                          SHALL:handleClient
                                          This element must be supported. This element is included in summaries. 1..1Reference(US Core Patient Profile This type must be supported. | Group | US Core Device Profile | US Core Location Profile)Who and/or what the observation is about
                                            Observation.focus This element is included in summaries. 0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                            This element is included in summaries. 0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                              Observation.encounter This element is included in summaries. 0..1Reference(Encounter)Healthcare event during which this observation is made This element is included in summaries. 0..1Reference(Encounter)Healthcare event during which this observation is made
                                                Observation.effective[x] This element has obligations and must be supported. This element is included in summaries. 0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                                ObligationsActor
                                                SHALL:populate-if-knownServer
                                                SHALL:handleClient
                                                This element must be supported. This element is included in summaries. C0..1dateTime This type must be supported. , Period, Timing, instantClinically relevant time/time-period for observation
                                                Constraints: us-core-1
                                                  Observation.issued This element is included in summaries. 0..1instantDate/Time this version was made available This element is included in summaries. 0..1instantDate/Time this version was made available
                                                    Observation.performer This element is included in summaries. 0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                    This element must be supported. This element is included in summaries. 0..*Reference(US Core Practitioner Profile This type must be supported. | US Core Patient Profile This type must be supported. | US Core Organization Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is responsible for the observation
                                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                    Observation.value[x] This element has obligations and must be supported. This element is included in summaries. C0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                    ObligationsActor
                                                    SHALL:populate-if-knownServer
                                                    SHALL:handleClient
                                                    This element must be supported. This element is included in summaries. C0..1Quantity This type must be supported. , CodeableConcept This type must be supported. , string This type must be supported. , boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                    Constraints: us-core-3
                                                      Observation.dataAbsentReason This element has obligations and must be supported. C0..1CodeableConceptWhy the result is missing
                                                      Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                      ObligationsActor
                                                      SHALL:populate-if-knownServer
                                                      SHALL:handleClient
                                                      This element must be supported. C0..1CodeableConceptWhy the result is missing
                                                      Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                        Observation.interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                        Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                        0..*CodeableConceptHigh, low, normal, etc.
                                                        Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                          Observation.note 0..*AnnotationComments about the observation
                                                          0..*AnnotationComments about the observation
                                                            Observation.bodySite 0..1CodeableConceptObserved body part
                                                            Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                            0..1CodeableConceptObserved body part
                                                            Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                              Observation.method 0..1CodeableConceptHow it was done
                                                              Binding: ?? (example): Methods for simple observations.
                                                              0..1CodeableConceptHow it was done
                                                              Binding: ?? (example): Methods for simple observations.
                                                                Observation.specimen 0..1Reference(Specimen)Specimen used for this observation0..1Reference(Specimen)Specimen used for this observation
                                                                  Observation.device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                                    Observation.referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                    C0..*BackboneElementProvides guide for interpretation
                                                                      Observation.referenceRange.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                        Observation.referenceRange.extension 0..*ExtensionAdditional content defined by implementations
                                                                        0..*ExtensionAdditional content defined by implementations
                                                                          Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                          This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                            Observation.referenceRange.low C0..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellLow Range, if relevantC0..1??Low Range, if relevant
                                                                              Observation.referenceRange.high C0..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellHigh Range, if relevantC0..1??High Range, if relevant
                                                                                Observation.referenceRange.type 0..1CodeableConceptReference range qualifier
                                                                                Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                0..1CodeableConceptReference range qualifier
                                                                                Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                • Example/preferred bindings differ at Observation.referenceRange.type using binding from IPAObservation
                                                                                Observation.referenceRange.appliesTo 0..*CodeableConceptReference range population
                                                                                Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                0..*CodeableConceptReference range population
                                                                                Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                  Observation.referenceRange.age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                                    Observation.referenceRange.text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                                                      Observation.hasMember This element is included in summaries. 0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                      This element must be supported. This element is included in summaries. 0..*Reference(US Core Observation Screening Assessment Profile This type must be supported. | QuestionnaireResponse | MolecularSequence)Reference to panel members or multi-select responses
                                                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                      Observation.derivedFrom This element is included in summaries. 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                      This element must be supported. This element is included in summaries. 0..*Reference(US Core Observation Screening Assessment Profile This type must be supported. | US Core QuestionnaireResponse Profile This type must be supported. | US Core DocumentReference Profile | ImagingStudy | Media | MolecularSequence)Related measurements the observation is made from
                                                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                      • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
                                                                                      Observation.component This element is included in summaries. 0..*BackboneElementComponent results
                                                                                      This element is included in summaries. 0..*BackboneElementComponent results
                                                                                        Observation.component.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                          Observation.component.extension 0..*ExtensionAdditional content defined by implementations
                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                            Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                            This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                              Observation.component.code This element is included in summaries. 1..1CodeableConceptType of component observation (code / type)
                                                                                              Binding: ?? (example): Codes identifying names of simple observations.
                                                                                              This element is included in summaries. 1..1CodeableConceptType of component observation (code / type)
                                                                                              Binding: ?? (example): Codes identifying names of simple observations.
                                                                                                Observation.component.value[x] This element is included in summaries. 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result This element is included in summaries. 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                                  Observation.component.dataAbsentReason C0..1CodeableConceptWhy the component result is missing
                                                                                                  Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                  C0..1CodeableConceptWhy the component result is missing
                                                                                                  Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                    Observation.component.interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                                                    Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                    0..*CodeableConceptHigh, low, normal, etc.
                                                                                                    Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                      Observation.component.referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
                                                                                                      0..*See referenceRange (Observation)Provides guide for interpretation of component result

                                                                                                        doco Documentation for this format