RR Reportability Information Observation - Electronic Case Reporting (eCR) v3.0.0-ballot

Electronic Case Reporting (eCR), published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/case-reporting/ and changes regularly. See the Directory of published versions

Resource Profile: RR Reportability Information Observation

Official URL: http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation	Version: 3.0.0-ballot	Highlight text changes?
Standards status: Trial-use	Maturity Level: 3	Computable Name: RRReportabilityInformationObservation
Other Identifiers: OID:2.16.840.1.113883.4.642.40.46.42.24

This profile represents reportability information based on the PHA in which is located the patient's home, the provider facility, or both locations.

This profile contains the Responsible Agency, the Rules Authoring Agency, and the Routing Entity.

Also contained in this profile are the Determination of Reportability, Reporting Timeframe, and External Resources.

Usages:

Refer to this Profile: RR Relevant Reportable Condition Observation
Examples for this Profile: Observation/observation-rr-reportability-information-observation
CapabilityStatements using this Profile: Capability Statement eCR

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Reportability Information Observation Constraints: obs-6, obs-7
Observation.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:determinationOfReportability	This element must be supported.	1..1	CodeableConcept	US Public Health Determination of Reportability Extension URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-extension Binding: Determination of Reportability (eCR) (extensible): Determination of Reportability
Observation.Slices for extension.extension:determinationOfReportabilityReason	This element must be supported.	0..*	string, CodeableConcept	US Public Health Determination of Reportability Reason URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-reason-extension
Observation.Slices for extension.extension:determinationOfReportabilityRule	This element must be supported.	0..*	string	US Public Health Determination of Reportability Rule Extension URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-rule-extension
Observation.Slices for extension.extension:externalResourceExtension	This element must be supported.	0..*	Reference(RR DocumentReference)	External resources pertaining to the condition URL: http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension
Observation.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	This element is a modifier element. This element must be supported. This element is included in summaries.	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.code	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	Location Relevance Binding: Location Relevance (eCR) (required): Location Relevance
Observation.Slices for performer	This element must be supported. This element is included in summaries.	2..*	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for performer.performer:rulesAuthoringAgency	This element must be supported. This element is included in summaries.	1..*	Reference(RRRules Authoring Agency Organization)	Who is responsible for the observation
Observation.Slices for performer.performer:routingEntity	This element must be supported. This element is included in summaries.	1..*	Reference(RRRouting Entity Organization)	Who is responsible for the observation
Observation.Slices for performer.performer:responsibleAgency	This element must be supported. This element is included in summaries.	0..*	Reference(RR Responsible Agency Organization)	Who is responsible for the observation
Observation.Slices for component	This element must be supported. This element is included in summaries.	1..*	BackboneElement	Reporting timeframe Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:sliceReportingTimeframe	This element must be supported. This element is included in summaries.	0..*	BackboneElement	Component results
Observation.Slices for component.component:sliceReportingTimeframe.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:sliceReportingTimeframe.code	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	Timeframe to report (urgency) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: `{ "coding" : [ { "system" : "urn:oid:2.16.840.1.114222.4.5.232", "code" : "RR4" } ] }`
Observation.Slices for component.component:sliceReportingTimeframe.value[x]	This element must be supported. This element is included in summaries.	1..1	Quantity	Actual component result
Observation.Slices for component.component:sliceReportingTimeframe.value[x].value	This element must be supported. This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:sliceReportingTimeframe.value[x].comparator	This element is a modifier element. This element is included in summaries.	0..1	code	< \| <= \| >= \| > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:sliceReportingTimeframe.value[x].unit	This element must be supported. This element is included in summaries.	1..1	string	Unit representation
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.code	Base	required	Location Relevance (eCR)	📦1	us.cdc.phinvads v0.12
Observation.component.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:sliceReportingTimeframe.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:sliceReportingTimeframe.value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	`dataAbsentReason.empty() or value.empty()`
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	`value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation		0..*	Observation	Reportability Information Observation
Observation.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:determinationOfReportability	This element must be supported.	1..1	CodeableConcept	US Public Health Determination of Reportability Extension URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-extension Binding: Determination of Reportability (eCR) (extensible): Determination of Reportability
Observation.Slices for extension.extension:determinationOfReportabilityReason	This element must be supported.	0..*	string, CodeableConcept	US Public Health Determination of Reportability Reason URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-reason-extension
Observation.Slices for extension.extension:determinationOfReportabilityRule	This element must be supported.	0..*	string	US Public Health Determination of Reportability Rule Extension URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-rule-extension
Observation.Slices for extension.extension:externalResourceExtension	This element must be supported.	0..*	Reference(RR DocumentReference)	External resources pertaining to the condition URL: http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension
Observation.status	This element must be supported.	1..1	code	registered \| preliminary \| final \| amended +
Observation.code	This element must be supported.	1..1	CodeableConcept	Location Relevance Binding: Location Relevance (eCR) (required): Location Relevance
Observation.Slices for performer	This element must be supported.	2..*	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for performer.performer:rulesAuthoringAgency	This element must be supported.	1..*	Reference(RRRules Authoring Agency Organization)	Who is responsible for the observation
Observation.Slices for performer.performer:routingEntity	This element must be supported.	1..*	Reference(RRRouting Entity Organization)	Who is responsible for the observation
Observation.Slices for performer.performer:responsibleAgency	This element must be supported.	0..*	Reference(RR Responsible Agency Organization)	Who is responsible for the observation
Observation.Slices for component	This element must be supported.	1..*	BackboneElement	Reporting timeframe Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:sliceReportingTimeframe	This element must be supported.	0..*	BackboneElement	Component results
Observation.Slices for component.component:sliceReportingTimeframe.code	This element must be supported.	1..1	CodeableConcept	Timeframe to report (urgency) Required Pattern: `{ "coding" : [ { "system" : "urn:oid:2.16.840.1.114222.4.5.232", "code" : "RR4" } ] }`
Observation.Slices for component.component:sliceReportingTimeframe.value[x]	This element must be supported.	1..1	Quantity	Actual component result
Observation.Slices for component.component:sliceReportingTimeframe.value[x].value	This element must be supported.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:sliceReportingTimeframe.value[x].unit	This element must be supported.	1..1	string	Unit representation
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.code	Base	required	Location Relevance (eCR)	📦1	us.cdc.phinvads v0.12

Description & Constraints Filter:

Observation C 0..* Observation Reportability Information Observation
Constraints: obs-6, obs-7

Observation.id This element is included in summaries. 0..1 id Logical id of this artifact

Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Observation.text 0..1 Narrative Text 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..* Resource Contained, inline Resources

Observation.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Observation.Slices for extension.extension:determinationOfReportability This element must be supported. 1..1 CodeableConcept US Public Health Determination of Reportability Extension
URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-extension
Binding: Determination of Reportability (eCR) (extensible): Determination of Reportability

Observation.Slices for extension.extension:determinationOfReportabilityReason This element must be supported. 0..* string, CodeableConcept US Public Health Determination of Reportability Reason
URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-reason-extension

Observation.Slices for extension.extension:determinationOfReportabilityRule This element must be supported. 0..* string US Public Health Determination of Reportability Rule Extension
URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-rule-extension

Observation.Slices for extension.extension:externalResourceExtension This element must be supported. 0..* Reference(RR DocumentReference) External resources pertaining to the condition
URL: http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension

Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation

Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

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

Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Location Relevance
Binding: Location Relevance (eCR) (required): Location Relevance

Observation.subject This element is included in summaries. 0..1 Reference(Patient | Group | Device | Location) 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

Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made

Observation.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for observation

Observation.effective[x].effectiveDateTime dateTime

Observation.effective[x].effectivePeriod Period

Observation.effective[x].effectiveTiming Timing

Observation.effective[x].effectiveInstant instant

Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available

Observation.Slices for performer This element must be supported. This element is included in summaries. 2..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Open by profile:resolve()

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Observation.Slices for performer.performer:rulesAuthoringAgency This element must be supported. This element is included in summaries. 1..* Reference(RRRules Authoring Agency Organization) Who is responsible for the observation

Observation.Slices for performer.performer:routingEntity This element must be supported. This element is included in summaries. 1..* Reference(RRRouting Entity Organization) Who is responsible for the observation

Observation.Slices for performer.performer:responsibleAgency This element must be supported. This element is included in summaries. 0..* Reference(RR Responsible Agency Organization) Who is responsible for the observation

Observation.value[x] This element is included in summaries. C 0..1 Actual result

Observation.value[x].valueQuantity Quantity

Observation.value[x].valueCodeableConcept CodeableConcept

Observation.value[x].valueString string

Observation.value[x].valueBoolean boolean

Observation.value[x].valueInteger integer

Observation.value[x].valueRange Range

Observation.value[x].valueRatio Ratio

Observation.value[x].valueSampledData SampledData

Observation.value[x].valueTime time

Observation.value[x].valueDateTime dateTime

Observation.value[x].valuePeriod Period

Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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

Observation.note 0..* Annotation Comments about the observation

Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

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

Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation

Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device

Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3

Observation.referenceRange.id 0..1 string Unique id for inter-element referencing

Observation.referenceRange.extension 0..* Extension Additional content defined by implementations

Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1

Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1

Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.

Observation.referenceRange.age 0..1 Range Applicable age range, if relevant

Observation.referenceRange.text 0..1 string Text 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

Observation.Slices for component This element must be supported. This element is included in summaries. 1..* BackboneElement Reporting timeframe
Slice: Unordered, Open by value:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Observation.Slices for component.component:All Slices Content/Rules for all slices

Observation.Slices for component.component:All Slices.id 0..1 string Unique id for inter-element referencing

Observation.Slices for component.component:All Slices.extension 0..* Extension Additional content defined by implementations

Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

Observation.Slices for component.component:All Slices.value[x] This element is included in summaries. 0..1 Actual component result

Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity

Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept

Observation.Slices for component.component:All Slices.value[x].valueString string

Observation.Slices for component.component:All Slices.value[x].valueBoolean boolean

Observation.Slices for component.component:All Slices.value[x].valueInteger integer

Observation.Slices for component.component:All Slices.value[x].valueRange Range

Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio

Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData

Observation.Slices for component.component:All Slices.value[x].valueTime time

Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime

Observation.Slices for component.component:All Slices.value[x].valuePeriod Period

Observation.Slices for component.component:All Slices.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

Observation.Slices for component.component:All Slices.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

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

Observation.Slices for component.component:sliceReportingTimeframe This element must be supported. This element is included in summaries. 0..* BackboneElement Component results

Observation.Slices for component.component:sliceReportingTimeframe.id 0..1 string Unique id for inter-element referencing

Observation.Slices for component.component:sliceReportingTimeframe.extension 0..* Extension Additional content defined by implementations

Observation.Slices for component.component:sliceReportingTimeframe.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

code

1..1

CodeableConcept

Timeframe to report (urgency)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern:

{
  "coding" : [
    {
      "system" : "urn:oid:2.16.840.1.114222.4.5.232",
      "code" : "RR4"
    }
  ]
}

Observation.Slices for component.component:sliceReportingTimeframe.value[x] This element must be supported. This element is included in summaries. 1..1 Quantity Actual component result

Observation.Slices for component.component:sliceReportingTimeframe.value[x].id 0..1 string Unique id for inter-element referencing

Observation.Slices for component.component:sliceReportingTimeframe.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Observation.Slices for component.component:sliceReportingTimeframe.value[x].value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)

Observation.Slices for component.component:sliceReportingTimeframe.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

Observation.Slices for component.component:sliceReportingTimeframe.value[x].unit This element must be supported. This element is included in summaries. 1..1 string Unit representation

Observation.Slices for component.component:sliceReportingTimeframe.value[x].system This element is included in summaries. C 0..1 uri System that defines coded unit form

Observation.Slices for component.component:sliceReportingTimeframe.value[x].code This element is included in summaries. 0..1 code Coded form of the unit

Observation.Slices for component.component:sliceReportingTimeframe.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

Observation.Slices for component.component:sliceReportingTimeframe.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

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

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	required	Location Relevance (eCR)	📦1	us.cdc.phinvads v0.12
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:sliceReportingTimeframe.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:sliceReportingTimeframe.value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:sliceReportingTimeframe.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:sliceReportingTimeframe.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	`low.exists() or high.exists() or text.exists()`
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	`dataAbsentReason.empty() or value.empty()`
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	`value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	`comparator.empty()`

This structure is derived from Observation

Summary

Mandatory: 5 elements(3 nested mandatory elements)
Must-Support: 16 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Observation.performer
The element 1 is sliced based on the value of Observation.component

Maturity: 3

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Reportability Information Observation Constraints: obs-6, obs-7
Observation.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:determinationOfReportability	This element must be supported.	1..1	CodeableConcept	US Public Health Determination of Reportability Extension URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-extension Binding: Determination of Reportability (eCR) (extensible): Determination of Reportability
Observation.Slices for extension.extension:determinationOfReportabilityReason	This element must be supported.	0..*	string, CodeableConcept	US Public Health Determination of Reportability Reason URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-reason-extension
Observation.Slices for extension.extension:determinationOfReportabilityRule	This element must be supported.	0..*	string	US Public Health Determination of Reportability Rule Extension URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-rule-extension
Observation.Slices for extension.extension:externalResourceExtension	This element must be supported.	0..*	Reference(RR DocumentReference)	External resources pertaining to the condition URL: http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension
Observation.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	This element is a modifier element. This element must be supported. This element is included in summaries.	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.code	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	Location Relevance Binding: Location Relevance (eCR) (required): Location Relevance
Observation.Slices for performer	This element must be supported. This element is included in summaries.	2..*	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for performer.performer:rulesAuthoringAgency	This element must be supported. This element is included in summaries.	1..*	Reference(RRRules Authoring Agency Organization)	Who is responsible for the observation
Observation.Slices for performer.performer:routingEntity	This element must be supported. This element is included in summaries.	1..*	Reference(RRRouting Entity Organization)	Who is responsible for the observation
Observation.Slices for performer.performer:responsibleAgency	This element must be supported. This element is included in summaries.	0..*	Reference(RR Responsible Agency Organization)	Who is responsible for the observation
Observation.Slices for component	This element must be supported. This element is included in summaries.	1..*	BackboneElement	Reporting timeframe Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:sliceReportingTimeframe	This element must be supported. This element is included in summaries.	0..*	BackboneElement	Component results
Observation.Slices for component.component:sliceReportingTimeframe.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:sliceReportingTimeframe.code	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	Timeframe to report (urgency) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: `{ "coding" : [ { "system" : "urn:oid:2.16.840.1.114222.4.5.232", "code" : "RR4" } ] }`
Observation.Slices for component.component:sliceReportingTimeframe.value[x]	This element must be supported. This element is included in summaries.	1..1	Quantity	Actual component result
Observation.Slices for component.component:sliceReportingTimeframe.value[x].value	This element must be supported. This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:sliceReportingTimeframe.value[x].comparator	This element is a modifier element. This element is included in summaries.	0..1	code	< \| <= \| >= \| > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:sliceReportingTimeframe.value[x].unit	This element must be supported. This element is included in summaries.	1..1	string	Unit representation
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.code	Base	required	Location Relevance (eCR)	📦1	us.cdc.phinvads v0.12
Observation.component.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:sliceReportingTimeframe.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:sliceReportingTimeframe.value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	`dataAbsentReason.empty() or value.empty()`
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	`value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation		0..*	Observation	Reportability Information Observation
Observation.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:determinationOfReportability	This element must be supported.	1..1	CodeableConcept	US Public Health Determination of Reportability Extension URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-extension Binding: Determination of Reportability (eCR) (extensible): Determination of Reportability
Observation.Slices for extension.extension:determinationOfReportabilityReason	This element must be supported.	0..*	string, CodeableConcept	US Public Health Determination of Reportability Reason URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-reason-extension
Observation.Slices for extension.extension:determinationOfReportabilityRule	This element must be supported.	0..*	string	US Public Health Determination of Reportability Rule Extension URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-rule-extension
Observation.Slices for extension.extension:externalResourceExtension	This element must be supported.	0..*	Reference(RR DocumentReference)	External resources pertaining to the condition URL: http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension
Observation.status	This element must be supported.	1..1	code	registered \| preliminary \| final \| amended +
Observation.code	This element must be supported.	1..1	CodeableConcept	Location Relevance Binding: Location Relevance (eCR) (required): Location Relevance
Observation.Slices for performer	This element must be supported.	2..*	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for performer.performer:rulesAuthoringAgency	This element must be supported.	1..*	Reference(RRRules Authoring Agency Organization)	Who is responsible for the observation
Observation.Slices for performer.performer:routingEntity	This element must be supported.	1..*	Reference(RRRouting Entity Organization)	Who is responsible for the observation
Observation.Slices for performer.performer:responsibleAgency	This element must be supported.	0..*	Reference(RR Responsible Agency Organization)	Who is responsible for the observation
Observation.Slices for component	This element must be supported.	1..*	BackboneElement	Reporting timeframe Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:sliceReportingTimeframe	This element must be supported.	0..*	BackboneElement	Component results
Observation.Slices for component.component:sliceReportingTimeframe.code	This element must be supported.	1..1	CodeableConcept	Timeframe to report (urgency) Required Pattern: `{ "coding" : [ { "system" : "urn:oid:2.16.840.1.114222.4.5.232", "code" : "RR4" } ] }`
Observation.Slices for component.component:sliceReportingTimeframe.value[x]	This element must be supported.	1..1	Quantity	Actual component result
Observation.Slices for component.component:sliceReportingTimeframe.value[x].value	This element must be supported.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:sliceReportingTimeframe.value[x].unit	This element must be supported.	1..1	string	Unit representation
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.code	Base	required	Location Relevance (eCR)	📦1	us.cdc.phinvads v0.12

Snapshot ViewView