Birth And Fetal Death (BFDR) - STU2-ballot, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-Preview1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-bfdr/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Observation-autopsy-performed-indicator | Version: 2.0.0-Preview1 | |||
Active as of 2024-08-29 | Computable Name: ObservationAutopsyPerformedIndicator | |||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.13.42.36 |
This Observation records if an autopsy was performed, if autopsy findings are available, and the autopsy Performer (US Core Practioner).
Use Case | # | Description | IJE Name | Field | Type | Value Set/Comments |
---|---|---|---|---|---|---|
Fetal Death | 148 | Was an Autopsy Performed? | AUTOP | value | codeable | PerformedNotPerformedPlannedVS |
Item # | Form Field | FHIR Profile Field | Reference |
---|---|---|---|
18f | Was an Autopsy Performed? | value | Report of Fetal Death |
28 | Was an autopsy performed? | value | Facility Worksheet for the Report of Fetal Death |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
Name | Flags | Card. | Type | Description & Constraints![]() |
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Observation | |||
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S | 1..1 | code | registered | preliminary | final | amended + |
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1..1 | CodeableConcept | Autopsy was performed Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 85699-7 | |
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1..1 | Reference(Patient - Vital Records) | Who and/or what the observation is about | |
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0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Autopsy Performer using USCorePractioner | |
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1..1 | CodeableConcept | Autopsy was performed? Binding: Performed NotPerformed Planned (required) | |
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0..* | BackboneElement | Component results Slice: Unordered, Open by value:code | |
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0..1 | BackboneElement | Autopsy Results Available | |
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1..1 | CodeableConcept | Autopsy results available Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 69436-4 | |
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1..1 | CodeableConcept | Actual component result Binding: Value Set - Yes No Unknown Vital Records (required) | |
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Path | Conformance | ValueSet | URI |
Observation.value[x] | required | PerformedNotPerformedPlannedVShttp://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-performed-not-performed-planned from this IG | |
Observation.component:autopsyResultsAvailable.value[x] | required | ValueSetYesNoUnknownVitalRecordshttp://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-yes-no-unknown-vr |
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
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Σ | 1..1 | CodeableConcept | Autopsy was performed Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 85699-7 | |
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Σ | 1..1 | Reference(Patient - Vital Records) | Who and/or what the observation is about |
![]() ![]() ![]() |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Autopsy Performer using USCorePractioner |
![]() ![]() ![]() |
ΣC | 1..1 | CodeableConcept | Autopsy was performed? Binding: Performed NotPerformed Planned (required) |
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Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code |
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Content/Rules for all slices | |||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
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Σ | 0..1 | BackboneElement | Autopsy Results Available |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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Σ | 1..1 | CodeableConcept | Autopsy results available Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 69436-4 | |
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Σ | 1..1 | CodeableConcept | Actual component result Binding: Value Set - Yes No Unknown Vital Records (required) |
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Path | Conformance | ValueSet / Code | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.code | example | Pattern: LOINC Code 85699-7http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.value[x] | required | PerformedNotPerformedPlannedVShttp://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-performed-not-performed-planned from this IG | |
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:autopsyResultsAvailable.code | example | Pattern: LOINC Code 69436-4http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:autopsyResultsAvailable.value[x] | required | ValueSetYesNoUnknownVitalRecordshttp://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-yes-no-unknown-vr |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
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C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business Identifier for observation | ||||
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Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
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Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
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?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
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0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
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Σ | 1..1 | CodeableConcept | Autopsy was performed Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
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0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85699-7 | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 1..1 | Reference(Patient - Vital Records) | Who and/or what the observation is about | ||||
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Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
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Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
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Σ | 0..1 | Clinically relevant time/time-period for observation | |||||
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dateTime | |||||||
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Period | |||||||
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Timing | |||||||
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instant | |||||||
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Σ | 0..1 | instant | Date/Time this version was made available | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Autopsy Performer using USCorePractioner | ||||
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ΣC | 1..1 | CodeableConcept | Autopsy was performed? Binding: Performed NotPerformed Planned (required) | ||||
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C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | Annotation | Comments about the observation | |||||
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0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
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0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
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0..1 | Reference(Specimen) | Specimen used for this observation | |||||
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0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
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C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
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C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
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0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
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0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
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0..1 | Range | Applicable age range, if relevant | |||||
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0..1 | string | Text based reference range in an observation | |||||
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Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
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Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
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Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
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Σ | 0..1 | Actual component result | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Σ | 0..1 | BackboneElement | Autopsy Results Available | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Autopsy results available Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 69436-4 | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Actual component result Binding: Value Set - Yes No Unknown Vital Records (required) | ||||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() ![]() ![]() |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.code | example | Pattern: LOINC Code 85699-7http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.value[x] | required | PerformedNotPerformedPlannedVShttp://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-performed-not-performed-planned from this IG | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:autopsyResultsAvailable.code | example | Pattern: LOINC Code 69436-4http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:autopsyResultsAvailable.value[x] | required | ValueSetYesNoUnknownVitalRecordshttp://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-yes-no-unknown-vr | ||||
Observation.component:autopsyResultsAvailable.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:autopsyResultsAvailable.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
This structure is derived from Observation
Summary
Mandatory: 2 elements(1 nested mandatory element)
Must-Support: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Observation
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
Observation | |||
![]() ![]() ![]() |
S | 1..1 | code | registered | preliminary | final | amended + |
![]() ![]() ![]() |
1..1 | CodeableConcept | Autopsy was performed Required Pattern: At least the following | |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85699-7 | |
![]() ![]() ![]() |
1..1 | Reference(Patient - Vital Records) | Who and/or what the observation is about | |
![]() ![]() ![]() |
0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Autopsy Performer using USCorePractioner | |
![]() ![]() ![]() |
1..1 | CodeableConcept | Autopsy was performed? Binding: Performed NotPerformed Planned (required) | |
![]() ![]() ![]() |
0..* | BackboneElement | Component results Slice: Unordered, Open by value:code | |
![]() ![]() ![]() ![]() |
0..1 | BackboneElement | Autopsy Results Available | |
![]() ![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Autopsy results available Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 69436-4 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Actual component result Binding: Value Set - Yes No Unknown Vital Records (required) | |
![]() |
Path | Conformance | ValueSet | URI |
Observation.value[x] | required | PerformedNotPerformedPlannedVShttp://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-performed-not-performed-planned from this IG | |
Observation.component:autopsyResultsAvailable.value[x] | required | ValueSetYesNoUnknownVitalRecordshttp://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-yes-no-unknown-vr |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Autopsy was performed Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85699-7 | |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient - Vital Records) | Who and/or what the observation is about |
![]() ![]() ![]() |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Autopsy Performer using USCorePractioner |
![]() ![]() ![]() |
ΣC | 1..1 | CodeableConcept | Autopsy was performed? Binding: Performed NotPerformed Planned (required) |
![]() ![]() ![]() |
Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code |
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
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Σ | 0..1 | BackboneElement | Autopsy Results Available |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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Σ | 1..1 | CodeableConcept | Autopsy results available Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 69436-4 | |
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Σ | 1..1 | CodeableConcept | Actual component result Binding: Value Set - Yes No Unknown Vital Records (required) |
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Path | Conformance | ValueSet / Code | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.code | example | Pattern: LOINC Code 85699-7http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.value[x] | required | PerformedNotPerformedPlannedVShttp://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-performed-not-performed-planned from this IG | |
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:autopsyResultsAvailable.code | example | Pattern: LOINC Code 69436-4http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:autopsyResultsAvailable.value[x] | required | ValueSetYesNoUnknownVitalRecordshttp://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-yes-no-unknown-vr |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
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C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business Identifier for observation | ||||
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Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
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Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
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?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
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0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
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Σ | 1..1 | CodeableConcept | Autopsy was performed Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 85699-7 | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 1..1 | Reference(Patient - Vital Records) | Who and/or what the observation is about | ||||
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Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
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Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
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Σ | 0..1 | Clinically relevant time/time-period for observation | |||||
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dateTime | |||||||
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Period | |||||||
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Timing | |||||||
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instant | |||||||
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Σ | 0..1 | instant | Date/Time this version was made available | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Autopsy Performer using USCorePractioner | ||||
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ΣC | 1..1 | CodeableConcept | Autopsy was performed? Binding: Performed NotPerformed Planned (required) | ||||
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C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | Annotation | Comments about the observation | |||||
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0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
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0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
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0..1 | Reference(Specimen) | Specimen used for this observation | |||||
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0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
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C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
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C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
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0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
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0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
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0..1 | Range | Applicable age range, if relevant | |||||
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0..1 | string | Text based reference range in an observation | |||||
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Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
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Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
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Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
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Σ | 0..1 | Actual component result | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Σ | 0..1 | BackboneElement | Autopsy Results Available | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 1..1 | CodeableConcept | Autopsy results available Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 69436-4 | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 1..1 | CodeableConcept | Actual component result Binding: Value Set - Yes No Unknown Vital Records (required) | ||||
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C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.code | example | Pattern: LOINC Code 85699-7http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.value[x] | required | PerformedNotPerformedPlannedVShttp://hl7.org/fhir/us/bfdr/ValueSet/ValueSet-performed-not-performed-planned from this IG | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:autopsyResultsAvailable.code | example | Pattern: LOINC Code 69436-4http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component:autopsyResultsAvailable.value[x] | required | ValueSetYesNoUnknownVitalRecordshttp://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-yes-no-unknown-vr | ||||
Observation.component:autopsyResultsAvailable.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:autopsyResultsAvailable.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
This structure is derived from Observation
Summary
Mandatory: 2 elements(1 nested mandatory element)
Must-Support: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron