| Name | Flags | Card. | Type | Description & Constraints |
|---|
  Observation | C | 0..* | Observation | Measurements and simple assertions
|
  id | Σ | 0..1 | id | Logical id of this artifact |
 meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 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.
|
| text | | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | | 0..* | Resource | Contained, inline Resources
|
 extension | | 0..* | Extension | Additional content defined by implementations
|
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
|
| identifier | Σ | 0..* | Identifier | Business Identifier for observation
|
 basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
|
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
|
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
|
| category | | 0..* | CodeableConcept | Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
|
 code | SΣ | 1..1 | CodeableConcept | Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following |
 id | | 0..1 | string | Unique id for inter-element referencing |
| extension | | 0..* | Extension | Additional content defined by implementations |
 coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (complex) |
| id | | 0..1 | string | Unique id for inter-element referencing |
| extension | | 0..* | Extension | Additional content defined by implementations |
| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://snomed.info/sct |
| version | | 0..1 | string | Version of the system - if relevant |
| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 371469007 |
| display | | 1..1 | string | Representation defined by the system
Fixed Value: Histologic grade of neoplasm |
 userSelected | | 0..1 | boolean | If this coding was chosen directly by the user |
| text | | 0..1 | string | Plain text representation of the concept |
| subject | SΣ | 0..1 | Reference(Breast cancer patient) | Who and/or what the observation is about |
| focus | ΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
|
| encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made |
 effective[x] | Σ | 0..1 | | Clinically relevant time/time-period for observation |
| effectiveDateTime | | | dateTime | |
| effectivePeriod | | | Period | |
| effectiveTiming | | | Timing | |
| effectiveInstant | | | instant | |
| issued | Σ | 0..1 | instant | Date/Time this version was made available |
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
|
| value[x] | SΣC | 0..1 | CodeableConcept | Actual result
Binding: Grading of tumor ValueSet (required) |
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
|
| interpretation | | 0..* | CodeableConcept | High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
|
| note | | 0..* | Annotation | Comments about the observation
|
| bodySite | | 0..1 | CodeableConcept | Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
|
| method | | 0..1 | CodeableConcept | How it was done
Binding: ObservationMethods (example): Methods for simple observations.
|
| specimen | | 0..1 | Reference(Specimen) | Specimen used for this observation |
| device | | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation
|
| id | | 0..1 | string | Unique id for inter-element referencing |
| extension | | 0..* | Extension | Additional content defined by implementations
|
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
|
| low | C | 0..1 | SimpleQuantity | Low Range, if relevant |
| high | C | 0..1 | SimpleQuantity | High Range, if relevant |
| type | | 0..1 | CodeableConcept | Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
|
| appliesTo | | 0..* | CodeableConcept | Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
|
| age | | 0..1 | Range | Applicable age range, if relevant |
| text | | 0..1 | string | Text based reference range in an observation |
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
|
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
|
 component | Σ | 0..* | BackboneElement | Component results
|
 id | | 0..1 | string | Unique id for inter-element referencing |
| extension | | 0..* | Extension | Additional content defined by implementations
|
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
|
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
|
| value[x] | Σ | 0..1 | | Actual component result |
| valueQuantity | | | Quantity | |
| valueCodeableConcept | | | CodeableConcept | |
| valueString | | | string | |
| valueBoolean | | | boolean | |
| valueInteger | | | integer | |
| valueRange | | | Range | |
| valueRatio | | | Ratio | |
| valueSampledData | | | SampledData | |
| valueTime | | | time | |
| valueDateTime | | | dateTime | |
| valuePeriod | | | Period | |
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
|
| interpretation | | 0..* | CodeableConcept | High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
|
 referenceRange | | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
|
Documentation for this format |
|
Propose a change