HL7 FHIR Profile: Occupational Data for Health (ODH), Release 1, STU 1.3 (Standard for Trial Use)
1.3.0 - STU 1.3

HL7 FHIR Profile: Occupational Data for Health (ODH), Release 1, STU 1.3 (Standard for Trial Use), published by HL7 International Public Health Work Group. This is not an authorized publication; it is the continuous build for version 1.3.0). This version is based on the current content of https://github.com/HL7/us-odh/ and changes regularly. See the Directory of published versions

## Resource Profile: Retirement Date

Official URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-RetirementDate | Version: 1.3.0
Active as of 2020-01-04 | Computable Name: RetirementDate
Copyright/Legal: ©2020+ HL7 International Public Health Work Group. Package hl7.fhir.us.odh#1.0.0 based on FHIR 4.0.1. Generated 2020-01-08. Links: Home | QA Report | Search | Version History external | CC0 external | Propose a change external

A Date of Retirement Observation is a clinical statement about a self-reported date (at least year) that a person considers themselves to have ‘retired’. If present, the person has retired. A person can be both retired and employed; most often, a person would be retired from one job and employed in another job.

Usage:

- Refer to this Resource Profile: Occupational Data For Health
- Examples for this Resource Profile: Observation/observation-odh-retirement-date-sample

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Retirement Date
basedOn |  | 0..* | Reference(ServiceRequest) | The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf |  | 0..* | Reference(Procedure) | The larger procedure that this particular observation is a component or step
category |  | 0..1 | CodeableConcept | Classification of type of observation
Slices for coding |  | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history | Σ | 1..1 | Coding | Social History
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: social-history
code |  | 1..1 | CodeableConcept | Type of observation (code / type)
Slices for coding |  | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87510-4 | Σ | 1..1 | Coding | Date of Retirement
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87510-4
subject |  | 1..1 | Reference(US Core Patient Profile) | The subject of an observation
focus |  | 0..0 |  |
effective[x] |  | 0..0 |  |
performer |  | 0..* | Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson) | Who is responsible for the observation
valueDateTime |  | 0..1 | dateTime | Actual result
dataAbsentReason |  | 0..0 |  |
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc.
bodySite |  | 0..0 |  |
method |  | 0..0 |  |
specimen |  | 0..0 |  |
device |  | 0..0 |  |
referenceRange |  | 0..0 |  |
hasMember |  | 0..0 |  |
derivedFrom |  | 0..* | Reference(DocumentReference | Media | QuestionnaireResponse | Observation) | Related measurements the observation is made from
component |  | 0..0 |  |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
Observation.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes
Observation.component.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes
Observation.component.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Retirement Date
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
basedOn | Σ | 0..* | Reference(ServiceRequest) | The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf | Σ | 0..* | Reference(Procedure) | The larger procedure that this particular observation is a component or step
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history | Σ | 1..1 | Coding | Social History
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: social-history
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87510-4 | Σ | 1..1 | Coding | Date of Retirement
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87510-4
subject | Σ | 1..1 | Reference(US Core Patient Profile) | The subject of an observation
performer | Σ | 0..* | Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson) | Who is responsible for the observation
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
derivedFrom | Σ | 0..* | Reference(DocumentReference | Media | QuestionnaireResponse | Observation) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
Observation.status | required | ObservationStatus
Observation.category | preferred | ObservationCategoryCodes
Observation.code | example | LOINCCodes (a valid code from LOINC)
Observation.interpretation | extensible | ObservationInterpretationCodes
Observation.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes
Observation.component.code | example | LOINCCodes (a valid code from LOINC)
Observation.component.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes
Observation.component.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Retirement Date
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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(ServiceRequest) | The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf | Σ | 0..* | Reference(Procedure) | The larger procedure that this particular observation is a component or step
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history | Σ | 1..1 | Coding | Social History
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: social-history
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87510-4 | Σ | 1..1 | Coding | Date of Retirement
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87510-4
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(US Core Patient Profile) | The subject of an observation
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson) | Who is responsible for the observation
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
derivedFrom | Σ | 0..* | Reference(DocumentReference | Media | QuestionnaireResponse | Observation) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
Observation.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Observation.status | required | ObservationStatus
Observation.category | preferred | ObservationCategoryCodes
Observation.code | example | LOINCCodes (a valid code from LOINC)
Observation.interpretation | extensible | ObservationInterpretationCodes
Observation.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes
Observation.component.code | example | LOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReason | extensible | DataAbsentReason
Observation.component.interpretation | extensible | ObservationInterpretationCodes
Observation.component.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes
Observation.component.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |

This structure is derived from Observation

Summary

Mandatory: 5 elements (4 nested mandatory elements)
Fixed Value: 4 elements
Prohibited: 10 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)

Slices

This structure defines the following Slices:

- The element Observation.category.coding is sliced based on the value of value:code
- The element Observation.code.coding is sliced based on the value of value:code

Differential View

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Retirement Date
basedOn |  | 0..* | Reference(ServiceRequest) | The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf |  | 0..* | Reference(Procedure) | The larger procedure that this particular observation is a component or step
category |  | 0..1 | CodeableConcept | Classification of type of observation
Slices for coding |  | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history | Σ | 1..1 | Coding | Social History
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: social-history
code |  | 1..1 | CodeableConcept | Type of observation (code / type)
Slices for coding |  | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87510-4 | Σ | 1..1 | Coding | Date of Retirement
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87510-4
subject |  | 1..1 | Reference(US Core Patient Profile) | The subject of an observation
focus |  | 0..0 |  |
effective[x] |  | 0..0 |  |
performer |  | 0..* | Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson) | Who is responsible for the observation
valueDateTime |  | 0..1 | dateTime | Actual result
dataAbsentReason |  | 0..0 |  |
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc.
bodySite |  | 0..0 |  |
method |  | 0..0 |  |
specimen |  | 0..0 |  |
device |  | 0..0 |  |
referenceRange |  | 0..0 |  |
hasMember |  | 0..0 |  |
derivedFrom |  | 0..* | Reference(DocumentReference | Media | QuestionnaireResponse | Observation) | Related measurements the observation is made from
component |  | 0..0 |  |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
Observation.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes
Observation.component.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes
Observation.component.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Retirement Date
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
basedOn | Σ | 0..* | Reference(ServiceRequest) | The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf | Σ | 0..* | Reference(Procedure) | The larger procedure that this particular observation is a component or step
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history | Σ | 1..1 | Coding | Social History
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: social-history
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87510-4 | Σ | 1..1 | Coding | Date of Retirement
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87510-4
subject | Σ | 1..1 | Reference(US Core Patient Profile) | The subject of an observation
performer | Σ | 0..* | Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson) | Who is responsible for the observation
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
derivedFrom | Σ | 0..* | Reference(DocumentReference | Media | QuestionnaireResponse | Observation) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
Observation.status | required | ObservationStatus
Observation.category | preferred | ObservationCategoryCodes
Observation.code | example | LOINCCodes (a valid code from LOINC)
Observation.interpretation | extensible | ObservationInterpretationCodes
Observation.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes
Observation.component.code | example | LOINCCodes (a valid code from LOINC)
Observation.component.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes
Observation.component.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Retirement Date
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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(ServiceRequest) | The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf | Σ | 0..* | Reference(Procedure) | The larger procedure that this particular observation is a component or step
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history | Σ | 1..1 | Coding | Social History
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: social-history
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87510-4 | Σ | 1..1 | Coding | Date of Retirement
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 87510-4
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(US Core Patient Profile) | The subject of an observation
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson) | Who is responsible for the observation
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
derivedFrom | Σ | 0..* | Reference(DocumentReference | Media | QuestionnaireResponse | Observation) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
Observation.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Observation.status | required | ObservationStatus
Observation.category | preferred | ObservationCategoryCodes
Observation.code | example | LOINCCodes (a valid code from LOINC)
Observation.interpretation | extensible | ObservationInterpretationCodes
Observation.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes
Observation.component.code | example | LOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReason | extensible | DataAbsentReason
Observation.component.interpretation | extensible | ObservationInterpretationCodes
Observation.component.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes
Observation.component.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |

This structure is derived from Observation

Summary

Mandatory: 5 elements (4 nested mandatory elements)
Fixed Value: 4 elements
Prohibited: 10 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)

Slices

This structure defines the following Slices:

- The element Observation.category.coding is sliced based on the value of value:code
- The element Observation.code.coding is sliced based on the value of value:code

Other representations of profile: CSV, Excel, Schematron