KR Core Implementation Guide
2.0.0 - STU 2 Korea, Republic of

KR Core Implementation Guide, published by HL7 Korea. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7korea/krcore/ and changes regularly. See the Directory of published versions

## Resource Profile: KR Core Observation Profile for Vital Signs

Official URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-vitalsigns | Version: 2.0.0
Standards status: Trial-use | Computable Name: KRCore_Observation_VitalSigns

KR Core Observation Profile for Vital Signs는 KR Core Server와 KR Core Client의 진료정보를 교류할 때 환자를 대상으로하는 다양한 활력징후 및 신체 계측 정보를 일관되게 표현하는데 사용되며, 이 경우 반드시(SHALL) 본 Profile을 준수해야 한다. 단, 아래의 목록에 해당하는 활력징후 및 신체 계측 정보는 본 Profile을 상속하여 정의한 세부 Profile들을 반드시(SHALL) 적용해야 한다. 아래의 세부 Profile들을 만족하는 FHIR 리소스 인스턴스는 자동적으로 본 Profile을 만족한다.

- 활력징후 및 신체 계측 정보별 세부 Profile 목록
  - 수축기 혈압 및 이완기 혈압 - KR Core Observation Profile for Vital Signs: Blood Pressure
  - 키 - KR Core Observation Profile for Vital Signs: Body Height
  - 체온 - KR Core Observation Profile for Vital Signs: Body Temperature
  - 몸무게 - KR Core Observation Profile for Vital Signs: Body Weight
  - 맥박수 - KR Core Observation Profile for Vital Signs: Heart Rate
  - ​산소포화도 - KR Core Observation Profile for Vital Signs: Pulse Oximetry
  - 호흡수 - KR Core Observation Profile for Vital Signs: Respiratory Rate

※ 주의사항

- KR Core Observation Profile for Vital Signs는 반드시(SHALL) 수축기 혈압 및 이완기 혈압, 키, 체온, 몸무게, 맥박수, 산소포화도, 호흡수 외 활력징후 및 신체 계측 정보를 표현하기 위한 목적으로만 한정하여 사용한다.

환자를 대상으로하는 활력 징후 및 신체 계측 정보를 구조화하기 위해 정의한 범용 Profile.

Usages:

- Derived from this Profile: KR Core Observation Profile for Vital Signs: Blood Pressure, KR Core Observation Profile for Vital Signs: Body Height, KR Core Observation Profile for Vital Signs: Body Temperature, KR Core Observation Profile for Vital Signs: Body Weight... Show 3 more, KR Core Observation Profile for Vital Signs: Heart Rate, KR Core Observation Profile for Vital Signs: Pulse Oximetry and KR Core Observation Profile for Vital Signs: Respiratory Rate
- CapabilityStatements using this Profile: KR Core Client CapabilityStatement and KR Core Server CapabilityStatement

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | KR Core Observation Profile for Vital Signs Constraints: obs-6, obs-7
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | 측정 상태: registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category |  | 1..* | CodeableConcept | 관찰 및 측정 범주 Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (required): Codes for high level observation categories.
category:VitalSigns |  | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
code | Σ | 1..1 | CodeableConcept | 활력징후 및 신체 계측 항목 정보 Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LOINC | Σ | 0..* | Coding | LOINC 코드 정보 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
system | Σ | 1..1 | uri | LOINC 코드체계 Fixed Value: http://loinc.org
code | Σ | 1..1 | code | LOINC 코드
subject | S Σ | 0..1 | Reference(KR Core Patient Profile) | 활력징후 및 신체 계측 대상 환자
effective[x] | Σ | 0..1 |  | 활력징후 및 신체 계측 일시
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
performer | Σ | 0..* | Reference(KR Core Practitioner Profile | KR Core PractitionerRole Profile | KR Core Organization Profile | CareTeam | KR Core Patient Profile | RelatedPerson) | 활력징후 및 신체 계측 책임자
value[x] | Σ C | 0..1 |  | 활력징후 및 신체 계측 결과
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 | 활력징후 및 신체 계측 결과 부재 사유 Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
device |  | 0..1 | Reference(Device | DeviceMetric) | 활력징후 및 신체 계측 장비 정보
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | required | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:VitalSigns | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std.
Observation.code.coding:LOINC | Base | required | LOINC Codes | 📦4.0.1 | FHIR Std.
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍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 | KR Core Observation Profile for Vital Signs
status |  | 1..1 | code | 측정 상태: registered | preliminary | final | amended +
Slices for category |  | 1..* | CodeableConcept | 관찰 및 측정 범주 Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (required): Codes for high level observation categories.
category:VitalSigns |  | 1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs
code |  | 1..1 | CodeableConcept | 활력징후 및 신체 계측 항목 정보
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LOINC |  | 0..* | Coding | LOINC 코드 정보 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
system |  | 1..1 | uri | LOINC 코드체계 Fixed Value: http://loinc.org
code |  | 1..1 | code | LOINC 코드
subject | S | 0..1 | Reference(KR Core Patient Profile) | 활력징후 및 신체 계측 대상 환자
effective[x] |  | 0..1 | dateTime, Period, Timing, instant | 활력징후 및 신체 계측 일시
performer |  | 0..* | Reference(KR Core Practitioner Profile | KR Core PractitionerRole Profile | KR Core Organization Profile | CareTeam | KR Core Patient Profile | RelatedPerson) | 활력징후 및 신체 계측 책임자
value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | 활력징후 및 신체 계측 결과
dataAbsentReason |  | 0..1 | CodeableConcept | 활력징후 및 신체 계측 결과 부재 사유
device |  | 0..1 | Reference(Device | DeviceMetric) | 활력징후 및 신체 계측 장비 정보
component |  |  |  |
code |  | 1..1 | CodeableConcept | 세부 활력징후 및 신체 계측 정보
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LOINC |  | 0..* | Coding | LOINC 코드 정보 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
system |  | 1..1 | uri | LOINC 코드체계 Fixed Value: http://loinc.org
code |  | 1..1 | code | LOINC 코드
value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | 세부 활력징후 및 신체 계측 결과
dataAbsentReason |  | 0..1 | CodeableConcept | 세부 활력징후 및 신체 계측 결과 부재 사유
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.category | Base | required | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.code.coding:LOINC | Base | required | LOINC Codes | 📦4.0.1 | FHIR Std.
Observation.component.​code.coding:LOINC | Base | required | LOINC Codes | 📦4.0.1 | FHIR Std.

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | KR Core Observation Profile for Vital Signs Constraints: obs-6, obs-7
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | ?!Σ | 1..1 | code | 측정 상태: registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category |  | 1..* | CodeableConcept | 관찰 및 측정 범주 Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (required): Codes for high level observation categories.
category:VitalSigns |  | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
code | Σ | 1..1 | CodeableConcept | 활력징후 및 신체 계측 항목 정보 Binding: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LOINC | Σ | 0..* | Coding | LOINC 코드 정보 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
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 | LOINC 코드체계 Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | LOINC 코드
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 | S Σ | 0..1 | Reference(KR Core Patient Profile) | 활력징후 및 신체 계측 대상 환자
focus | Σ | 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 |  | 활력징후 및 신체 계측 일시
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(KR Core Practitioner Profile | KR Core PractitionerRole Profile | KR Core Organization Profile | CareTeam | KR Core Patient Profile | RelatedPerson) | 활력징후 및 신체 계측 책임자
value[x] | Σ C | 0..1 |  | 활력징후 및 신체 계측 결과
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 | 활력징후 및 신체 계측 결과 부재 사유 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) | 활력징후 및 신체 계측 장비 정보
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
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(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | 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 | 세부 활력징후 및 신체 계측 정보 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 | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LOINC | Σ | 0..* | Coding | LOINC 코드 정보 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
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 | LOINC 코드체계 Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | LOINC 코드
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
value[x] | Σ | 0..1 |  | 세부 활력징후 및 신체 계측 결과
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 | 세부 활력징후 및 신체 계측 결과 부재 사유 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

#### 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 | required | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:VitalSigns | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std.
Observation.code.coding:LOINC | Base | required | LOINC Codes | 📦4.0.1 | FHIR Std.
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.​code.coding:LOINC | Base | required | 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.

#### 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()`

This structure is derived from Observation

Summary

Mandatory: 2 elements(4 nested mandatory elements)
Must-Support: 1 element
Fixed: 2 elements

Structures

This structure refers to these other structures:

- KR Core Patient Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-patient)
- KR Core Practitioner Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-practitioner)
- KR Core PractitionerRole Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-practitioner-role)
- KR Core Organization Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-organization)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.category
- The element 1 is sliced based on the value of Observation.code.coding
- The element 1 is sliced based on the value of Observation.component.code.coding

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | KR Core Observation Profile for Vital Signs Constraints: obs-6, obs-7
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | 측정 상태: registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category |  | 1..* | CodeableConcept | 관찰 및 측정 범주 Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (required): Codes for high level observation categories.
category:VitalSigns |  | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
code | Σ | 1..1 | CodeableConcept | 활력징후 및 신체 계측 항목 정보 Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LOINC | Σ | 0..* | Coding | LOINC 코드 정보 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
system | Σ | 1..1 | uri | LOINC 코드체계 Fixed Value: http://loinc.org
code | Σ | 1..1 | code | LOINC 코드
subject | S Σ | 0..1 | Reference(KR Core Patient Profile) | 활력징후 및 신체 계측 대상 환자
effective[x] | Σ | 0..1 |  | 활력징후 및 신체 계측 일시
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
performer | Σ | 0..* | Reference(KR Core Practitioner Profile | KR Core PractitionerRole Profile | KR Core Organization Profile | CareTeam | KR Core Patient Profile | RelatedPerson) | 활력징후 및 신체 계측 책임자
value[x] | Σ C | 0..1 |  | 활력징후 및 신체 계측 결과
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 | 활력징후 및 신체 계측 결과 부재 사유 Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
device |  | 0..1 | Reference(Device | DeviceMetric) | 활력징후 및 신체 계측 장비 정보
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | required | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:VitalSigns | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std.
Observation.code.coding:LOINC | Base | required | LOINC Codes | 📦4.0.1 | FHIR Std.
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍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 | KR Core Observation Profile for Vital Signs
status |  | 1..1 | code | 측정 상태: registered | preliminary | final | amended +
Slices for category |  | 1..* | CodeableConcept | 관찰 및 측정 범주 Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (required): Codes for high level observation categories.
category:VitalSigns |  | 1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs
code |  | 1..1 | CodeableConcept | 활력징후 및 신체 계측 항목 정보
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LOINC |  | 0..* | Coding | LOINC 코드 정보 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
system |  | 1..1 | uri | LOINC 코드체계 Fixed Value: http://loinc.org
code |  | 1..1 | code | LOINC 코드
subject | S | 0..1 | Reference(KR Core Patient Profile) | 활력징후 및 신체 계측 대상 환자
effective[x] |  | 0..1 | dateTime, Period, Timing, instant | 활력징후 및 신체 계측 일시
performer |  | 0..* | Reference(KR Core Practitioner Profile | KR Core PractitionerRole Profile | KR Core Organization Profile | CareTeam | KR Core Patient Profile | RelatedPerson) | 활력징후 및 신체 계측 책임자
value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | 활력징후 및 신체 계측 결과
dataAbsentReason |  | 0..1 | CodeableConcept | 활력징후 및 신체 계측 결과 부재 사유
device |  | 0..1 | Reference(Device | DeviceMetric) | 활력징후 및 신체 계측 장비 정보
component |  |  |  |
code |  | 1..1 | CodeableConcept | 세부 활력징후 및 신체 계측 정보
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LOINC |  | 0..* | Coding | LOINC 코드 정보 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
system |  | 1..1 | uri | LOINC 코드체계 Fixed Value: http://loinc.org
code |  | 1..1 | code | LOINC 코드
value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | 세부 활력징후 및 신체 계측 결과
dataAbsentReason |  | 0..1 | CodeableConcept | 세부 활력징후 및 신체 계측 결과 부재 사유
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.category | Base | required | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.code.coding:LOINC | Base | required | LOINC Codes | 📦4.0.1 | FHIR Std.
Observation.component.​code.coding:LOINC | Base | required | LOINC Codes | 📦4.0.1 | FHIR Std.

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | KR Core Observation Profile for Vital Signs Constraints: obs-6, obs-7
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | ?!Σ | 1..1 | code | 측정 상태: registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category |  | 1..* | CodeableConcept | 관찰 및 측정 범주 Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (required): Codes for high level observation categories.
category:VitalSigns |  | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
code | Σ | 1..1 | CodeableConcept | 활력징후 및 신체 계측 항목 정보 Binding: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LOINC | Σ | 0..* | Coding | LOINC 코드 정보 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
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 | LOINC 코드체계 Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | LOINC 코드
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 | S Σ | 0..1 | Reference(KR Core Patient Profile) | 활력징후 및 신체 계측 대상 환자
focus | Σ | 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 |  | 활력징후 및 신체 계측 일시
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(KR Core Practitioner Profile | KR Core PractitionerRole Profile | KR Core Organization Profile | CareTeam | KR Core Patient Profile | RelatedPerson) | 활력징후 및 신체 계측 책임자
value[x] | Σ C | 0..1 |  | 활력징후 및 신체 계측 결과
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 | 활력징후 및 신체 계측 결과 부재 사유 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) | 활력징후 및 신체 계측 장비 정보
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
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(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | 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 | 세부 활력징후 및 신체 계측 정보 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 | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LOINC | Σ | 0..* | Coding | LOINC 코드 정보 Binding: LOINCCodes (required)
Additional Bindings | Purpose
KR Core Vital Signs Codes | Min Binding
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 | LOINC 코드체계 Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | LOINC 코드
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
value[x] | Σ | 0..1 |  | 세부 활력징후 및 신체 계측 결과
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 | 세부 활력징후 및 신체 계측 결과 부재 사유 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

#### 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 | required | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:VitalSigns | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std.
Observation.code.coding:LOINC | Base | required | LOINC Codes | 📦4.0.1 | FHIR Std.
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.​code.coding:LOINC | Base | required | 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.

#### 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()`

This structure is derived from Observation

Summary

Mandatory: 2 elements(4 nested mandatory elements)
Must-Support: 1 element
Fixed: 2 elements

Structures

This structure refers to these other structures:

- KR Core Patient Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-patient)
- KR Core Practitioner Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-practitioner)
- KR Core PractitionerRole Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-practitioner-role)
- KR Core Organization Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-organization)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.category
- The element 1 is sliced based on the value of Observation.code.coding
- The element 1 is sliced based on the value of Observation.component.code.coding

Other representations of profile: CSV, Excel, Schematron