CH EMED EPR
3.0.0-ci-build - ci-build
CH EMED EPR
3.0.0-ci-build - ci-build
CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CARA-ch/ch-emed-epr/ and changes regularly. See the Directory of published versions
| Official URL: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation | Version: 3.0.0-ci-build | |||
| Draft as of 2025-12-04 | Computable Name: CHEMEDEPRObservation | |||
Copyright/Legal: CC0-1.0 |
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Definition of the observation for the pharmaceutical advice document
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Observation |
C | 0..* | CHEMEDObservation | CH EMED Observation (PADV) Constraints: obs-6, obs-7, ch-obs-1, only-one-obs-ref, mtp-entry-only-with-ref, pre-entry-only-with-ref, treatment-plan-id-reference-matches-statement-changed-reference, prescription-id-reference-matches-request-changed-reference |
  Slices for extension |
Content/Rules for all slices | |||
   extension:treatmentPlan |
0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |
| extension:prescription |
0..1 | (Complex) | Reference to the medication prescription URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription | |
| extension:dispense |
0..1 | (Complex) | Reference to the medication dispense URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense | |
 extension:medicationStatementChanged |
0..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed | |
   extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
 url |
1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed" | |
  value[x] |
1..1 | Reference(PADV Changed MedicationStatement) {r, b} | The changed MedicationStatement | |
 extension:medicationRequestChanged |
0..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed | |
 extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed" | |
| value[x] |
1..1 | Reference(PADV Changed MedicationRequest) {r, b} | The changed MedicationRequest | |
 identifier |
Σ | 1..1 | Identifier | Observation Identifier |
 use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
 value |
Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 |
| basedOn |
ΣD | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | ✕ This element is not supported |
| partOf |
ΣD | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported |
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final |
| category |
D | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| code |
Σ | 1..1 | CodeableConcept | Observation code Binding: IHE Pharmaceutical Advice Status List (required) |
| subject |
Σ | 0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| focus |
ΣD | 0..* | Reference(Resource) | ✕ This element is not supported |
| encounter |
ΣD | 0..1 | Reference(Encounter) | ✕ This element is not supported |
| Slices for effective[x] |
ΣD | 0..1 | ✕ This element is not supported Slice: Unordered, Closed by type:$this | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effectiveTiming |
Timing | |||
| effectiveInstant |
instant | |||
 effective[x]:effectiveDateTime |
Σ | 0..1 | dateTime | Effective Time |
| issued |
Σ | 1..1 | instant | Date/Time this version was made available |
| performer |
Σ | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | CH Core RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
 value[x] |
ΣCD | 0..1 | ✕ This element is not supported | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
CD | 0..1 | CodeableConcept | ✕ This element is not supported Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| interpretation |
D | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. |
| note |
1..1 | Annotation | COMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done. | |
| id |
D | 0..1 | string | ✕ This element is not supported |
| extension |
D | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url |
| author[x] |
ΣD | 0..1 | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author | |
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||
| authorString |
string | |||
| time |
ΣD | 0..1 | dateTime | ✕ This element is not supported |
| text |
Σ | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). |
| bodySite |
D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
| method |
D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ObservationMethods (example): Methods for simple observations. |
| specimen |
D | 0..1 | Reference(Specimen) | ✕ This element is not supported |
| device |
D | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported |
| referenceRange |
CD | 0..* | BackboneElement | ✕ This element is not supported Constraints: obs-3 |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| hasMember |
ΣD | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported |
| derivedFrom |
ΣD | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported |
 component |
ΣD | 0..* | BackboneElement | ✕ This element is not supported |
| 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. |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | required | IHE Pharmaceutical Advice Status List | 📦3.2.0 | CH Term v3.2 |
| 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.component.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-obs-1 | error | Observation | In case of a 'CHANGE', reference shall be made to an entry containing the changes. |
code.coding.exists(system='urn:oid:1.3.6.1.4.1.19376.1.9.2.1' and code='CHANGE') implies extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed' or url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists()
|
| 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()
|
| mtp-entry-only-with-ref | error | Observation | A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists().not()
|
| 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()
|
| only-one-obs-ref | error | Observation | A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()) and (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()).not()
|
| pre-entry-only-with-ref | error | Observation | A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists().not()
|
| prescription-id-reference-matches-request-changed-reference | error | Observation | If the observation includes a medication request changed reference, it SHALL match the prescription id reference |
extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').extension('id').single().value as Identifier).value
|
| treatment-plan-id-reference-matches-statement-changed-reference | error | Observation | If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference |
extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').extension('id').single().value as Identifier).value
|
This structure is derived from CHEMEDObservation
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | CHEMEDObservation | CH EMED Observation (PADV) Constraints: only-one-obs-ref, mtp-entry-only-with-ref, pre-entry-only-with-ref, treatment-plan-id-reference-matches-statement-changed-reference, prescription-id-reference-matches-request-changed-reference |
 meta |
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| extension |
D | 0..* | Extension | ✕ This element is not supported |
| versionId |
D | 0..1 | id | ✕ This element is not supported |
| lastUpdated |
D | 0..1 | instant | ✕ This element is not supported |
| source |
D | 0..1 | uri | ✕ This element is not supported |
| security |
D | 0..* | Coding | ✕ This element is not supported |
| tag |
D | 0..* | Coding | ✕ This element is not supported |
| implicitRules |
0..0 | A set of rules under which this content was created | ||
| Slices for extension |
Content/Rules for all slices | |||
| extension:medicationStatementChanged |
0..1 | CHEMEDExtMedicationStatementChanged | CH EMED Extension | |
| value[x] |
1..1 | Reference(PADV Changed MedicationStatement) {r, b} | The changed MedicationStatement | |
| extension:medicationRequestChanged |
0..1 | CHEMEDExtMedicationRequestChanged | CH EMED Extension | |
| value[x] |
1..1 | Reference(PADV Changed MedicationRequest) {r, b} | The changed MedicationRequest | |
| modifierExtension |
0..0 | Extension | ||
| basedOn |
D | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | ✕ This element is not supported |
| partOf |
D | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported |
| category |
D | 0..* | CodeableConcept | ✕ This element is not supported |
| subject |
0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient | |
| focus |
D | 0..* | Reference(Resource) | ✕ This element is not supported |
| encounter |
D | 0..1 | Reference(Encounter) | ✕ This element is not supported |
| effective[x] |
D | 0..1 | dateTime, Period, Timing, instant | ✕ This element is not supported |
| value[x] |
D | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | ✕ This element is not supported |
| dataAbsentReason |
D | 0..1 | CodeableConcept | ✕ This element is not supported |
| interpretation |
D | 0..* | CodeableConcept | ✕ This element is not supported |
| note |
||||
| id |
D | 0..1 | string | ✕ This element is not supported |
| extension |
D | 0..* | Extension | ✕ This element is not supported |
| author[x] |
D | 0..1 | Reference(Practitioner | Patient | RelatedPerson | Organization), string | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author |
| time |
D | 0..1 | dateTime | ✕ This element is not supported |
| text |
1..1 | markdown | The annotation text content (as raw text, no markdown allowed). | |
| bodySite |
D | 0..1 | CodeableConcept | ✕ This element is not supported |
| method |
D | 0..1 | CodeableConcept | ✕ This element is not supported |
| specimen |
D | 0..1 | Reference(Specimen) | ✕ This element is not supported |
| device |
D | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported |
| referenceRange |
D | 0..* | BackboneElement | ✕ This element is not supported |
| hasMember |
D | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported |
| derivedFrom |
D | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported |
| component |
D | 0..* | BackboneElement | ✕ This element is not supported |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| mtp-entry-only-with-ref | error | Observation | A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists().not()
|
| only-one-obs-ref | error | Observation | A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()) and (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()).not()
|
| pre-entry-only-with-ref | error | Observation | A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists().not()
|
| prescription-id-reference-matches-request-changed-reference | error | Observation | If the observation includes a medication request changed reference, it SHALL match the prescription id reference |
extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').extension('id').single().value as Identifier).value
|
| treatment-plan-id-reference-matches-statement-changed-reference | error | Observation | If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference |
extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').extension('id').single().value as Identifier).value
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | CHEMEDObservation | CH EMED Observation (PADV) Constraints: obs-6, obs-7, ch-obs-1, only-one-obs-ref, mtp-entry-only-with-ref, pre-entry-only-with-ref, treatment-plan-id-reference-matches-statement-changed-reference, prescription-id-reference-matches-request-changed-reference | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
D | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | ||||
| versionId |
ΣD | 0..1 | id | ✕ This element is not supported | ||||
| lastUpdated |
ΣD | 0..1 | instant | ✕ This element is not supported | ||||
| source |
ΣD | 0..1 | uri | ✕ This element is not supported | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
ΣD | 0..* | Coding | ✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
ΣD | 0..* | Coding | ✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:treatmentPlan |
0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |||||
| extension:prescription |
0..1 | (Complex) | Reference to the medication prescription URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription | |||||
| extension:dispense |
0..1 | (Complex) | Reference to the medication dispense URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense | |||||
| extension:medicationStatementChanged |
0..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed" | |||||
| value[x] |
1..1 | Reference(PADV Changed MedicationStatement) {r, b} | The changed MedicationStatement | |||||
| extension:medicationRequestChanged |
0..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed" | |||||
| value[x] |
1..1 | Reference(PADV Changed MedicationRequest) {r, b} | The changed MedicationRequest | |||||
| identifier |
Σ | 1..1 | Identifier | Observation Identifier | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
| value |
Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| basedOn |
ΣD | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | ✕ This element is not supported | ||||
| partOf |
ΣD | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported | ||||
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||
| category |
D | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| code |
Σ | 1..1 | CodeableConcept | Observation code Binding: IHE Pharmaceutical Advice Status List (required) | ||||
| subject |
Σ | 0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| focus |
ΣD | 0..* | Reference(Resource) | ✕ This element is not supported | ||||
| encounter |
ΣD | 0..1 | Reference(Encounter) | ✕ This element is not supported | ||||
| Slices for effective[x] |
ΣD | 0..1 | ✕ This element is not supported Slice: Unordered, Closed by type:$this | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effectiveTiming |
Timing | |||||||
| effectiveInstant |
instant | |||||||
| effective[x]:effectiveDateTime |
Σ | 0..1 | dateTime | Effective Time | ||||
| issued |
Σ | 1..1 | instant | Date/Time this version was made available | ||||
| performer |
Σ | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | CH Core RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| value[x] |
ΣCD | 0..1 | ✕ This element is not supported | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
CD | 0..1 | CodeableConcept | ✕ This element is not supported Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
D | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||
| note |
1..1 | Annotation | COMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done. | |||||
| id |
D | 0..1 | string | ✕ This element is not supported | ||||
| extension |
D | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | ||||
| author[x] |
ΣD | 0..1 | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author | |||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString |
string | |||||||
| time |
ΣD | 0..1 | dateTime | ✕ This element is not supported | ||||
| text |
Σ | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). | ||||
| bodySite |
D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| method |
D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ObservationMethods (example): Methods for simple observations. | ||||
| specimen |
D | 0..1 | Reference(Specimen) | ✕ This element is not supported | ||||
| device |
D | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported | ||||
| referenceRange |
CD | 0..* | BackboneElement | ✕ This element is not supported 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 | 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 |
ΣD | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported | ||||
| derivedFrom |
ΣD | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported | ||||
| component |
ΣD | 0..* | BackboneElement | ✕ This element is not supported | ||||
| 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 | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Observation.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Observation.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Observation.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Observation.identifier.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | required | IHE Pharmaceutical Advice Status List | 📦3.2.0 | CH Term v3.2 |
| Observation.subject.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std. |
| Observation.performer.type | Base | extensible | ResourceType | 📦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.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-obs-1 | error | Observation | In case of a 'CHANGE', reference shall be made to an entry containing the changes. |
code.coding.exists(system='urn:oid:1.3.6.1.4.1.19376.1.9.2.1' and code='CHANGE') implies extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed' or url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists()
|
| 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()
|
| mtp-entry-only-with-ref | error | Observation | A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists().not()
|
| 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()
|
| only-one-obs-ref | error | Observation | A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()) and (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()).not()
|
| pre-entry-only-with-ref | error | Observation | A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists().not()
|
| prescription-id-reference-matches-request-changed-reference | error | Observation | If the observation includes a medication request changed reference, it SHALL match the prescription id reference |
extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').extension('id').single().value as Identifier).value
|
| treatment-plan-id-reference-matches-statement-changed-reference | error | Observation | If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference |
extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').extension('id').single().value as Identifier).value
|
This structure is derived from CHEMEDObservation
Summary
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | CHEMEDObservation | CH EMED Observation (PADV) Constraints: obs-6, obs-7, ch-obs-1, only-one-obs-ref, mtp-entry-only-with-ref, pre-entry-only-with-ref, treatment-plan-id-reference-matches-statement-changed-reference, prescription-id-reference-matches-request-changed-reference |
| Slices for extension |
Content/Rules for all slices | |||
| extension:treatmentPlan |
0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |
| extension:prescription |
0..1 | (Complex) | Reference to the medication prescription URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription | |
| extension:dispense |
0..1 | (Complex) | Reference to the medication dispense URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense | |
| extension:medicationStatementChanged |
0..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed" | |
| value[x] |
1..1 | Reference(PADV Changed MedicationStatement) {r, b} | The changed MedicationStatement | |
| extension:medicationRequestChanged |
0..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed" | |
| value[x] |
1..1 | Reference(PADV Changed MedicationRequest) {r, b} | The changed MedicationRequest | |
| identifier |
Σ | 1..1 | Identifier | Observation Identifier |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
| value |
Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 |
| basedOn |
ΣD | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | ✕ This element is not supported |
| partOf |
ΣD | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported |
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final |
| category |
D | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| code |
Σ | 1..1 | CodeableConcept | Observation code Binding: IHE Pharmaceutical Advice Status List (required) |
| subject |
Σ | 0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| focus |
ΣD | 0..* | Reference(Resource) | ✕ This element is not supported |
| encounter |
ΣD | 0..1 | Reference(Encounter) | ✕ This element is not supported |
| Slices for effective[x] |
ΣD | 0..1 | ✕ This element is not supported Slice: Unordered, Closed by type:$this | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effectiveTiming |
Timing | |||
| effectiveInstant |
instant | |||
| effective[x]:effectiveDateTime |
Σ | 0..1 | dateTime | Effective Time |
| issued |
Σ | 1..1 | instant | Date/Time this version was made available |
| performer |
Σ | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | CH Core RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| value[x] |
ΣCD | 0..1 | ✕ This element is not supported | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
CD | 0..1 | CodeableConcept | ✕ This element is not supported Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| interpretation |
D | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. |
| note |
1..1 | Annotation | COMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done. | |
| id |
D | 0..1 | string | ✕ This element is not supported |
| extension |
D | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url |
| author[x] |
ΣD | 0..1 | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author | |
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||
| authorString |
string | |||
| time |
ΣD | 0..1 | dateTime | ✕ This element is not supported |
| text |
Σ | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). |
| bodySite |
D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
| method |
D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ObservationMethods (example): Methods for simple observations. |
| specimen |
D | 0..1 | Reference(Specimen) | ✕ This element is not supported |
| device |
D | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported |
| referenceRange |
CD | 0..* | BackboneElement | ✕ This element is not supported Constraints: obs-3 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| hasMember |
ΣD | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported |
| derivedFrom |
ΣD | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported |
| component |
ΣD | 0..* | BackboneElement | ✕ This element is not supported |
| 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. |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | required | IHE Pharmaceutical Advice Status List | 📦3.2.0 | CH Term v3.2 |
| 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.component.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-obs-1 | error | Observation | In case of a 'CHANGE', reference shall be made to an entry containing the changes. |
code.coding.exists(system='urn:oid:1.3.6.1.4.1.19376.1.9.2.1' and code='CHANGE') implies extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed' or url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists()
|
| 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()
|
| mtp-entry-only-with-ref | error | Observation | A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists().not()
|
| 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()
|
| only-one-obs-ref | error | Observation | A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()) and (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()).not()
|
| pre-entry-only-with-ref | error | Observation | A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists().not()
|
| prescription-id-reference-matches-request-changed-reference | error | Observation | If the observation includes a medication request changed reference, it SHALL match the prescription id reference |
extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').extension('id').single().value as Identifier).value
|
| treatment-plan-id-reference-matches-statement-changed-reference | error | Observation | If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference |
extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').extension('id').single().value as Identifier).value
|
Differential View
This structure is derived from CHEMEDObservation
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | CHEMEDObservation | CH EMED Observation (PADV) Constraints: only-one-obs-ref, mtp-entry-only-with-ref, pre-entry-only-with-ref, treatment-plan-id-reference-matches-statement-changed-reference, prescription-id-reference-matches-request-changed-reference |
| meta |
||||
| extension |
D | 0..* | Extension | ✕ This element is not supported |
| versionId |
D | 0..1 | id | ✕ This element is not supported |
| lastUpdated |
D | 0..1 | instant | ✕ This element is not supported |
| source |
D | 0..1 | uri | ✕ This element is not supported |
| security |
D | 0..* | Coding | ✕ This element is not supported |
| tag |
D | 0..* | Coding | ✕ This element is not supported |
| implicitRules |
0..0 | A set of rules under which this content was created | ||
| Slices for extension |
Content/Rules for all slices | |||
| extension:medicationStatementChanged |
0..1 | CHEMEDExtMedicationStatementChanged | CH EMED Extension | |
| value[x] |
1..1 | Reference(PADV Changed MedicationStatement) {r, b} | The changed MedicationStatement | |
| extension:medicationRequestChanged |
0..1 | CHEMEDExtMedicationRequestChanged | CH EMED Extension | |
| value[x] |
1..1 | Reference(PADV Changed MedicationRequest) {r, b} | The changed MedicationRequest | |
| modifierExtension |
0..0 | Extension | ||
| basedOn |
D | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | ✕ This element is not supported |
| partOf |
D | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported |
| category |
D | 0..* | CodeableConcept | ✕ This element is not supported |
| subject |
0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient | |
| focus |
D | 0..* | Reference(Resource) | ✕ This element is not supported |
| encounter |
D | 0..1 | Reference(Encounter) | ✕ This element is not supported |
| effective[x] |
D | 0..1 | dateTime, Period, Timing, instant | ✕ This element is not supported |
| value[x] |
D | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | ✕ This element is not supported |
| dataAbsentReason |
D | 0..1 | CodeableConcept | ✕ This element is not supported |
| interpretation |
D | 0..* | CodeableConcept | ✕ This element is not supported |
| note |
||||
| id |
D | 0..1 | string | ✕ This element is not supported |
| extension |
D | 0..* | Extension | ✕ This element is not supported |
| author[x] |
D | 0..1 | Reference(Practitioner | Patient | RelatedPerson | Organization), string | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author |
| time |
D | 0..1 | dateTime | ✕ This element is not supported |
| text |
1..1 | markdown | The annotation text content (as raw text, no markdown allowed). | |
| bodySite |
D | 0..1 | CodeableConcept | ✕ This element is not supported |
| method |
D | 0..1 | CodeableConcept | ✕ This element is not supported |
| specimen |
D | 0..1 | Reference(Specimen) | ✕ This element is not supported |
| device |
D | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported |
| referenceRange |
D | 0..* | BackboneElement | ✕ This element is not supported |
| hasMember |
D | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported |
| derivedFrom |
D | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported |
| component |
D | 0..* | BackboneElement | ✕ This element is not supported |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| mtp-entry-only-with-ref | error | Observation | A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists().not()
|
| only-one-obs-ref | error | Observation | A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()) and (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()).not()
|
| pre-entry-only-with-ref | error | Observation | A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists().not()
|
| prescription-id-reference-matches-request-changed-reference | error | Observation | If the observation includes a medication request changed reference, it SHALL match the prescription id reference |
extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').extension('id').single().value as Identifier).value
|
| treatment-plan-id-reference-matches-statement-changed-reference | error | Observation | If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference |
extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').extension('id').single().value as Identifier).value
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | CHEMEDObservation | CH EMED Observation (PADV) Constraints: obs-6, obs-7, ch-obs-1, only-one-obs-ref, mtp-entry-only-with-ref, pre-entry-only-with-ref, treatment-plan-id-reference-matches-statement-changed-reference, prescription-id-reference-matches-request-changed-reference | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
D | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | ||||
| versionId |
ΣD | 0..1 | id | ✕ This element is not supported | ||||
| lastUpdated |
ΣD | 0..1 | instant | ✕ This element is not supported | ||||
| source |
ΣD | 0..1 | uri | ✕ This element is not supported | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
ΣD | 0..* | Coding | ✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
ΣD | 0..* | Coding | ✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:treatmentPlan |
0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |||||
| extension:prescription |
0..1 | (Complex) | Reference to the medication prescription URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription | |||||
| extension:dispense |
0..1 | (Complex) | Reference to the medication dispense URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense | |||||
| extension:medicationStatementChanged |
0..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed" | |||||
| value[x] |
1..1 | Reference(PADV Changed MedicationStatement) {r, b} | The changed MedicationStatement | |||||
| extension:medicationRequestChanged |
0..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed" | |||||
| value[x] |
1..1 | Reference(PADV Changed MedicationRequest) {r, b} | The changed MedicationRequest | |||||
| identifier |
Σ | 1..1 | Identifier | Observation Identifier | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
| value |
Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| basedOn |
ΣD | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | ✕ This element is not supported | ||||
| partOf |
ΣD | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported | ||||
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||
| category |
D | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| code |
Σ | 1..1 | CodeableConcept | Observation code Binding: IHE Pharmaceutical Advice Status List (required) | ||||
| subject |
Σ | 0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| focus |
ΣD | 0..* | Reference(Resource) | ✕ This element is not supported | ||||
| encounter |
ΣD | 0..1 | Reference(Encounter) | ✕ This element is not supported | ||||
| Slices for effective[x] |
ΣD | 0..1 | ✕ This element is not supported Slice: Unordered, Closed by type:$this | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effectiveTiming |
Timing | |||||||
| effectiveInstant |
instant | |||||||
| effective[x]:effectiveDateTime |
Σ | 0..1 | dateTime | Effective Time | ||||
| issued |
Σ | 1..1 | instant | Date/Time this version was made available | ||||
| performer |
Σ | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | CH Core RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| value[x] |
ΣCD | 0..1 | ✕ This element is not supported | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
CD | 0..1 | CodeableConcept | ✕ This element is not supported Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
D | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||
| note |
1..1 | Annotation | COMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done. | |||||
| id |
D | 0..1 | string | ✕ This element is not supported | ||||
| extension |
D | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | ||||
| author[x] |
ΣD | 0..1 | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author | |||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString |
string | |||||||
| time |
ΣD | 0..1 | dateTime | ✕ This element is not supported | ||||
| text |
Σ | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). | ||||
| bodySite |
D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| method |
D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ObservationMethods (example): Methods for simple observations. | ||||
| specimen |
D | 0..1 | Reference(Specimen) | ✕ This element is not supported | ||||
| device |
D | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported | ||||
| referenceRange |
CD | 0..* | BackboneElement | ✕ This element is not supported 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 | 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 |
ΣD | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported | ||||
| derivedFrom |
ΣD | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported | ||||
| component |
ΣD | 0..* | BackboneElement | ✕ This element is not supported | ||||
| 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 | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Observation.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Observation.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Observation.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Observation.identifier.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | required | IHE Pharmaceutical Advice Status List | 📦3.2.0 | CH Term v3.2 |
| Observation.subject.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std. |
| Observation.performer.type | Base | extensible | ResourceType | 📦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.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-obs-1 | error | Observation | In case of a 'CHANGE', reference shall be made to an entry containing the changes. |
code.coding.exists(system='urn:oid:1.3.6.1.4.1.19376.1.9.2.1' and code='CHANGE') implies extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed' or url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists()
|
| 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()
|
| mtp-entry-only-with-ref | error | Observation | A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists().not()
|
| 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()
|
| only-one-obs-ref | error | Observation | A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()) and (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()).not()
|
| pre-entry-only-with-ref | error | Observation | A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE |
(extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists().not()
|
| prescription-id-reference-matches-request-changed-reference | error | Observation | If the observation includes a medication request changed reference, it SHALL match the prescription id reference |
extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').extension('id').single().value as Identifier).value
|
| treatment-plan-id-reference-matches-statement-changed-reference | error | Observation | If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference |
extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').extension('id').single().value as Identifier).value
|
This structure is derived from CHEMEDObservation
Summary
Prohibited: 2 elements
Structures
This structure refers to these other structures:
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