CH EMED EPR
1.0.1-ci-build - ci-build Switzerland flag

CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 1.0.1-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

Resource Profile: PADV Observation

Official URL: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation Version: 1.0.1-ci-build
Draft as of 2024-04-05 Computable Name: CHEMEDEPRObservation

Copyright/Legal: CC0-1.0

Definition of the observation for the pharmaceutical advice document

Usage:

Formal Views of Profile Content

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

This structure is derived from CHEMEDObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* CHEMEDObservation CH EMED Observation (PADV)
only-one-obs-ref: A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present
mtp-entry-only-with-ref: A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE
pre-entry-only-with-ref: A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE
treatment-plan-id-reference-matches-statement-changed-reference: If the observation includes a medication statement changed reference, it SHALL match the treatment plan id 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
... extension:medicationStatementChanged 0..1 CHEMEDExtMedicationStatementChanged CH EMED Extension
.... value[x] 1..1 Reference(PADV Changed MedicationStatement) {r, b} The changed MedicationStatement
.... value[x] 1..1 Reference(PADV Changed MedicationRequest) {r, b} The changed MedicationRequest
... modifierExtension 0..0
... 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

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
mtp-entry-only-with-referrorObservationA 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-referrorObservationA 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-referrorObservationA 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()
treatment-plan-id-reference-matches-statement-changed-referenceerrorObservationIf 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
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* CHEMEDObservation CH EMED Observation (PADV)
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
ch-obs-1: In case of a 'CHANGE', reference shall be made to an entry containing the changes.
only-one-obs-ref: A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present
mtp-entry-only-with-ref: A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE
pre-entry-only-with-ref: A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE
treatment-plan-id-reference-matches-statement-changed-reference: If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference
... treatmentPlan 0..1 (Complex) Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... prescription 0..1 (Complex) Reference to the medication prescription
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
... dispense 0..1 (Complex) Reference to the medication dispense
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
... medicationStatementChanged 0..1 (Complex) CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed
.... extension 0..0
.... 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
... medicationRequestChanged 0..1 (Complex) CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed
.... extension 0..0
.... 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 Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) ✕ This element is not supported
... partOf Σ 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 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 Σ 0..* Reference(Resource) ✕ This element is not supported
... encounter Σ 0..1 Reference(Encounter) ✕ This element is not supported
... Slices for effective[x] Σ 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 | 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] ΣC 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 C 0..1 CodeableConcept ✕ This element is not supported
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 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 0..1 string ✕ This element is not supported
.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... author[x] Σ 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 Σ 0..1 dateTime ✕ This element is not supported
.... text Σ 1..1 markdown The annotation text content (as raw text, no markdown allowed).
... bodySite 0..1 CodeableConcept ✕ This element is not supported
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept ✕ This element is not supported
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1 Reference(Specimen) ✕ This element is not supported
... device 0..1 Reference(Device | DeviceMetric) ✕ This element is not supported
... referenceRange C 0..* BackboneElement ✕ This element is not supported
obs-3: Must have at least a low or a high or text
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) ✕ This element is not supported
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) ✕ This element is not supported
... component Σ 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.coderequiredIHEPharmaceuticalAdviceStatusList
http://fhir.ch/ig/ch-term/ValueSet/ihe-pharmaceuticaladvicestatuslist
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-obs-1errorObservationIn 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-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mtp-entry-only-with-referrorObservationA 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-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-referrorObservationA 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-referrorObservationA 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()
treatment-plan-id-reference-matches-statement-changed-referenceerrorObservationIf 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
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* CHEMEDObservation CH EMED Observation (PADV)
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
ch-obs-1: In case of a 'CHANGE', reference shall be made to an entry containing the changes.
only-one-obs-ref: A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present
mtp-entry-only-with-ref: A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE
pre-entry-only-with-ref: A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE
treatment-plan-id-reference-matches-statement-changed-reference: If the observation includes a medication statement changed reference, it SHALL match the treatment plan id 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 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id ✕ This element is not supported
.... lastUpdated Σ 0..1 instant ✕ This element is not supported
.... source Σ 0..1 uri ✕ This element is not supported
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding ✕ This element is not supported
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... treatmentPlan 0..1 (Complex) Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... prescription 0..1 (Complex) Reference to the medication prescription
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
... dispense 0..1 (Complex) Reference to the medication dispense
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
... 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
.... 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
... 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
.... 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 Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) ✕ This element is not supported
... partOf Σ 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 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 Σ 0..* Reference(Resource) ✕ This element is not supported
... encounter Σ 0..1 Reference(Encounter) ✕ This element is not supported
... Slices for effective[x] Σ 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 | 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] ΣC 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 C 0..1 CodeableConcept ✕ This element is not supported
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 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 0..1 string ✕ This element is not supported
.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... author[x] Σ 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 Σ 0..1 dateTime ✕ This element is not supported
.... text Σ 1..1 markdown The annotation text content (as raw text, no markdown allowed).
... bodySite 0..1 CodeableConcept ✕ This element is not supported
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept ✕ This element is not supported
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1 Reference(Specimen) ✕ This element is not supported
... device 0..1 Reference(Device | DeviceMetric) ✕ This element is not supported
... referenceRange C 0..* BackboneElement ✕ This element is not supported
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) ✕ This element is not supported
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) ✕ This element is not supported
... component Σ 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Observation.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.coderequiredIHEPharmaceuticalAdviceStatusList
http://fhir.ch/ig/ch-term/ValueSet/ihe-pharmaceuticaladvicestatuslist
Observation.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-obs-1errorObservationIn 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-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mtp-entry-only-with-referrorObservationA 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-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-referrorObservationA 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-referrorObservationA 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()
treatment-plan-id-reference-matches-statement-changed-referenceerrorObservationIf 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* CHEMEDObservation CH EMED Observation (PADV)
only-one-obs-ref: A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present
mtp-entry-only-with-ref: A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE
pre-entry-only-with-ref: A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE
treatment-plan-id-reference-matches-statement-changed-reference: If the observation includes a medication statement changed reference, it SHALL match the treatment plan id 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
... extension:medicationStatementChanged 0..1 CHEMEDExtMedicationStatementChanged CH EMED Extension
.... value[x] 1..1 Reference(PADV Changed MedicationStatement) {r, b} The changed MedicationStatement
.... value[x] 1..1 Reference(PADV Changed MedicationRequest) {r, b} The changed MedicationRequest
... modifierExtension 0..0
... 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

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
mtp-entry-only-with-referrorObservationA 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-referrorObservationA 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-referrorObservationA 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()
treatment-plan-id-reference-matches-statement-changed-referenceerrorObservationIf 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

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* CHEMEDObservation CH EMED Observation (PADV)
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
ch-obs-1: In case of a 'CHANGE', reference shall be made to an entry containing the changes.
only-one-obs-ref: A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present
mtp-entry-only-with-ref: A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE
pre-entry-only-with-ref: A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE
treatment-plan-id-reference-matches-statement-changed-reference: If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference
... treatmentPlan 0..1 (Complex) Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... prescription 0..1 (Complex) Reference to the medication prescription
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
... dispense 0..1 (Complex) Reference to the medication dispense
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
... medicationStatementChanged 0..1 (Complex) CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed
.... extension 0..0
.... 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
... medicationRequestChanged 0..1 (Complex) CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed
.... extension 0..0
.... 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 Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) ✕ This element is not supported
... partOf Σ 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 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 Σ 0..* Reference(Resource) ✕ This element is not supported
... encounter Σ 0..1 Reference(Encounter) ✕ This element is not supported
... Slices for effective[x] Σ 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 | 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] ΣC 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 C 0..1 CodeableConcept ✕ This element is not supported
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 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 0..1 string ✕ This element is not supported
.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... author[x] Σ 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 Σ 0..1 dateTime ✕ This element is not supported
.... text Σ 1..1 markdown The annotation text content (as raw text, no markdown allowed).
... bodySite 0..1 CodeableConcept ✕ This element is not supported
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept ✕ This element is not supported
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1 Reference(Specimen) ✕ This element is not supported
... device 0..1 Reference(Device | DeviceMetric) ✕ This element is not supported
... referenceRange C 0..* BackboneElement ✕ This element is not supported
obs-3: Must have at least a low or a high or text
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) ✕ This element is not supported
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) ✕ This element is not supported
... component Σ 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.coderequiredIHEPharmaceuticalAdviceStatusList
http://fhir.ch/ig/ch-term/ValueSet/ihe-pharmaceuticaladvicestatuslist
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-obs-1errorObservationIn 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-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mtp-entry-only-with-referrorObservationA 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-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-referrorObservationA 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-referrorObservationA 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()
treatment-plan-id-reference-matches-statement-changed-referenceerrorObservationIf 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* CHEMEDObservation CH EMED Observation (PADV)
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
ch-obs-1: In case of a 'CHANGE', reference shall be made to an entry containing the changes.
only-one-obs-ref: A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present
mtp-entry-only-with-ref: A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE
pre-entry-only-with-ref: A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE
treatment-plan-id-reference-matches-statement-changed-reference: If the observation includes a medication statement changed reference, it SHALL match the treatment plan id 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 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id ✕ This element is not supported
.... lastUpdated Σ 0..1 instant ✕ This element is not supported
.... source Σ 0..1 uri ✕ This element is not supported
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding ✕ This element is not supported
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... treatmentPlan 0..1 (Complex) Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... prescription 0..1 (Complex) Reference to the medication prescription
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
... dispense 0..1 (Complex) Reference to the medication dispense
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
... 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
.... 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
... 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
.... 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 Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) ✕ This element is not supported
... partOf Σ 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 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 Σ 0..* Reference(Resource) ✕ This element is not supported
... encounter Σ 0..1 Reference(Encounter) ✕ This element is not supported
... Slices for effective[x] Σ 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 | 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] ΣC 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 C 0..1 CodeableConcept ✕ This element is not supported
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 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 0..1 string ✕ This element is not supported
.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... author[x] Σ 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 Σ 0..1 dateTime ✕ This element is not supported
.... text Σ 1..1 markdown The annotation text content (as raw text, no markdown allowed).
... bodySite 0..1 CodeableConcept ✕ This element is not supported
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept ✕ This element is not supported
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1 Reference(Specimen) ✕ This element is not supported
... device 0..1 Reference(Device | DeviceMetric) ✕ This element is not supported
... referenceRange C 0..* BackboneElement ✕ This element is not supported
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) ✕ This element is not supported
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) ✕ This element is not supported
... component Σ 0..* BackboneElement ✕ This element is not supported
.... id 0..1 string Unique id for inter-element referencing