CH EMED EPR
2.0.0-ci-build - ci-build
CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 2.0.0-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-list | Version: 2.0.0-ci-build | |||
Draft as of 2024-12-20 | Computable Name: CHEMEDEPRObservationList | |||
Copyright/Legal: CC0-1.0 |
Definition of the observation for the medication list document
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHEMEDObservationList
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | CHEMEDObservationList | CH EMED Observation (LIST) 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 |
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 | 1..* | Extension | Extension | |
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 | |
extension:parentDocument | 1..1 | CHEMEDExtPharmaceuticalAdvice | CH EMED Extension | |
extension:authorDocument | 0..1 | Author | Optional Extensions Element | |
Slices for value[x] | Content/Rules for all slices | |||
value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |
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 |
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) | Details | Requirements |
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() |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | CHEMEDObservationList | CH EMED Observation (LIST) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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 |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
treatmentPlan | 0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
prescription | 0..1 | (Complex) | Reference to the medication prescription URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
dispense | 0..1 | (Complex) | Reference to the medication dispense URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
medicationStatementChanged | 0..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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 ele-1: All FHIR elements must have a @value or children | |
medicationRequestChanged | 0..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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 ele-1: All FHIR elements must have a @value or children | |
parentDocument | 1..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
authorDocument | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
extension | 0..0 | |||
url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author" | |
Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children | |
value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content ele-1: All FHIR elements must have a @value or children | |
Slices for extension | Content/Rules for all slices | |||
time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
identifier | Σ | 1..1 | Identifier | Observation Identifier ele-1: All FHIR elements must have a @value or children |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children |
system | Σ | 1..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: urn:ietf:rfc:3986 |
value | Σ | 1..1 | string | Identifier value as UUID ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children |
partOf | ΣD | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children Fixed Value: final |
category | D | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children |
code | Σ | 1..1 | CodeableConcept | Observation code Binding: IHE Pharmaceutical Advice Status List (required) ele-1: All FHIR elements must have a @value or children |
subject | Σ | 0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient ele-1: All FHIR elements must have a @value or children |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
focus | ΣD | 0..* | Reference(Resource) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
encounter | ΣD | 0..1 | Reference(Encounter) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
Slices for effective[x] | Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
effectiveTiming | Timing | |||
effectiveInstant | instant | |||
effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | Effective Time ele-1: All FHIR elements must have a @value or children |
issued | Σ | 1..1 | instant | Date/Time this version was made available ele-1: All FHIR elements must have a @value or children |
performer | Σ | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' ele-1: All FHIR elements must have a @value or children |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
value[x] | ΣCD | 0..1 | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children | |
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. ele-1: All FHIR elements must have a @value or children |
interpretation | D | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. ele-1: All FHIR elements must have a @value or children |
note | 1..1 | Annotation | COMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done. ele-1: All FHIR elements must have a @value or children | |
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
author[x] | ΣD | 0..1 | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author ele-1: All FHIR elements must have a @value or children | |
authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||
authorString | string | |||
time | ΣD | 0..1 | dateTime | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
text | Σ | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). ele-1: All FHIR elements must have a @value or children |
bodySite | D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. ele-1: All FHIR elements must have a @value or children |
method | D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ObservationMethods (example): Methods for simple observations. ele-1: All FHIR elements must have a @value or children |
specimen | D | 0..1 | Reference(Specimen) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
device | D | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
referenceRange | CD | 0..* | BackboneElement | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
hasMember | ΣD | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
derivedFrom | ΣD | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
component | ΣD | 0..* | BackboneElement | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.code | required | IHEPharmaceuticalAdviceStatusListhttp://fhir.ch/ig/ch-term/ValueSet/ihe-pharmaceuticaladvicestatuslist | |
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | |
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | |
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | |
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | CHEMEDObservationList | CH EMED Observation (LIST) 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 | ||||
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 | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 1..* | 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 | |||||
parentDocument | 1..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice | |||||
authorDocument | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author" | |||||
Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |||||
value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |||||
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 | ||||
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] | Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open 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] | 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 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 | 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 | Conformance | ValueSet / Code | URI | |||
Observation.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard | ||||
Observation.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard | ||||
Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Observation.extension:authorDocument.value[x]:valueReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Observation.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Observation.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.code | required | IHEPharmaceuticalAdviceStatusListhttp://fhir.ch/ig/ch-term/ValueSet/ihe-pharmaceuticaladvicestatuslist | ||||
Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Observation.performer.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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() |
This structure is derived from CHEMEDObservationList
Summary
Mandatory: 2 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from CHEMEDObservationList
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | CHEMEDObservationList | CH EMED Observation (LIST) 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 |
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 | 1..* | Extension | Extension | |
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 | |
extension:parentDocument | 1..1 | CHEMEDExtPharmaceuticalAdvice | CH EMED Extension | |
extension:authorDocument | 0..1 | Author | Optional Extensions Element | |
Slices for value[x] | Content/Rules for all slices | |||
value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |
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 |
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) | Details | Requirements |
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() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | CHEMEDObservationList | CH EMED Observation (LIST) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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 |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
treatmentPlan | 0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
prescription | 0..1 | (Complex) | Reference to the medication prescription URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
dispense | 0..1 | (Complex) | Reference to the medication dispense URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
medicationStatementChanged | 0..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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 ele-1: All FHIR elements must have a @value or children | |
medicationRequestChanged | 0..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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 ele-1: All FHIR elements must have a @value or children | |
parentDocument | 1..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
authorDocument | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
extension | 0..0 | |||
url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author" | |
Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children | |
value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content ele-1: All FHIR elements must have a @value or children | |
Slices for extension | Content/Rules for all slices | |||
time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
identifier | Σ | 1..1 | Identifier | Observation Identifier ele-1: All FHIR elements must have a @value or children |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children |
system | Σ | 1..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: urn:ietf:rfc:3986 |
value | Σ | 1..1 | string | Identifier value as UUID ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children |
partOf | ΣD | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children Fixed Value: final |
category | D | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children |
code | Σ | 1..1 | CodeableConcept | Observation code Binding: IHE Pharmaceutical Advice Status List (required) ele-1: All FHIR elements must have a @value or children |
subject | Σ | 0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient ele-1: All FHIR elements must have a @value or children |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
focus | ΣD | 0..* | Reference(Resource) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
encounter | ΣD | 0..1 | Reference(Encounter) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
Slices for effective[x] | Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
effectiveTiming | Timing | |||
effectiveInstant | instant | |||
effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | Effective Time ele-1: All FHIR elements must have a @value or children |
issued | Σ | 1..1 | instant | Date/Time this version was made available ele-1: All FHIR elements must have a @value or children |
performer | Σ | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' ele-1: All FHIR elements must have a @value or children |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
value[x] | ΣCD | 0..1 | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children | |
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. ele-1: All FHIR elements must have a @value or children |
interpretation | D | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. ele-1: All FHIR elements must have a @value or children |
note | 1..1 | Annotation | COMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done. ele-1: All FHIR elements must have a @value or children | |
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
author[x] | ΣD | 0..1 | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author ele-1: All FHIR elements must have a @value or children | |
authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||
authorString | string | |||
time | ΣD | 0..1 | dateTime | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
text | Σ | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). ele-1: All FHIR elements must have a @value or children |
bodySite | D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. ele-1: All FHIR elements must have a @value or children |
method | D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ObservationMethods (example): Methods for simple observations. ele-1: All FHIR elements must have a @value or children |
specimen | D | 0..1 | Reference(Specimen) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
device | D | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
referenceRange | CD | 0..* | BackboneElement | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
hasMember | ΣD | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
derivedFrom | ΣD | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
component | ΣD | 0..* | BackboneElement | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.code | required | IHEPharmaceuticalAdviceStatusListhttp://fhir.ch/ig/ch-term/ValueSet/ihe-pharmaceuticaladvicestatuslist | |
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | |
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | |
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | |
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | CHEMEDObservationList | CH EMED Observation (LIST) 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 | ||||
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 | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 1..* | 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 | |||||
parentDocument | 1..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice | |||||
authorDocument | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author" | |||||
Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |||||
value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |||||
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 | ||||
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] | Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open 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] | 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 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 | 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 | Conformance | ValueSet / Code | URI | |||
Observation.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard | ||||
Observation.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard | ||||
Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Observation.extension:authorDocument.value[x]:valueReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Observation.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Observation.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.code | required | IHEPharmaceuticalAdviceStatusListhttp://fhir.ch/ig/ch-term/ValueSet/ihe-pharmaceuticaladvicestatuslist | ||||
Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Observation.performer.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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() |
This structure is derived from CHEMEDObservationList
Summary
Mandatory: 2 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron