OpenEHR Base package
0.1.0 - First Draft
OpenEHR Base package
0.1.0 - First Draft
OpenEHR Base package, published by openEHR + HL7. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/openehr-base-ig/ and changes regularly. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 3 |
XML representation of the OBSERVATION logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="OBSERVATION"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition OBSERVATION</b></p><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-OBSERVATION-definitions.html#OBSERVATION" title="Entry subtype for all clinical data in the past or present, i.e. which (by the time it is recorded) has already occurred. OBSERVATION data is expressed using the class HISTORY<T>, which guarantees that it is situated in time. OBSERVATION is used for all notionally objective (i.e. measured in some way) observations of phenomena, and patient-reported phenomena, e.g. pain.">OBSERVATION</a><a name="OBSERVATION"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-CARE-ENTRY.html">CARE_ENTRY</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><br/>Elements defined in Ancestors:<a href="StructureDefinition-PATHABLE.html" title="This is the term provided via a clinical application or batch process to name this EHR construct: its retention in the EHR faithfully preserves the original label by which this entry was known to end users.">name</a>, <a href="StructureDefinition-PATHABLE.html" title="Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths. Always in the form of an at-code, e.g. at0005. This value enables a 'standardised' name for this node to be generated, by referring to the generating archetype local terminology.">archetype_node_id</a>, <a href="StructureDefinition-PATHABLE.html" title="Optional globally unique object identifier for root points of archetyped structures.">uid</a>, <a href="StructureDefinition-PATHABLE.html" title="Links to other archetyped structures (data whose root object inherits from ARCHETYPED, such as ENTRY, SECTION and so on). Links may be to structures in other compositions.">links</a>, <a href="StructureDefinition-PATHABLE.html" title="Details of archetyping used on this node.">archetype_details</a>, <a href="StructureDefinition-PATHABLE.html" title="Audit trail from non-openEHR system of original commit of information forming the content of this node, or from a conversion gateway which has synthesised this node.">feeder_audit</a>, <a href="StructureDefinition-LOCATABLE.html" title="This is the term provided via a clinical application or batch process to name this EHR construct: its retention in the EHR faithfully preserves the original label by which this entry was known to end users.">name</a>, <a href="StructureDefinition-LOCATABLE.html" title="Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths. Always in the form of an at-code, e.g. at0005. This value enables a 'standardised' name for this node to be generated, by referring to the generating archetype local terminology.">archetype_node_id</a>, <a href="StructureDefinition-LOCATABLE.html" title="Optional globally unique object identifier for root points of archetyped structures.">uid</a>, <a href="StructureDefinition-LOCATABLE.html" title="Links to other archetyped structures (data whose root object inherits from ARCHETYPED, such as ENTRY, SECTION and so on). Links may be to structures in other compositions.">links</a>, <a href="StructureDefinition-LOCATABLE.html" title="Details of archetyping used on this node.">archetype_details</a>, <a href="StructureDefinition-LOCATABLE.html" title="Audit trail from non-openEHR system of original commit of information forming the content of this node, or from a conversion gateway which has synthesised this node.">feeder_audit</a>, <a href="StructureDefinition-ENTRY.html" title="Mandatory indicator of the localised language in which this Entry is written. Coded from openEHR Code Set languages.">language</a>, <a href="StructureDefinition-ENTRY.html" title="Name of character set in which text values in this Entry are encoded. Coded from openEHR Code Set character sets.">encoding</a>, <a href="StructureDefinition-ENTRY.html" title="Other participations at ENTRY level.">other_participations</a>, <a href="StructureDefinition-ENTRY.html" title="Identifier of externally held workflow engine data for this workflow execution, for this subject of care.">workflow_id</a>, <a href="StructureDefinition-ENTRY.html" title="Id of human subject of this ENTRY, e.g.:
* organ donor
* foetus
* a family member
* another clinically relevant person">subject</a>, <a href="StructureDefinition-ENTRY.html" title="Optional identification of provider of the information in this ENTRY, which might be:
* the patient
* a patient agent, e.g. parent, guardian
* the clinician
* a device or software
Generally only used when the recorder needs to make it explicit. Otherwise, Composition composer and other participants are assumed.">provider</a>, <a href="StructureDefinition-CARE-ENTRY.html" title="Description of the method (i.e. how) the information in this entry was arrived at. For OBSERVATIONs, this is a description of the method or instrument used. For EVALUATIONs, how the evaluation was arrived at. For INSTRUCTIONs, how to execute the Instruction. This may take the form of references to guidelines, including manually followed and executable; knowledge references such as a paper in Medline; clinical reasons within a larger care process.">protocol</a>, <a href="StructureDefinition-CARE-ENTRY.html" title="Optional external identifier of guideline creating this Entry if relevant.">guideline_id</a><br/>Entry subtype for all clinical data in the past or present, i.e. which (by the time it is recorded) has already occurred<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-OBSERVATION-definitions.html#OBSERVATION.data" title="The data of this observation, in the form of a history of values which may be of any complexity.">data</a><a name="OBSERVATION.data"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-HISTORY.html">HISTORY</a><<a href="StructureDefinition-ITEM-STRUCTURE.html">ITEM_STRUCTURE</a>></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The data of this observation, in the form of a history of values which may be of any complexity</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-OBSERVATION-definitions.html#OBSERVATION.state" title="Optional recording of the state of subject of this observation during the observation process, in the form of a separate history of values which may be of any complexity. State may also be recorded within the History of the data attribute.">state</a><a name="OBSERVATION.state"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-HISTORY.html">HISTORY</a><<a href="StructureDefinition-ITEM-STRUCTURE.html">ITEM_STRUCTURE</a>></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Optional recording of the state of subject of this observation during the observation process</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/web-source">
<valueUrl
value="https://specifications.openehr.org/releases/RM/development/ehr.html#_observation_class"/>
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
<valueCode value="element-view-ready"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
<valueCode value="element-view-replace-cardinality"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="3">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://openehr.org/fhir/ImplementationGuide/openehr.base"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="informative">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://openehr.org/fhir/ImplementationGuide/openehr.base"/>
</extension>
</valueCode>
</extension>
<url value="http://openehr.org/fhir/StructureDefinition/OBSERVATION"/>
<version value="0.1.0"/>
<name value="OBSERVATION"/>
<title value="OBSERVATION"/>
<status value="active"/>
<experimental value="false"/>
<date value="2024-12-31T18:45:58+10:00"/>
<publisher value="openEHR + HL7"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.openehr.org"/>
</telecom>
</contact>
<description
value="Entry subtype for all clinical data in the past or present, i.e. which (by the time it is recorded) has already occurred. OBSERVATION data is expressed using the class HISTORY<T>, which guarantees that it is situated in time. OBSERVATION is used for all notionally objective (i.e. measured in some way) observations of phenomena, and patient-reported phenomena, e.g. pain. Not to be used for recording opinion or future statements of any kind, including instructions, intentions, plans etc."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<fhirVersion value="5.0.0"/>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<kind value="logical"/>
<abstract value="false"/>
<type value="http://openehr.org/fhir/StructureDefinition/OBSERVATION"/>
<baseDefinition
value="http://openehr.org/fhir/StructureDefinition/CARE-ENTRY"/>
<derivation value="specialization"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="0.1.0"/>
</extension>
<element id="OBSERVATION">
<path value="OBSERVATION"/>
<short
value="Entry subtype for all clinical data in the past or present, i.e. which (by the time it is recorded) has already occurred"/>
<definition
value="Entry subtype for all clinical data in the past or present, i.e. which (by the time it is recorded) has already occurred. OBSERVATION data is expressed using the class HISTORY<T>, which guarantees that it is situated in time. OBSERVATION is used for all notionally objective (i.e. measured in some way) observations of phenomena, and patient-reported phenomena, e.g. pain."/>
<comment
value="Not to be used for recording opinion or future statements of any kind, including instructions, intentions, plans etc."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="OBSERVATION.name">
<path value="OBSERVATION.name"/>
<short
value="Runtime name of this fragment, used to build runtime paths"/>
<definition
value="This is the term provided via a clinical application or batch process to name this EHR construct: its retention in the EHR faithfully preserves the original label by which this entry was known to end users."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="PATHABLE.name"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="http://openehr.org/fhir/StructureDefinition/DV-TEXT"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.archetype-node-id">
<path value="OBSERVATION.archetype_node_id"/>
<short
value="Design-time archetype identifier of this node taken from its generating archetype"/>
<definition
value="Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths. Always in the form of an at-code, e.g. at0005. This value enables a 'standardised' name for this node to be generated, by referring to the generating archetype local terminology."/>
<comment
value="At an archetype root point, the value of this attribute is always the stringified form of the archetype_id found in the archetype_details object."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="PATHABLE.archetype_node_id"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.uid">
<path value="OBSERVATION.uid"/>
<short
value="Optional globally unique object identifier for root points of archetyped structures"/>
<definition
value="Optional globally unique object identifier for root points of archetyped structures."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PATHABLE.uid"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://openehr.org/fhir/StructureDefinition/UID-BASED-ID"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.links">
<path value="OBSERVATION.links"/>
<short value="Links to other archetyped structures"/>
<definition
value="Links to other archetyped structures (data whose root object inherits from ARCHETYPED, such as ENTRY, SECTION and so on). Links may be to structures in other compositions."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="PATHABLE.links"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://openehr.org/fhir/StructureDefinition/LINK"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.archetype-details">
<path value="OBSERVATION.archetype_details"/>
<short value="Details of archetyping used on this node"/>
<definition value="Details of archetyping used on this node."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PATHABLE.archetype_details"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://openehr.org/fhir/StructureDefinition/ARCHETYPED"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.feeder-audit">
<path value="OBSERVATION.feeder_audit"/>
<short
value="Audit trail from non-openEHR system of original commit of information forming the content of this node"/>
<definition
value="Audit trail from non-openEHR system of original commit of information forming the content of this node, or from a conversion gateway which has synthesised this node."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PATHABLE.feeder_audit"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://openehr.org/fhir/StructureDefinition/FEEDER-AUDIT"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.language">
<path value="OBSERVATION.language"/>
<short
value="Mandatory indicator of the localised language in which this Entry is written. Coded from openEHR Code Set languages"/>
<definition
value="Mandatory indicator of the localised language in which this Entry is written. Coded from openEHR Code Set languages."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ENTRY.language"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="http://openehr.org/fhir/StructureDefinition/CODE-PHRASE"/>
</type>
<isModifier value="false"/>
<binding>
<strength value="required"/>
<valueSet value="http://hl7.org/fhir/ValueSet/all-languages"/>
</binding>
</element>
<element id="OBSERVATION.encoding">
<path value="OBSERVATION.encoding"/>
<short
value="Name of character set in which text values in this Entry are encoded"/>
<definition
value="Name of character set in which text values in this Entry are encoded. Coded from openEHR Code Set character sets."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ENTRY.encoding"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="http://openehr.org/fhir/StructureDefinition/CODE-PHRASE"/>
</type>
<isModifier value="false"/>
<binding>
<strength value="required"/>
<valueSet
value="https://specifications.openehr.org/fhir/valueset-character_sets"/>
</binding>
</element>
<element id="OBSERVATION.other-participations">
<path value="OBSERVATION.other_participations"/>
<short value="Other participations at ENTRY level"/>
<definition value="Other participations at ENTRY level."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ENTRY.other_participations"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code
value="http://openehr.org/fhir/StructureDefinition/PARTICIPATION"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.workflow-id">
<path value="OBSERVATION.workflow_id"/>
<short
value="Identifier of externally held workflow engine data for this workflow execution, for this subject of care"/>
<definition
value="Identifier of externally held workflow engine data for this workflow execution, for this subject of care."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ENTRY.workflow_id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://openehr.org/fhir/StructureDefinition/OBJECT-REF"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.subject">
<path value="OBSERVATION.subject"/>
<short
value="Id of human subject of this ENTRY, e.g. organ donor, foetus, a family member, or another clinically relevant person"/>
<definition
value="Id of human subject of this ENTRY, e.g.:
* organ donor
* foetus
* a family member
* another clinically relevant person"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ENTRY.subject"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="http://openehr.org/fhir/StructureDefinition/PARTY-PROXY"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.provider">
<path value="OBSERVATION.provider"/>
<short
value="Optional identification of provider of the information in this ENTRY, which might be the patient, a patient agent, the clinician, a device"/>
<definition
value="Optional identification of provider of the information in this ENTRY, which might be:
* the patient
* a patient agent, e.g. parent, guardian
* the clinician
* a device or software
Generally only used when the recorder needs to make it explicit. Otherwise, Composition composer and other participants are assumed."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ENTRY.provider"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://openehr.org/fhir/StructureDefinition/PARTY-PROXY"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.protocol">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
<extension url="name">
<valueCode value="element-view-group"/>
</extension>
<extension url="value">
<valueString value="Protocol"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
<extension url="name">
<valueCode value="element-view-order"/>
</extension>
<extension url="value">
<valueInteger value="4"/>
</extension>
</extension>
<path value="OBSERVATION.protocol"/>
<short
value="Description of the method (i.e. how) the information in this entry was arrived at"/>
<definition
value="Description of the method (i.e. how) the information in this entry was arrived at. For OBSERVATIONs, this is a description of the method or instrument used. For EVALUATIONs, how the evaluation was arrived at. For INSTRUCTIONs, how to execute the Instruction. This may take the form of references to guidelines, including manually followed and executable; knowledge references such as a paper in Medline; clinical reasons within a larger care process."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CARE_ENTRY.protocol"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.guideline-id">
<path value="OBSERVATION.guideline_id"/>
<short
value="Optional external identifier of guideline creating this Entry if relevant"/>
<definition
value="Optional external identifier of guideline creating this Entry if relevant."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CARE_ENTRY.guideline_id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://openehr.org/fhir/StructureDefinition/OBJECT-REF"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.data">
<path value="OBSERVATION.data"/>
<short
value="The data of this observation, in the form of a history of values which may be of any complexity"/>
<definition
value="The data of this observation, in the form of a history of values which may be of any complexity."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="OBSERVATION.data"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/type-parameter">
<extension url="name">
<valueCode value="T"/>
</extension>
<extension url="type">
<valueUri
value="http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE"/>
</extension>
</extension>
<code value="http://openehr.org/fhir/StructureDefinition/HISTORY"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.state">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
<extension url="name">
<valueCode value="element-view-group"/>
</extension>
<extension url="value">
<valueString value="State"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
<extension url="name">
<valueCode value="element-view-order"/>
</extension>
<extension url="value">
<valueInteger value="8"/>
</extension>
</extension>
<path value="OBSERVATION.state"/>
<short
value="Optional recording of the state of subject of this observation during the observation process"/>
<definition
value="Optional recording of the state of subject of this observation during the observation process, in the form of a separate history of values which may be of any complexity. State may also be recorded within the History of the data attribute."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="OBSERVATION.state"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/type-parameter">
<extension url="name">
<valueCode value="T"/>
</extension>
<extension url="type">
<valueUri
value="http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE"/>
</extension>
</extension>
<code value="http://openehr.org/fhir/StructureDefinition/HISTORY"/>
</type>
<isModifier value="false"/>
</element>
</snapshot>
<differential>
<element id="OBSERVATION">
<path value="OBSERVATION"/>
<short
value="Entry subtype for all clinical data in the past or present, i.e. which (by the time it is recorded) has already occurred"/>
<definition
value="Entry subtype for all clinical data in the past or present, i.e. which (by the time it is recorded) has already occurred. OBSERVATION data is expressed using the class HISTORY<T>, which guarantees that it is situated in time. OBSERVATION is used for all notionally objective (i.e. measured in some way) observations of phenomena, and patient-reported phenomena, e.g. pain."/>
<comment
value="Not to be used for recording opinion or future statements of any kind, including instructions, intentions, plans etc."/>
<min value="0"/>
<max value="*"/>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.data">
<path value="OBSERVATION.data"/>
<short
value="The data of this observation, in the form of a history of values which may be of any complexity"/>
<definition
value="The data of this observation, in the form of a history of values which may be of any complexity."/>
<min value="1"/>
<max value="1"/>
<type>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/type-parameter">
<extension url="name">
<valueCode value="T"/>
</extension>
<extension url="type">
<valueUri
value="http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE"/>
</extension>
</extension>
<code value="http://openehr.org/fhir/StructureDefinition/HISTORY"/>
</type>
<isModifier value="false"/>
</element>
<element id="OBSERVATION.state">
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
<extension url="name">
<valueCode value="element-view-group"/>
</extension>
<extension url="value">
<valueString value="State"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
<extension url="name">
<valueCode value="element-view-order"/>
</extension>
<extension url="value">
<valueInteger value="8"/>
</extension>
</extension>
<path value="OBSERVATION.state"/>
<short
value="Optional recording of the state of subject of this observation during the observation process"/>
<definition
value="Optional recording of the state of subject of this observation during the observation process, in the form of a separate history of values which may be of any complexity. State may also be recorded within the History of the data attribute."/>
<min value="0"/>
<max value="1"/>
<type>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/type-parameter">
<extension url="name">
<valueCode value="T"/>
</extension>
<extension url="type">
<valueUri
value="http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE"/>
</extension>
</extension>
<code value="http://openehr.org/fhir/StructureDefinition/HISTORY"/>
</type>
<isModifier value="false"/>
</element>
</differential>
</StructureDefinition>