OpenEHR Base package
0.1.0 - First Draft International flag

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

Logical Model: OBSERVATION

Official URL: http://openehr.org/fhir/StructureDefinition/OBSERVATION Version: 0.1.0
Standards status: Informative Maturity Level: 3 Computable Name: OBSERVATION

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.

Original Source: specifications.openehr.org

Usages:

  • This Logical Model is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OBSERVATION 0..* CARE_ENTRY Entry subtype for all clinical data in the past or present, i.

Elements defined in Ancestors:name, archetype_node_id, uid, links, archetype_details, feeder_audit, language, encoding, other_participations, workflow_id, subject, provider, protocol, guideline_id
... data 1..1 HISTORY<http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE> The data of this observation, in the form of a history of values which may be of any complexity.
... state 0..1 HISTORY<http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE> 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.

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OBSERVATION C 0..* CARE_ENTRY Entry subtype for all clinical data in the past or present, i.

Elements defined in Ancestors:name, archetype_node_id, uid, links, archetype_details, feeder_audit, language, encoding, other_participations, workflow_id, subject, provider, protocol, guideline_id
Constraints: links-valid, archetyped-valid, archetype-node-id-valid, subject-validity, other-participations-valid, is-archetype-root
... name 1..1 DV_TEXT Runtime name of this fragment, used to build runtime paths.
... archetype_node_id 1..1 string Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths.
... uid 0..1 UID_BASED_ID Optional globally unique object identifier for root points of archetyped structures.
... archetype_details 0..1 ARCHETYPED Details of archetyping used on this node.
... feeder_audit 0..1 FEEDER_AUDIT 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.
... language 1..1 CODE_PHRASE Mandatory indicator of the localised language in which this Entry is written.
... encoding 1..1 CODE_PHRASE Name of character set in which text values in this Entry are encoded.
... other_participations 0..* PARTICIPATION Other participations at `ENTRY` level.
... workflow_id 0..1 OBJECT_REF Identifier of externally held workflow engine data for this workflow execution, for this subject of care.
... subject 1..1 PARTY_PROXY Id of human subject of this `ENTRY`, e.
... provider 0..1 PARTY_PROXY Optional identification of provider of the information in this `ENTRY`, which might be: * the patient * a patient agent, e.
... protocol 0..1 ITEM_STRUCTURE Description of the method
... guideline_id 0..1 OBJECT_REF Optional external identifier of guideline creating this Entry if relevant.
... data 1..1 HISTORY<http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE> The data of this observation, in the form of a history of values which may be of any complexity.
... state 0..1 HISTORY<http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE> 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.

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
archetype-node-id-valid error OBSERVATION Archetype node id valid must not be empty archetype_node_id.empty().not()
archetyped-valid error OBSERVATION Archetyped valid must satisfy exclusive conditions is_archetype_root() xor archetype_details .empty()
is-archetype-root error OBSERVATION Is archetype root is_archetype_root()
links-valid error OBSERVATION Links valid must be present links.exists() implies links.empty().not()
other-participations-valid error OBSERVATION Other participations valid must be present other_participations.exists() implies other_participations.empty().not()
subject-validity error OBSERVATION Subject validity must satisfy conditional constraints subject_is_self() implies subject.generating_type = 'PARTY_SELF'

Summary

Mandatory: 0 element(1 nested mandatory element)

Maturity: 3

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OBSERVATION 0..* CARE_ENTRY Entry subtype for all clinical data in the past or present, i.

Elements defined in Ancestors:name, archetype_node_id, uid, links, archetype_details, feeder_audit, language, encoding, other_participations, workflow_id, subject, provider, protocol, guideline_id
... data 1..1 HISTORY<http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE> The data of this observation, in the form of a history of values which may be of any complexity.
... state 0..1 HISTORY<http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE> 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.

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OBSERVATION C 0..* CARE_ENTRY Entry subtype for all clinical data in the past or present, i.

Elements defined in Ancestors:name, archetype_node_id, uid, links, archetype_details, feeder_audit, language, encoding, other_participations, workflow_id, subject, provider, protocol, guideline_id
Constraints: links-valid, archetyped-valid, archetype-node-id-valid, subject-validity, other-participations-valid, is-archetype-root
... name 1..1 DV_TEXT Runtime name of this fragment, used to build runtime paths.
... archetype_node_id 1..1 string Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths.
... uid 0..1 UID_BASED_ID Optional globally unique object identifier for root points of archetyped structures.
... archetype_details 0..1 ARCHETYPED Details of archetyping used on this node.
... feeder_audit 0..1 FEEDER_AUDIT 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.
... language 1..1 CODE_PHRASE Mandatory indicator of the localised language in which this Entry is written.
... encoding 1..1 CODE_PHRASE Name of character set in which text values in this Entry are encoded.
... other_participations 0..* PARTICIPATION Other participations at `ENTRY` level.
... workflow_id 0..1 OBJECT_REF Identifier of externally held workflow engine data for this workflow execution, for this subject of care.
... subject 1..1 PARTY_PROXY Id of human subject of this `ENTRY`, e.
... provider 0..1 PARTY_PROXY Optional identification of provider of the information in this `ENTRY`, which might be: * the patient * a patient agent, e.
... protocol 0..1 ITEM_STRUCTURE Description of the method
... guideline_id 0..1 OBJECT_REF Optional external identifier of guideline creating this Entry if relevant.
... data 1..1 HISTORY<http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE> The data of this observation, in the form of a history of values which may be of any complexity.
... state 0..1 HISTORY<http://openehr.org/fhir/StructureDefinition/ITEM-STRUCTURE> 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.

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
archetype-node-id-valid error OBSERVATION Archetype node id valid must not be empty archetype_node_id.empty().not()
archetyped-valid error OBSERVATION Archetyped valid must satisfy exclusive conditions is_archetype_root() xor archetype_details .empty()
is-archetype-root error OBSERVATION Is archetype root is_archetype_root()
links-valid error OBSERVATION Links valid must be present links.exists() implies links.empty().not()
other-participations-valid error OBSERVATION Other participations valid must be present other_participations.exists() implies other_participations.empty().not()
subject-validity error OBSERVATION Subject validity must satisfy conditional constraints subject_is_self() implies subject.generating_type = 'PARTY_SELF'

Summary

Mandatory: 0 element(1 nested mandatory element)

Maturity: 3

 

Other representations of profile: CSV, Excel