Your User Friendly Name for MyIG Here
0.2.0 - CI Build International flag

Your User Friendly Name for MyIG Here, published by HL7 International - [Some] Work Group. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/sample-ig/ and changes regularly. See the Directory of published versions

Resource Profile: My Observation Profile ( Experimental )

Official URL: http://somewhere.org/fhir/uv/myig/StructureDefinition/myObservation Version: 0.2.0
Standards status: Informative * Maturity Level: 5 * Computable Name: MyObservation
Other Identifiers: Some OID: 0.1.2.3.1, foo: 0.1.2.3.2, ACSN: 0.1.2.3.3, 123: 0.1.2.3.4, 0.1.2.3.5
Keywords: keyword 1, keyword 2

Usage: Gender: Female, Age Range: 2 months, Age Range: 3 mo, Age Range: 4, Age Range: ? to 1 months, Age Range: 2 to 5 years, Age Range: 10 years to ?, Some location, Some other location, http://example.org/Location/456, Clinical Venue: LOCATION-ABC

Copyright/Legal: Explain licensing or other legal limitations on use

A profile showing the use of XML to author profiles

Usages:

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: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.basedOn This element must be supported. This element is included in summaries. C 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Constraints: myObs-1
Observation.partOf This element must be supported. This element is included in summaries. 0..* Reference(Procedure This type must be supported. | Immunization) Part of referenced event
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: ValueSet fake (required)
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "85354-9"
    }
  ]
}
Observation.subject This element must be supported. This element is included in summaries. 0..1 Reference(Group | Patient This type must be supported. | Practitioner) Who and/or what the observation is about
Observation.focus This element must be supported. This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.value[x] This element must be supported. This element is included in summaries. C 0..1 Actual result
Observation.value[x].valueQuantity Quantity This type must be supported.
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component This element is included in summaries. 2..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:Systolic This element is included in summaries. 1..1 BackboneElement Component results
Observation.Slices for component.component:Systolic.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:Systolic.code This element is included in summaries. 1..1 CodeableConcept Systolic pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "8480-6"
    }
  ]
}
Observation.Slices for component.component:Systolic.Slices for value[x] This element is included in summaries. 0..1 Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:Systolic.Slices for value[x].valueQuantity Quantity
Observation.Slices for component.component:Systolic.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:Systolic.Slices for value[x].valueString string
Observation.Slices for component.component:Systolic.Slices for value[x].valueBoolean boolean
Observation.Slices for component.component:Systolic.Slices for value[x].valueInteger integer
Observation.Slices for component.component:Systolic.Slices for value[x].valueRange Range
Observation.Slices for component.component:Systolic.Slices for value[x].valueRatio Ratio
Observation.Slices for component.component:Systolic.Slices for value[x].valueSampledData SampledData
Observation.Slices for component.component:Systolic.Slices for value[x].valueTime time
Observation.Slices for component.component:Systolic.Slices for value[x].valueDateTime dateTime
Observation.Slices for component.component:Systolic.Slices for value[x].valuePeriod Period
Observation.Slices for component.component:Systolic.Slices for value[x] Content/Rules for all slices
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.system This element must be supported. This element is included in summaries. C 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org (no extensions allowed)
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.code This element must be supported. This element is included in summaries. 1..1 code Coded form of the unit
Fixed Value: mm[Hg] (no extensions allowed)
Observation.Slices for component.component:Diastolic This element is included in summaries. 1..1 BackboneElement Component results
Observation.Slices for component.component:Diastolic.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:Diastolic.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "8462-4"
    }
  ]
}
Observation.Slices for component.component:Diastolic.Slices for value[x] This element is included in summaries. 0..1 Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:Diastolic.Slices for value[x].valueQuantity Quantity
Observation.Slices for component.component:Diastolic.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:Diastolic.Slices for value[x].valueString string
Observation.Slices for component.component:Diastolic.Slices for value[x].valueBoolean boolean
Observation.Slices for component.component:Diastolic.Slices for value[x].valueInteger integer
Observation.Slices for component.component:Diastolic.Slices for value[x].valueRange Range
Observation.Slices for component.component:Diastolic.Slices for value[x].valueRatio Ratio
Observation.Slices for component.component:Diastolic.Slices for value[x].valueSampledData SampledData
Observation.Slices for component.component:Diastolic.Slices for value[x].valueTime time
Observation.Slices for component.component:Diastolic.Slices for value[x].valueDateTime dateTime
Observation.Slices for component.component:Diastolic.Slices for value[x].valuePeriod Period
Observation.Slices for component.component:Diastolic.Slices for value[x] Content/Rules for all slices
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.system This element must be supported. This element is included in summaries. C 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org (no extensions allowed)
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.code This element must be supported. This element is included in summaries. 1..1 code Coded form of the unit
Fixed Value: mm[Hg] (no extensions allowed)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base required ValueSet fake 📦0.2.0 This IG
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Systolic.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Systolic.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
myObs-1 warning Observation.basedOn There should not be a value if the Observation is only 'registered' status='registered' implies value.empty()
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()

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* Observation Measurements and simple assertions
Observation.basedOn This element must be supported. C 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Constraints: myObs-1
Observation.partOf This element must be supported. 0..* Reference(Procedure This type must be supported. | Immunization) Part of referenced event
Observation.code 1..1 CodeableConcept Type of observation (code / type)
Binding: ValueSet fake (required)
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "85354-9"
    }
  ]
}
Observation.focus This element must be supported. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.value[x] This element must be supported. C 0..1 Actual result
Observation.value[x].valueQuantity Quantity This type must be supported.
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component 2..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
Observation.Slices for component.component:Systolic 1..1 BackboneElement Component results
Observation.Slices for component.component:Systolic.code 1..1 CodeableConcept Systolic pressure
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "8480-6"
    }
  ]
}
Observation.Slices for component.component:Systolic.valueQuantity 0..1 Quantity Actual component result
Observation.Slices for component.component:Systolic.valueQuantity.value This element must be supported. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:Systolic.valueQuantity.system This element must be supported. 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org (no extensions allowed)
Observation.Slices for component.component:Systolic.valueQuantity.code This element must be supported. 1..1 code Coded form of the unit
Fixed Value: mm[Hg] (no extensions allowed)
Observation.Slices for component.component:Diastolic 1..1 BackboneElement Component results
Observation.Slices for component.component:Diastolic.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "8462-4"
    }
  ]
}
Observation.Slices for component.component:Diastolic.valueQuantity 0..1 Quantity Actual component result
Observation.Slices for component.component:Diastolic.valueQuantity.value This element must be supported. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:Diastolic.valueQuantity.system This element must be supported. 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org (no extensions allowed)
Observation.Slices for component.component:Diastolic.valueQuantity.code This element must be supported. 1..1 code Coded form of the unit
Fixed Value: mm[Hg] (no extensions allowed)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required ValueSet fake 📦0.2.0 This IG

Constraints

Id Grade Path(s) Description Expression
myObs-1 warning Observation.basedOn There should not be a value if the Observation is only 'registered' status='registered' implies value.empty()
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element must be supported. This element is included in summaries. C 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Constraints: myObs-1
Observation.partOf This element must be supported. This element is included in summaries. 0..* Reference(Procedure This type must be supported. | Immunization) Part of referenced event
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: ValueSet fake (required)
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "85354-9"
    }
  ]
}
Observation.subject This element must be supported. This element is included in summaries. 0..1 Reference(Group | Patient This type must be supported. | Practitioner) Who and/or what the observation is about
Observation.focus This element must be supported. This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for observation
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.effective[x].effectiveTiming Timing
Observation.effective[x].effectiveInstant instant
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.value[x] This element must be supported. This element is included in summaries. C 0..1 Actual result
Observation.value[x].valueQuantity Quantity This type must be supported.
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Observation.Slices for component This element is included in summaries. 2..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x] This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger integer
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:Systolic This element is included in summaries. 1..1 BackboneElement Component results
Observation.Slices for component.component:Systolic.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:Systolic.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:Systolic.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:Systolic.code This element is included in summaries. 1..1 CodeableConcept Systolic pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "8480-6"
    }
  ]
}
Observation.Slices for component.component:Systolic.Slices for value[x] This element is included in summaries. 0..1 Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:Systolic.Slices for value[x].valueQuantity Quantity
Observation.Slices for component.component:Systolic.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:Systolic.Slices for value[x].valueString string
Observation.Slices for component.component:Systolic.Slices for value[x].valueBoolean boolean
Observation.Slices for component.component:Systolic.Slices for value[x].valueInteger integer
Observation.Slices for component.component:Systolic.Slices for value[x].valueRange Range
Observation.Slices for component.component:Systolic.Slices for value[x].valueRatio Ratio
Observation.Slices for component.component:Systolic.Slices for value[x].valueSampledData SampledData
Observation.Slices for component.component:Systolic.Slices for value[x].valueTime time
Observation.Slices for component.component:Systolic.Slices for value[x].valueDateTime dateTime
Observation.Slices for component.component:Systolic.Slices for value[x].valuePeriod Period
Observation.Slices for component.component:Systolic.Slices for value[x] Content/Rules for all slices
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.system This element must be supported. This element is included in summaries. C 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org (no extensions allowed)
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.code This element must be supported. This element is included in summaries. 1..1 code Coded form of the unit
Fixed Value: mm[Hg] (no extensions allowed)
Observation.Slices for component.component:Systolic.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:Systolic.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:Systolic.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:Diastolic This element is included in summaries. 1..1 BackboneElement Component results
Observation.Slices for component.component:Diastolic.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:Diastolic.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:Diastolic.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:Diastolic.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "8462-4"
    }
  ]
}
Observation.Slices for component.component:Diastolic.Slices for value[x] This element is included in summaries. 0..1 Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:Diastolic.Slices for value[x].valueQuantity Quantity
Observation.Slices for component.component:Diastolic.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:Diastolic.Slices for value[x].valueString string
Observation.Slices for component.component:Diastolic.Slices for value[x].valueBoolean boolean
Observation.Slices for component.component:Diastolic.Slices for value[x].valueInteger integer
Observation.Slices for component.component:Diastolic.Slices for value[x].valueRange Range
Observation.Slices for component.component:Diastolic.Slices for value[x].valueRatio Ratio
Observation.Slices for component.component:Diastolic.Slices for value[x].valueSampledData SampledData
Observation.Slices for component.component:Diastolic.Slices for value[x].valueTime time
Observation.Slices for component.component:Diastolic.Slices for value[x].valueDateTime dateTime
Observation.Slices for component.component:Diastolic.Slices for value[x].valuePeriod Period
Observation.Slices for component.component:Diastolic.Slices for value[x] Content/Rules for all slices
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.system This element must be supported. This element is included in summaries. C 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org (no extensions allowed)
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.code This element must be supported. This element is included in summaries. 1..1 code Coded form of the unit
Fixed Value: mm[Hg] (no extensions allowed)
Observation.Slices for component.component:Diastolic.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:Diastolic.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:Diastolic.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base required ValueSet fake 📦0.2.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Systolic.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Systolic.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:Systolic.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Systolic.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
myObs-1 warning Observation.basedOn There should not be a value if the Observation is only 'registered' status='registered' implies value.empty()
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()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from Observation

Summary

Mandatory: 2 elements(6 nested mandatory elements)
Must-Support: 11 elements
Fixed: 4 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component

Maturity: 5

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.basedOn This element must be supported. This element is included in summaries. C 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Constraints: myObs-1
Observation.partOf This element must be supported. This element is included in summaries. 0..* Reference(Procedure This type must be supported. | Immunization) Part of referenced event
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: ValueSet fake (required)
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "85354-9"
    }
  ]
}
Observation.subject This element must be supported. This element is included in summaries. 0..1 Reference(Group | Patient This type must be supported. | Practitioner) Who and/or what the observation is about
Observation.focus This element must be supported. This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.value[x] This element must be supported. This element is included in summaries. C 0..1 Actual result
Observation.value[x].valueQuantity Quantity This type must be supported.
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component This element is included in summaries. 2..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:Systolic This element is included in summaries. 1..1 BackboneElement Component results
Observation.Slices for component.component:Systolic.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:Systolic.code This element is included in summaries. 1..1 CodeableConcept Systolic pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "8480-6"
    }
  ]
}
Observation.Slices for component.component:Systolic.Slices for value[x] This element is included in summaries. 0..1 Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:Systolic.Slices for value[x].valueQuantity Quantity
Observation.Slices for component.component:Systolic.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:Systolic.Slices for value[x].valueString string
Observation.Slices for component.component:Systolic.Slices for value[x].valueBoolean boolean
Observation.Slices for component.component:Systolic.Slices for value[x].valueInteger integer
Observation.Slices for component.component:Systolic.Slices for value[x].valueRange Range
Observation.Slices for component.component:Systolic.Slices for value[x].valueRatio Ratio
Observation.Slices for component.component:Systolic.Slices for value[x].valueSampledData SampledData
Observation.Slices for component.component:Systolic.Slices for value[x].valueTime time
Observation.Slices for component.component:Systolic.Slices for value[x].valueDateTime dateTime
Observation.Slices for component.component:Systolic.Slices for value[x].valuePeriod Period
Observation.Slices for component.component:Systolic.Slices for value[x] Content/Rules for all slices
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.system This element must be supported. This element is included in summaries. C 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org (no extensions allowed)
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.code This element must be supported. This element is included in summaries. 1..1 code Coded form of the unit
Fixed Value: mm[Hg] (no extensions allowed)
Observation.Slices for component.component:Diastolic This element is included in summaries. 1..1 BackboneElement Component results
Observation.Slices for component.component:Diastolic.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:Diastolic.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "8462-4"
    }
  ]
}
Observation.Slices for component.component:Diastolic.Slices for value[x] This element is included in summaries. 0..1 Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:Diastolic.Slices for value[x].valueQuantity Quantity
Observation.Slices for component.component:Diastolic.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:Diastolic.Slices for value[x].valueString string
Observation.Slices for component.component:Diastolic.Slices for value[x].valueBoolean boolean
Observation.Slices for component.component:Diastolic.Slices for value[x].valueInteger integer
Observation.Slices for component.component:Diastolic.Slices for value[x].valueRange Range
Observation.Slices for component.component:Diastolic.Slices for value[x].valueRatio Ratio
Observation.Slices for component.component:Diastolic.Slices for value[x].valueSampledData SampledData
Observation.Slices for component.component:Diastolic.Slices for value[x].valueTime time
Observation.Slices for component.component:Diastolic.Slices for value[x].valueDateTime dateTime
Observation.Slices for component.component:Diastolic.Slices for value[x].valuePeriod Period
Observation.Slices for component.component:Diastolic.Slices for value[x] Content/Rules for all slices
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.system This element must be supported. This element is included in summaries. C 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org (no extensions allowed)
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.code This element must be supported. This element is included in summaries. 1..1 code Coded form of the unit
Fixed Value: mm[Hg] (no extensions allowed)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base required ValueSet fake 📦0.2.0 This IG
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Systolic.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Systolic.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
myObs-1 warning Observation.basedOn There should not be a value if the Observation is only 'registered' status='registered' implies value.empty()
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()

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* Observation Measurements and simple assertions
Observation.basedOn This element must be supported. C 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Constraints: myObs-1
Observation.partOf This element must be supported. 0..* Reference(Procedure This type must be supported. | Immunization) Part of referenced event
Observation.code 1..1 CodeableConcept Type of observation (code / type)
Binding: ValueSet fake (required)
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "85354-9"
    }
  ]
}
Observation.subject This element must be supported. 0..1 Reference(Group | Patient This type must be supported. | Practitioner) Who and/or what the observation is about
Observation.focus This element must be supported. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.value[x] This element must be supported. C 0..1 Actual result
Observation.value[x].valueQuantity Quantity This type must be supported.
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component 2..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
Observation.Slices for component.component:Systolic 1..1 BackboneElement Component results
Observation.Slices for component.component:Systolic.code 1..1 CodeableConcept Systolic pressure
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "8480-6"
    }
  ]
}
Observation.Slices for component.component:Systolic.valueQuantity 0..1 Quantity Actual component result
Observation.Slices for component.component:Systolic.valueQuantity.value This element must be supported. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:Systolic.valueQuantity.system This element must be supported. 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org (no extensions allowed)
Observation.Slices for component.component:Systolic.valueQuantity.code This element must be supported. 1..1 code Coded form of the unit
Fixed Value: mm[Hg] (no extensions allowed)
Observation.Slices for component.component:Diastolic 1..1 BackboneElement Component results
Observation.Slices for component.component:Diastolic.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "8462-4"
    }
  ]
}
Observation.Slices for component.component:Diastolic.valueQuantity 0..1 Quantity Actual component result
Observation.Slices for component.component:Diastolic.valueQuantity.value This element must be supported. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:Diastolic.valueQuantity.system This element must be supported. 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org (no extensions allowed)
Observation.Slices for component.component:Diastolic.valueQuantity.code This element must be supported. 1..1 code Coded form of the unit
Fixed Value: mm[Hg] (no extensions allowed)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required ValueSet fake 📦0.2.0 This IG

Constraints

Id Grade Path(s) Description Expression
myObs-1 warning Observation.basedOn There should not be a value if the Observation is only 'registered' status='registered' implies value.empty()

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element must be supported. This element is included in summaries. C 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Constraints: myObs-1
Observation.partOf This element must be supported. This element is included in summaries. 0..* Reference(Procedure This type must be supported. | Immunization) Part of referenced event
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: ValueSet fake (required)
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "85354-9"
    }
  ]
}
Observation.subject This element must be supported. This element is included in summaries. 0..1 Reference(Group | Patient This type must be supported. | Practitioner) Who and/or what the observation is about
Observation.focus This element must be supported. This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for observation
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.effective[x].effectiveTiming Timing
Observation.effective[x].effectiveInstant instant
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.value[x] This element must be supported. This element is included in summaries. C 0..1 Actual result
Observation.value[x].valueQuantity Quantity This type must be supported.
Observation.value[x].valueCodeableConcept CodeableConcept
Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Observation.Slices for component This element is included in summaries. 2..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x] This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger integer
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:Systolic This element is included in summaries. 1..1 BackboneElement Component results
Observation.Slices for component.component:Systolic.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:Systolic.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:Systolic.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:Systolic.code This element is included in summaries. 1..1 CodeableConcept Systolic pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "8480-6"
    }
  ]
}
Observation.Slices for component.component:Systolic.Slices for value[x] This element is included in summaries. 0..1 Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:Systolic.Slices for value[x].valueQuantity Quantity
Observation.Slices for component.component:Systolic.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:Systolic.Slices for value[x].valueString string
Observation.Slices for component.component:Systolic.Slices for value[x].valueBoolean boolean
Observation.Slices for component.component:Systolic.Slices for value[x].valueInteger integer
Observation.Slices for component.component:Systolic.Slices for value[x].valueRange Range
Observation.Slices for component.component:Systolic.Slices for value[x].valueRatio Ratio
Observation.Slices for component.component:Systolic.Slices for value[x].valueSampledData SampledData
Observation.Slices for component.component:Systolic.Slices for value[x].valueTime time
Observation.Slices for component.component:Systolic.Slices for value[x].valueDateTime dateTime
Observation.Slices for component.component:Systolic.Slices for value[x].valuePeriod Period
Observation.Slices for component.component:Systolic.Slices for value[x] Content/Rules for all slices
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.system This element must be supported. This element is included in summaries. C 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org (no extensions allowed)
Observation.Slices for component.component:Systolic.Slices for value[x].value[x]:valueQuantity.code This element must be supported. This element is included in summaries. 1..1 code Coded form of the unit
Fixed Value: mm[Hg] (no extensions allowed)
Observation.Slices for component.component:Systolic.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:Systolic.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:Systolic.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:Diastolic This element is included in summaries. 1..1 BackboneElement Component results
Observation.Slices for component.component:Diastolic.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:Diastolic.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:Diastolic.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:Diastolic.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "8462-4"
    }
  ]
}
Observation.Slices for component.component:Diastolic.Slices for value[x] This element is included in summaries. 0..1 Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:Diastolic.Slices for value[x].valueQuantity Quantity
Observation.Slices for component.component:Diastolic.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:Diastolic.Slices for value[x].valueString string
Observation.Slices for component.component:Diastolic.Slices for value[x].valueBoolean boolean
Observation.Slices for component.component:Diastolic.Slices for value[x].valueInteger integer
Observation.Slices for component.component:Diastolic.Slices for value[x].valueRange Range
Observation.Slices for component.component:Diastolic.Slices for value[x].valueRatio Ratio
Observation.Slices for component.component:Diastolic.Slices for value[x].valueSampledData SampledData
Observation.Slices for component.component:Diastolic.Slices for value[x].valueTime time
Observation.Slices for component.component:Diastolic.Slices for value[x].valueDateTime dateTime
Observation.Slices for component.component:Diastolic.Slices for value[x].valuePeriod Period
Observation.Slices for component.component:Diastolic.Slices for value[x] Content/Rules for all slices
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.value This element must be supported. This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.system This element must be supported. This element is included in summaries. C 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org (no extensions allowed)
Observation.Slices for component.component:Diastolic.Slices for value[x].value[x]:valueQuantity.code This element must be supported. This element is included in summaries. 1..1 code Coded form of the unit
Fixed Value: mm[Hg] (no extensions allowed)
Observation.Slices for component.component:Diastolic.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:Diastolic.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:Diastolic.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base required ValueSet fake 📦0.2.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Systolic.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Systolic.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:Systolic.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Systolic.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Diastolic.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
myObs-1 warning Observation.basedOn There should not be a value if the Observation is only 'registered' status='registered' implies value.empty()
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()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from Observation

Summary

Mandatory: 2 elements(6 nested mandatory elements)
Must-Support: 11 elements
Fixed: 4 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component

Maturity: 5

 

Other representations of profile: CSV, Excel, Schematron