HL7 Czech Imaging Report IG
0.1.0-ballot - ci-build
HL7 Czech Imaging Report IG
0.1.0-ballot - ci-build
HL7 Czech Imaging Report IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/img/ and changes regularly. See the Directory of published versions
| Official URL: https://hl7.cz/fhir/img/StructureDefinition/cz-observationResult-obl-img | Version: 0.1.0-ballot | |||
| Standards status: Informative | Maturity Level: 0 | Computable Name: CZ_ObservationResultObligationsImg | ||
This profile defines obligations for an observation result in FHIR for the purpose of this guide.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Observation |
C | 0..* | CZ_ObservationResultImaging | Imaging result for a imaging report Constraints: obs-6, obs-7 | ||||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| language |
S | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||||
  Slices for extension |
Content/Rules for all slices | |||||||||||||
   extension:triggeredBy-r5 |
0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |||||||||||
  Slices for extension |
Content/Rules for all slices | |||||||||||||
 extension:observation |
0..* | Extension | Triggering observation. | |||||||||||
  extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "observation" | |||||||||||
  value[x] |
1..1 | Reference(Observation) | Value of extension | |||||||||||
| extension:type |
0..* | Extension | The type of trigger | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "type" | |||||||||||
| value[x] |
1..1 | code | Value of extension | |||||||||||
 extension:reason |
0..* | Extension | Extension | |||||||||||
 extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "reason" | |||||||||||
| value[x] |
1..1 | string | Value of extension | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||||
| extension:value-r5 |
0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||||
 value[x] |
1..1 | Attachment | Value of extension | |||||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| Slices for identifier |
Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:type | ||||||||||
| identifier:observationUid |
Σ | 0..1 | Identifier | Business Identifier for observation | ||||||||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||||||||
 type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.cz/fhir/img/CodeSystem/codesystem-missing-dicom-terminology | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018 | |||||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: SOP Instance UID | |||||||||||
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| Slices for basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order Slice: Unordered, Open by type:$this | ||||||||||
| basedOn:imorderaccession |
Σ | 0..1 | Reference(Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order | ||||||||||
| identifier |
Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||||||||
| status |
?!SOΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||||||
| category |
O | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| ||||||||||
| code |
OΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: CZ Observation code (required)
| ||||||||||
| Slices for effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||||||||
 effectiveDateTime |
dateTime | |||||||||||||
| effectivePeriod |
Period | |||||||||||||
| effectiveTiming |
Timing | |||||||||||||
| effectiveInstant |
instant | |||||||||||||
 effective[x]:effectiveDateTime |
OΣ | 0..1 | dateTime | Clinically relevant time/time-period for observation
| ||||||||||
| issued |
SΣ | 0..1 | instant | Date/Time this version was made available | ||||||||||
| performer |
SΣ | 0..* | Reference(CareTeam | RelatedPerson | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core)) | In the initial iteration of the Czech interoperability project: this is Organization (CZ) or Practitioner (CZ) | ||||||||||
| Slices for value[x] |
SΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |||||||||||
| valueQuantity |
Quantity | |||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||
| valueString |
string | |||||||||||||
| valueBoolean |
boolean | |||||||||||||
| valueInteger |
integer | |||||||||||||
| valueRange |
Range | |||||||||||||
| valueRatio |
Ratio | |||||||||||||
| valueSampledData |
SampledData | |||||||||||||
| valueTime |
time | |||||||||||||
| valueDateTime |
dateTime | |||||||||||||
| valuePeriod |
Period | |||||||||||||
| value[x]:valueQuantity |
SOΣC | 0..1 | Quantity | Actual result
| ||||||||||
| value[x]:valueString |
SOΣC | 0..1 | string | Actual result
| ||||||||||
| value[x]:valueCodeableConcept |
SOΣC | 0..1 | CodeableConcept | Actual result
| ||||||||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||||
| interpretation |
SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||||
| note |
SO | 0..* | Annotation | Comments about the observation
| ||||||||||
| bodySite |
O | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||||
| method |
SO | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
| ||||||||||
| specimen |
SO | 0..1 | Reference(Specimen (CZ)) | Specimen used for this observation
| ||||||||||
| device |
SO | 0..1 | Reference(Device: Performer/Observer (CZ) | Medical Device (CZ) | DeviceMetric) | (Measurement) Device
| ||||||||||
| referenceRange |
SOC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
| ||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| hasMember |
OΣ | 0..* | Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
| ||||||||||
| derivedFrom |
SOΣ | 0..* | Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ)) | Related measurements the observation is made from
| ||||||||||
 component |
OΣ | 0..* | BackboneElement | Component results
| ||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Observation.identifier:observationUid.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Observation.identifier:observationUid.type | Base | extensible | IdentifierType | 📍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 | CZ Observation code | 📦0.1.0-ballot | 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.component.code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std. |
| 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()
|
| 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()
|
This structure is derived from CZ_ObservationResultImaging
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | CZ_ObservationResultImaging | Imaging result for a imaging report Constraints: obs-6, obs-7 | ||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| language |
S | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:triggeredBy-r5 |
0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| extension:observation |
0..* | Extension | Triggering observation. | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "observation" | |||||||||||
| value[x] |
1..1 | Reference(Observation) | Value of extension | |||||||||||
| extension:type |
0..* | Extension | The type of trigger | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "type" | |||||||||||
| value[x] |
1..1 | code | Value of extension | |||||||||||
| extension:reason |
0..* | Extension | Extension | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "reason" | |||||||||||
| value[x] |
1..1 | string | Value of extension | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||||
| extension:value-r5 |
0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||||
| value[x] |
1..1 | Attachment | Value of extension | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| Slices for identifier |
Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:type | ||||||||||
| identifier:observationUid |
Σ | 0..1 | Identifier | Business Identifier for observation | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||||||||
| type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.cz/fhir/img/CodeSystem/codesystem-missing-dicom-terminology | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018 | |||||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: SOP Instance UID | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| system |
Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||||||||
| value |
Σ | 0..1 | string | The value that is unique Example General: 123456 | ||||||||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||||||||
| assigner |
Σ | 0..1 | Reference(Organization (CZ core)) | Organization that issued id (may be just text) | ||||||||||
| Slices for basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order Slice: Unordered, Open by type:$this | ||||||||||
| basedOn:imorderaccession |
Σ | 0..1 | Reference(Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||
| identifier |
Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||
| partOf |
Σ | 0..* | Reference(Medication Administration: Imaging Report (CZ) | MedicationDispense | MedicationStatement | Procedure: Imaging Report (CZ) | Immunization | Imaging Study (CZ)) | Part of referenced event | ||||||||||
| status |
?!SOΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||||||
| category |
O | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| ||||||||||
| code |
OΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: CZ Observation code (required)
| ||||||||||
| subject |
Σ | 0..1 | Reference(Patient (CZ core) | Patient: Animal (CZ)) | In the initial iteration of the Czech interoperability project: this is Patient (CZ). | ||||||||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||||||||
| Slices for effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||||||||
| effectiveDateTime |
dateTime | |||||||||||||
| effectivePeriod |
Period | |||||||||||||
| effectiveTiming |
Timing | |||||||||||||
| effectiveInstant |
instant | |||||||||||||
| effective[x]:effectiveDateTime |
OΣ | 0..1 | dateTime | Clinically relevant time/time-period for observation
| ||||||||||
| issued |
SΣ | 0..1 | instant | Date/Time this version was made available | ||||||||||
| performer |
SΣ | 0..* | Reference(CareTeam | RelatedPerson | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core)) | In the initial iteration of the Czech interoperability project: this is Organization (CZ) or Practitioner (CZ) | ||||||||||
| Slices for value[x] |
SΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |||||||||||
| valueQuantity |
Quantity | |||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||
| valueString |
string | |||||||||||||
| valueBoolean |
boolean | |||||||||||||
| valueInteger |
integer | |||||||||||||
| valueRange |
Range | |||||||||||||
| valueRatio |
Ratio | |||||||||||||
| valueSampledData |
SampledData | |||||||||||||
| valueTime |
time | |||||||||||||
| valueDateTime |
dateTime | |||||||||||||
| valuePeriod |
Period | |||||||||||||
| value[x]:valueQuantity |
SOΣC | 0..1 | Quantity | Actual result
| ||||||||||
| value[x]:valueString |
SOΣC | 0..1 | string | Actual result
| ||||||||||
| value[x]:valueCodeableConcept |
SOΣC | 0..1 | CodeableConcept | Actual result
| ||||||||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||||
| interpretation |
SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||||
| note |
SO | 0..* | Annotation | Comments about the observation
| ||||||||||
| bodySite |
O | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||||
| method |
SO | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
| ||||||||||
| specimen |
SO | 0..1 | Reference(Specimen (CZ)) | Specimen used for this observation
| ||||||||||
| device |
SO | 0..1 | Reference(Device: Performer/Observer (CZ) | Medical Device (CZ) | DeviceMetric) | (Measurement) Device
| ||||||||||
| referenceRange |
SOC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant | ||||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant | ||||||||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||||||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||||||||
| text |
0..1 | string | Text based reference range in an observation | |||||||||||
| hasMember |
OΣ | 0..* | Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
| ||||||||||
| derivedFrom |
SOΣ | 0..* | Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ)) | Related measurements the observation is made from
| ||||||||||
| component |
OΣ | 0..* | BackboneElement | Component results
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||||
 value[x] |
Σ | 0..1 | Actual component result | |||||||||||
| valueQuantity |
Quantity | |||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||
| valueString |
string | |||||||||||||
| valueBoolean |
boolean | |||||||||||||
| valueInteger |
integer | |||||||||||||
| valueRange |
Range | |||||||||||||
| valueRatio |
Ratio | |||||||||||||
| valueSampledData |
SampledData | |||||||||||||
| valueTime |
time | |||||||||||||
| valueDateTime |
dateTime | |||||||||||||
| valuePeriod |
Period | |||||||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||||
 referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Observation.identifier:observationUid.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Observation.identifier:observationUid.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Observation.basedOn:imorderaccession.type | Base | extensible | ResourceType | 📍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 | CZ Observation code | 📦0.1.0-ballot | 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. |
| 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()
|
| 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()
|
This structure is derived from CZ_ObservationResultImaging
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | CZ_ObservationResultImaging | Imaging result for a imaging report Constraints: obs-6, obs-7 | ||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| language |
S | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:triggeredBy-r5 |
0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:observation |
0..* | Extension | Triggering observation. | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "observation" | |||||||||||
| value[x] |
1..1 | Reference(Observation) | Value of extension | |||||||||||
| extension:type |
0..* | Extension | The type of trigger | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "type" | |||||||||||
| value[x] |
1..1 | code | Value of extension | |||||||||||
| extension:reason |
0..* | Extension | Extension | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "reason" | |||||||||||
| value[x] |
1..1 | string | Value of extension | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||||
| extension:value-r5 |
0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||||
| value[x] |
1..1 | Attachment | Value of extension | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| Slices for identifier |
Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:type | ||||||||||
| identifier:observationUid |
Σ | 0..1 | Identifier | Business Identifier for observation | ||||||||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||||||||
| type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.cz/fhir/img/CodeSystem/codesystem-missing-dicom-terminology | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018 | |||||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: SOP Instance UID | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| Slices for basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order Slice: Unordered, Open by type:$this | ||||||||||
| basedOn:imorderaccession |
Σ | 0..1 | Reference(Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order | ||||||||||
| identifier |
Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||||||||
| status |
?!SOΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||||||
| category |
O | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| ||||||||||
| code |
OΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: CZ Observation code (required)
| ||||||||||
| Slices for effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||||||||
| effectiveDateTime |
dateTime | |||||||||||||
| effectivePeriod |
Period | |||||||||||||
| effectiveTiming |
Timing | |||||||||||||
| effectiveInstant |
instant | |||||||||||||
| effective[x]:effectiveDateTime |
OΣ | 0..1 | dateTime | Clinically relevant time/time-period for observation
| ||||||||||
| issued |
SΣ | 0..1 | instant | Date/Time this version was made available | ||||||||||
| performer |
SΣ | 0..* | Reference(CareTeam | RelatedPerson | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core)) | In the initial iteration of the Czech interoperability project: this is Organization (CZ) or Practitioner (CZ) | ||||||||||
| Slices for value[x] |
SΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |||||||||||
| valueQuantity |
Quantity | |||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||
| valueString |
string | |||||||||||||
| valueBoolean |
boolean | |||||||||||||
| valueInteger |
integer | |||||||||||||
| valueRange |
Range | |||||||||||||
| valueRatio |
Ratio | |||||||||||||
| valueSampledData |
SampledData | |||||||||||||
| valueTime |
time | |||||||||||||
| valueDateTime |
dateTime | |||||||||||||
| valuePeriod |
Period | |||||||||||||
| value[x]:valueQuantity |
SOΣC | 0..1 | Quantity | Actual result
| ||||||||||
| value[x]:valueString |
SOΣC | 0..1 | string | Actual result
| ||||||||||
| value[x]:valueCodeableConcept |
SOΣC | 0..1 | CodeableConcept | Actual result
| ||||||||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||||
| interpretation |
SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||||
| note |
SO | 0..* | Annotation | Comments about the observation
| ||||||||||
| bodySite |
O | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||||
| method |
SO | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
| ||||||||||
| specimen |
SO | 0..1 | Reference(Specimen (CZ)) | Specimen used for this observation
| ||||||||||
| device |
SO | 0..1 | Reference(Device: Performer/Observer (CZ) | Medical Device (CZ) | DeviceMetric) | (Measurement) Device
| ||||||||||
| referenceRange |
SOC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
| ||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| hasMember |
OΣ | 0..* | Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
| ||||||||||
| derivedFrom |
SOΣ | 0..* | Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ)) | Related measurements the observation is made from
| ||||||||||
| component |
OΣ | 0..* | BackboneElement | Component results
| ||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Observation.identifier:observationUid.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Observation.identifier:observationUid.type | Base | extensible | IdentifierType | 📍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 | CZ Observation code | 📦0.1.0-ballot | 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.component.code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std. |
| 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()
|
| 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()
|
Differential View
This structure is derived from CZ_ObservationResultImaging
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
0..* | CZ_ObservationResultImaging | Imaging result for a imaging report | |||||||||||
| status |
O | 1..1 | code | registered | preliminary | final | amended +
| ||||||||||
| category |
O | 0..* | CodeableConcept | Classification of type of observation
| ||||||||||
| code |
O | 1..1 | CodeableConcept | Type of observation (code / type)
| ||||||||||
| Slices for effective[x] |
0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||||||||
| effective[x]:effectiveDateTime |
O | 0..1 | dateTime | Clinically relevant time/time-period for observation
| ||||||||||
| Slices for value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this | |||||||||||
| value[x]:valueQuantity |
O | 0..1 | Quantity | Actual result
| ||||||||||
| value[x]:valueString |
O | 0..1 | string | Actual result
| ||||||||||
| value[x]:valueCodeableConcept |
O | 0..1 | CodeableConcept | Actual result
| ||||||||||
| interpretation |
O | 0..* | CodeableConcept | High, low, normal, etc.
| ||||||||||
| note |
O | 0..* | Annotation | Comments about the observation
| ||||||||||
| bodySite |
O | 0..1 | CodeableConcept | Observed body part
| ||||||||||
| method |
O | 0..1 | CodeableConcept | How it was done
| ||||||||||
| specimen |
O | 0..1 | Reference(Specimen (CZ)) | Specimen used for this observation
| ||||||||||
| device |
O | 0..1 | Reference(Device: Performer/Observer (CZ) | Medical Device (CZ) | DeviceMetric) | (Measurement) Device
| ||||||||||
| referenceRange |
O | 0..* | BackboneElement | Provides guide for interpretation
| ||||||||||
| hasMember |
O | 0..* | Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
| ||||||||||
| derivedFrom |
O | 0..* | Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ)) | Related measurements the observation is made from
| ||||||||||
| component |
O | 0..* | BackboneElement | Component results
| ||||||||||
| Documentation for this format | ||||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | CZ_ObservationResultImaging | Imaging result for a imaging report Constraints: obs-6, obs-7 | ||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| language |
S | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:triggeredBy-r5 |
0..* | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| extension:observation |
0..* | Extension | Triggering observation. | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "observation" | |||||||||||
| value[x] |
1..1 | Reference(Observation) | Value of extension | |||||||||||
| extension:type |
0..* | Extension | The type of trigger | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "type" | |||||||||||
| value[x] |
1..1 | code | Value of extension | |||||||||||
| extension:reason |
0..* | Extension | Extension | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "reason" | |||||||||||
| value[x] |
1..1 | string | Value of extension | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||||||||
| extension:value-r5 |
0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]] | only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..0 | |||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]" | |||||||||||
| value[x] |
1..1 | Attachment | Value of extension | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| Slices for identifier |
Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:type | ||||||||||
| identifier:observationUid |
Σ | 0..1 | Identifier | Business Identifier for observation | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||||||||
| type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.cz/fhir/img/CodeSystem/codesystem-missing-dicom-terminology | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018 | |||||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: SOP Instance UID | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| system |
Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||||||||
| value |
Σ | 0..1 | string | The value that is unique Example General: 123456 | ||||||||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||||||||
| assigner |
Σ | 0..1 | Reference(Organization (CZ core)) | Organization that issued id (may be just text) | ||||||||||
| Slices for basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order Slice: Unordered, Open by type:$this | ||||||||||
| basedOn:imorderaccession |
Σ | 0..1 | Reference(Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||
| identifier |
Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||
| partOf |
Σ | 0..* | Reference(Medication Administration: Imaging Report (CZ) | MedicationDispense | MedicationStatement | Procedure: Imaging Report (CZ) | Immunization | Imaging Study (CZ)) | Part of referenced event | ||||||||||
| status |
?!SOΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||||||
| category |
O | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| ||||||||||
| code |
OΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: CZ Observation code (required)
| ||||||||||
| subject |
Σ | 0..1 | Reference(Patient (CZ core) | Patient: Animal (CZ)) | In the initial iteration of the Czech interoperability project: this is Patient (CZ). | ||||||||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||||||||
| Slices for effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||||||||
| effectiveDateTime |
dateTime | |||||||||||||
| effectivePeriod |
Period | |||||||||||||
| effectiveTiming |
Timing | |||||||||||||
| effectiveInstant |
instant | |||||||||||||
| effective[x]:effectiveDateTime |
OΣ | 0..1 | dateTime | Clinically relevant time/time-period for observation
| ||||||||||
| issued |
SΣ | 0..1 | instant | Date/Time this version was made available | ||||||||||
| performer |
SΣ | 0..* | Reference(CareTeam | RelatedPerson | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core)) | In the initial iteration of the Czech interoperability project: this is Organization (CZ) or Practitioner (CZ) | ||||||||||
| Slices for value[x] |
SΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |||||||||||
| valueQuantity |
Quantity | |||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||
| valueString |
string | |||||||||||||
| valueBoolean |
boolean | |||||||||||||
| valueInteger |
integer | |||||||||||||
| valueRange |
Range | |||||||||||||
| valueRatio |
Ratio | |||||||||||||
| valueSampledData |
SampledData | |||||||||||||
| valueTime |
time | |||||||||||||
| valueDateTime |
dateTime | |||||||||||||
| valuePeriod |
Period | |||||||||||||
| value[x]:valueQuantity |
SOΣC | 0..1 | Quantity | Actual result
| ||||||||||
| value[x]:valueString |
SOΣC | 0..1 | string | Actual result
| ||||||||||
| value[x]:valueCodeableConcept |
SOΣC | 0..1 | CodeableConcept | Actual result
| ||||||||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||||
| interpretation |
SO | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| ||||||||||
| note |
SO | 0..* | Annotation | Comments about the observation
| ||||||||||
| bodySite |
O | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||||
| method |
SO | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
| ||||||||||
| specimen |
SO | 0..1 | Reference(Specimen (CZ)) | Specimen used for this observation
| ||||||||||
| device |
SO | 0..1 | Reference(Device: Performer/Observer (CZ) | Medical Device (CZ) | DeviceMetric) | (Measurement) Device
| ||||||||||
| referenceRange |
SOC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant | ||||||||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant | ||||||||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||||||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||||||||
| text |
0..1 | string | Text based reference range in an observation | |||||||||||
| hasMember |
OΣ | 0..* | Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
| ||||||||||
| derivedFrom |
SOΣ | 0..* | Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ)) | Related measurements the observation is made from
| ||||||||||
| component |
OΣ | 0..* | BackboneElement | Component results
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||||
| value[x] |
Σ | 0..1 | Actual component result | |||||||||||
| valueQuantity |
Quantity | |||||||||||||
| valueCodeableConcept |
CodeableConcept | |||||||||||||
| valueString |
string | |||||||||||||
| valueBoolean |
boolean | |||||||||||||
| valueInteger |
integer | |||||||||||||
| valueRange |
Range | |||||||||||||
| valueRatio |
Ratio | |||||||||||||
| valueSampledData |
SampledData | |||||||||||||
| valueTime |
time | |||||||||||||
| valueDateTime |
dateTime | |||||||||||||
| valuePeriod |
Period | |||||||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||||||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Observation.identifier:observationUid.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Observation.identifier:observationUid.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Observation.basedOn:imorderaccession.type | Base | extensible | ResourceType | 📍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 | CZ Observation code | 📦0.1.0-ballot | 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. |
| 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()
|
| 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()
|
This structure is derived from CZ_ObservationResultImaging
Other representations of profile: CSV, Excel, Schematron