CardX - Cardiac Implantable Electronic Devices, published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CardX-CIED/ and changes regularly. See the Directory of published versions

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Resource Profile: Observation - CIED Connectivity

Profile of the observation resource to present the most recent connectivity status and associated information for a CIED/Monitor combination. In most instances there will be one observation per CIED/monitor pair per patient, however some manufacturers may allow multiple CIEDs implanted in a patient to connect to a single monitor and have a single connectivity status for the entire system of devices.

CIEDs and monitors connect at regular intervals to exchange data ranging from every few minutes to every other week depending on the device/monitor configuration and manufacturer. The connectivity observation profile is a snapshot in time and is not intended to be used to query historical log information that may have been captured by the remote monitoring IoT platform. A single observation will be returned for every CIED/monitor pair.

Connectivity status is based on the actual time difference between the most recent successful communication and the present date. To manage disconnected patients, manufacturers have implemented additional functionality in their platforms. The connectivity modifier is included to represent an action performed by the user or business logic applied by the manufacturer. Examples of these are a user suspending a patient from appearing on the disconnected list in the remote monitoring system or the system automatically marking a patient as inactive after a prolonged disconnection period to remove them from appearing on the disconnected list in the user interface.

Usages:

• Examples for this Profile: Observation/uc1ConnectivityACME, Observation/uc2ConnectivityACME, Observation/uc3ConnectivityACME, Observation/uc4ConnectivityACME and Observation/uc5ConnectivityACME
• CapabilityStatements using this Profile: CardX CIED Connectivity Server Capability Statement

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, obs-8
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ciedDevice	S	1..*	Reference(Device - Cardiovascular Implantable Electronic Device (CIED))	Cardiac implantable device(s) URL: http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-device-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: observation-cied-connectivity
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient - CIED Patient Profile)	Who and/or what the observation is about
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for observation
value[x]	ΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
device	S	0..1	Reference(Device - CIED Monitor Profile)	A reference to the device that generates the measurements or the device settings for the device
Slices for component	SΣC	1..*	BackboneElement	CIED Connectivity Components Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	SΣ	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
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
component:connectivityStatus	SΣC	1..1	BackboneElement	The overall system connectivity status as calculated by the CIED manufacturer.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connectivity-status
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: CIED Connectivity Status Value Set (required)
component:connectivityModifier	SΣC	0..*	BackboneElement	Additional modifiers to connectivity status as calculated by the CIED manufacturer.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connectivity-modifier
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: CIED Connectivity Status Modifier Value Set (required)
component:statusReason	SΣC	0..1	BackboneElement	Text describing reasons why the patient may be listed at a given status and/or modifier.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: status-reason
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	string	Actual component result
component:statusGuidance	SΣC	0..1	BackboneElement	Text describing steps to get the patient to a connected status
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: status-guidance
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	string	Actual component result
component:lastCiedConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the most recent communication between the CIED and monitor.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-cied-connectivity-time
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:lastMonitorConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the most recent communication from the monitor to the remote monitoring platform.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-monitor-connectivity-time
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:nextCiedConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the next expected communication between the CIED and monitor.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-cied-connectivity-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:nextMonitorConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the next expected communication from the monitor to the remote monitoring platform.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-monitor-connectivity-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:lastRemoteInterrogationDate	SΣC	0..1	BackboneElement	The date of the most recent remote device interrogation with a personal monitor.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-interrogation-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:nextScheduledRemoteInterrogationDate	SΣC	0..1	BackboneElement	The date of the next scheduled remote device interrogation.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-interrogation-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:nextSecondaryScheduledRemoteInterrogationDate	SΣC	0..1	BackboneElement	The date of the next scheduled remote device interrogation by the secondary clinic for patients who are dual-managed.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-secondary-interrogation-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:connectionInterval	SΣC	0..1	BackboneElement	The time interval in days between expected CIED and remote monitoring software communication.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connection-interval
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	integer	Actual component result
component:expectedTimePeriod	SΣC	0..1	BackboneElement	The time period in days in which successful communication must take place for the connectivity status to remain connected.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: expected-time-period
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	integer	Actual component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	Observation Status	📍5.0.0	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityStatus.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityStatus.​value[x]	Base	required	CIED Connectivity Status Value Set	📦1.0.0	This IG
Observation.component:connectivityModifier.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityModifier.​value[x]	Base	required	CIED Connectivity Status Modifier Value Set	📦1.0.0	This IG
Observation.component:statusReason.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:statusGuidance.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:lastCiedConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:lastMonitorConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextCiedConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextMonitorConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:lastRemoteInterrogationDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextScheduledRemoteInterrogationDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextSecondaryScheduledRemoteInterrogationDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectionInterval.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:expectedTimePeriod.​code	Base	example	LOINC Codes	📍5.0.0	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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-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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value).	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8	error	Observation	bodyStructure SHALL only be present if Observation.bodySite is not present	bodySite.exists() implies bodyStructure.empty()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	Observation	Measurements and simple assertions
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ciedDevice	S	1..*	Reference(Device - Cardiovascular Implantable Electronic Device (CIED))	Cardiac implantable device(s) URL: http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-device-extension
status	S	1..1	code	registered | preliminary | final | amended +
code	S	1..1	CodeableConcept	Type of observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: observation-cied-connectivity
subject	S	1..1	Reference(Patient - CIED Patient Profile)	Who and/or what the observation is about
effective[x]	S	1..1	dateTime	Clinically relevant time/time-period for observation
device	S	0..1	Reference(Device - CIED Monitor Profile)	A reference to the device that generates the measurements or the device settings for the device
Slices for component	S	1..*	BackboneElement	CIED Connectivity Components Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
code	S	1..1	CodeableConcept	Type of component observation (code / type)
value[x]	S	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence)	Actual component result
component:connectivityStatus	S	1..1	BackboneElement	The overall system connectivity status as calculated by the CIED manufacturer.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connectivity-status
value[x]		0..1	CodeableConcept	Actual component result Binding: CIED Connectivity Status Value Set (required)
component:connectivityModifier	S	0..*	BackboneElement	Additional modifiers to connectivity status as calculated by the CIED manufacturer.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connectivity-modifier
value[x]		0..1	CodeableConcept	Actual component result Binding: CIED Connectivity Status Modifier Value Set (required)
component:statusReason	S	0..1	BackboneElement	Text describing reasons why the patient may be listed at a given status and/or modifier.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: status-reason
value[x]		0..1	string	Actual component result
component:statusGuidance	S	0..1	BackboneElement	Text describing steps to get the patient to a connected status
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: status-guidance
value[x]		0..1	string	Actual component result
component:lastCiedConnectivityDate	S	0..1	BackboneElement	The timestamp of the most recent communication between the CIED and monitor.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-cied-connectivity-time
value[x]		0..1	dateTime	Actual component result
component:lastMonitorConnectivityDate	S	0..1	BackboneElement	The timestamp of the most recent communication from the monitor to the remote monitoring platform.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-monitor-connectivity-time
value[x]		0..1	dateTime	Actual component result
component:nextCiedConnectivityDate	S	0..1	BackboneElement	The timestamp of the next expected communication between the CIED and monitor.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-cied-connectivity-date
value[x]		0..1	dateTime	Actual component result
component:nextMonitorConnectivityDate	S	0..1	BackboneElement	The timestamp of the next expected communication from the monitor to the remote monitoring platform.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-monitor-connectivity-date
value[x]		0..1	dateTime	Actual component result
component:lastRemoteInterrogationDate	S	0..1	BackboneElement	The date of the most recent remote device interrogation with a personal monitor.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-interrogation-date
value[x]		0..1	dateTime	Actual component result
component:nextScheduledRemoteInterrogationDate	S	0..1	BackboneElement	The date of the next scheduled remote device interrogation.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-interrogation-date
value[x]		0..1	dateTime	Actual component result
component:nextSecondaryScheduledRemoteInterrogationDate	S	0..1	BackboneElement	The date of the next scheduled remote device interrogation by the secondary clinic for patients who are dual-managed.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-secondary-interrogation-date
value[x]		0..1	dateTime	Actual component result
component:connectionInterval	S	0..1	BackboneElement	The time interval in days between expected CIED and remote monitoring software communication.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connection-interval
value[x]		0..1	integer	Actual component result
component:expectedTimePeriod	S	0..1	BackboneElement	The time period in days in which successful communication must take place for the connectivity status to remain connected.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: expected-time-period
value[x]		0..1	integer	Actual component result
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.component:connectivityStatus.​value[x]	Base	required	CIED Connectivity Status Value Set	📦1.0.0	This IG
Observation.component:connectivityModifier.​value[x]	Base	required	CIED Connectivity Status Modifier Value Set	📦1.0.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, obs-8
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		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ciedDevice	S	1..*	Reference(Device - Cardiovascular Implantable Electronic Device (CIED))	Cardiac implantable device(s) URL: http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-device-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
instantiates[x]	Σ	0..1	canonical(ObservationDefinition), Reference(ObservationDefinition)	Instantiates FHIR ObservationDefinition
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
triggeredBy		0..*	BackboneElement	Triggering observation(s)
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
observation	Σ	1..1	Reference(Observation)	Triggering observation
type	Σ	1..1	code	reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
reason		0..1	string	Reason that the observation was triggered
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: observation-cied-connectivity
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient - CIED Patient Profile)	Who and/or what the observation is about
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
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for observation
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	ΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
dataAbsentReason	C	0..1	CodeableConcept	Why the 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.
note		0..*	Annotation	Comments about the observation
bodySite	C	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
bodyStructure	C	0..1	Reference(BodyStructure)	Observed body structure
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	C	0..1	Reference(Specimen | Group)	Specimen used for this observation Constraints: obs-9
device	S	0..1	Reference(Device - CIED Monitor Profile)	A reference to the device that generates the measurements or the device settings for the device
referenceRange	C	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(5.0.0)	Low Range, if relevant
high	C	0..1	SimpleQuantity(5.0.0)	High Range, if relevant
normalValue		0..1	CodeableConcept	Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
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	C	0..1	markdown	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy)	Related resource from which the observation is made
Slices for component	SΣC	1..*	BackboneElement	CIED Connectivity Components Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	SΣ	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
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
dataAbsentReason		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
component:connectivityStatus	SΣC	1..1	BackboneElement	The overall system connectivity status as calculated by the CIED manufacturer.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connectivity-status
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: CIED Connectivity Status Value Set (required)
dataAbsentReason		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
component:connectivityModifier	SΣC	0..*	BackboneElement	Additional modifiers to connectivity status as calculated by the CIED manufacturer.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connectivity-modifier
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: CIED Connectivity Status Modifier Value Set (required)
dataAbsentReason		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
component:statusReason	SΣC	0..1	BackboneElement	Text describing reasons why the patient may be listed at a given status and/or modifier.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: status-reason
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	string	Actual component result
dataAbsentReason		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
component:statusGuidance	SΣC	0..1	BackboneElement	Text describing steps to get the patient to a connected status
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: status-guidance
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	string	Actual component result
dataAbsentReason		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
component:lastCiedConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the most recent communication between the CIED and monitor.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-cied-connectivity-time
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:lastMonitorConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the most recent communication from the monitor to the remote monitoring platform.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-monitor-connectivity-time
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:nextCiedConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the next expected communication between the CIED and monitor.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-cied-connectivity-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:nextMonitorConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the next expected communication from the monitor to the remote monitoring platform.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-monitor-connectivity-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:lastRemoteInterrogationDate	SΣC	0..1	BackboneElement	The date of the most recent remote device interrogation with a personal monitor.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-interrogation-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:nextScheduledRemoteInterrogationDate	SΣC	0..1	BackboneElement	The date of the next scheduled remote device interrogation.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-interrogation-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:nextSecondaryScheduledRemoteInterrogationDate	SΣC	0..1	BackboneElement	The date of the next scheduled remote device interrogation by the secondary clinic for patients who are dual-managed.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-secondary-interrogation-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:connectionInterval	SΣC	0..1	BackboneElement	The time interval in days between expected CIED and remote monitoring software communication.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connection-interval
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	integer	Actual component result
dataAbsentReason		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
component:expectedTimePeriod	SΣC	0..1	BackboneElement	The time period in days in which successful communication must take place for the connectivity status to remain connected.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: expected-time-period
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	integer	Actual component result
dataAbsentReason		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

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Observation.triggeredBy.​type	Base	required	triggered Bytype	📍5.0.0	FHIR Std.
Observation.status	Base	required	Observation Status	📍5.0.0	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍5.0.0	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.
Observation.method	Base	example	Observation Methods	📍5.0.0	FHIR Std.
Observation.referenceRange.​normalValue	Base	extensible	Observation Reference Range Normal Value Codes	📍5.0.0	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍5.0.0	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍5.0.0	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityStatus.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityStatus.​value[x]	Base	required	CIED Connectivity Status Value Set	📦1.0.0	This IG
Observation.component:connectivityStatus.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:connectivityStatus.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityModifier.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityModifier.​value[x]	Base	required	CIED Connectivity Status Modifier Value Set	📦1.0.0	This IG
Observation.component:connectivityModifier.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:connectivityModifier.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:statusReason.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:statusReason.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:statusReason.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:statusGuidance.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:statusGuidance.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:statusGuidance.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:lastCiedConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:lastCiedConnectivityDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:lastCiedConnectivityDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:lastMonitorConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:lastMonitorConnectivityDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:lastMonitorConnectivityDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:nextCiedConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextCiedConnectivityDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:nextCiedConnectivityDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:nextMonitorConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextMonitorConnectivityDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:nextMonitorConnectivityDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:lastRemoteInterrogationDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:lastRemoteInterrogationDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:lastRemoteInterrogationDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:nextScheduledRemoteInterrogationDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextScheduledRemoteInterrogationDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:nextScheduledRemoteInterrogationDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:nextSecondaryScheduledRemoteInterrogationDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextSecondaryScheduledRemoteInterrogationDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:nextSecondaryScheduledRemoteInterrogationDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:connectionInterval.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectionInterval.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:connectionInterval.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:expectedTimePeriod.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:expectedTimePeriod.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:expectedTimePeriod.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value).	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8	error	Observation	bodyStructure SHALL only be present if Observation.bodySite is not present	bodySite.exists() implies bodyStructure.empty()
obs-9	error	Observation.specimen	If Observation.specimen is a reference to Group, the group can only have specimens	(reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)

Summary

Mandatory: 6 elements
Must-Support: 22 elements

Structures

This structure refers to these other structures:

• Patient - CIED Patient Profile (http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-patient)
• Device - CIED Monitor Profile (http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-monitor)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-device-extension

Slices

This structure defines the following Slices:

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

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, obs-8
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ciedDevice	S	1..*	Reference(Device - Cardiovascular Implantable Electronic Device (CIED))	Cardiac implantable device(s) URL: http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-device-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: observation-cied-connectivity
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient - CIED Patient Profile)	Who and/or what the observation is about
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for observation
value[x]	ΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
device	S	0..1	Reference(Device - CIED Monitor Profile)	A reference to the device that generates the measurements or the device settings for the device
Slices for component	SΣC	1..*	BackboneElement	CIED Connectivity Components Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	SΣ	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
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
component:connectivityStatus	SΣC	1..1	BackboneElement	The overall system connectivity status as calculated by the CIED manufacturer.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connectivity-status
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: CIED Connectivity Status Value Set (required)
component:connectivityModifier	SΣC	0..*	BackboneElement	Additional modifiers to connectivity status as calculated by the CIED manufacturer.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connectivity-modifier
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: CIED Connectivity Status Modifier Value Set (required)
component:statusReason	SΣC	0..1	BackboneElement	Text describing reasons why the patient may be listed at a given status and/or modifier.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: status-reason
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	string	Actual component result
component:statusGuidance	SΣC	0..1	BackboneElement	Text describing steps to get the patient to a connected status
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: status-guidance
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	string	Actual component result
component:lastCiedConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the most recent communication between the CIED and monitor.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-cied-connectivity-time
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:lastMonitorConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the most recent communication from the monitor to the remote monitoring platform.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-monitor-connectivity-time
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:nextCiedConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the next expected communication between the CIED and monitor.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-cied-connectivity-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:nextMonitorConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the next expected communication from the monitor to the remote monitoring platform.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-monitor-connectivity-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:lastRemoteInterrogationDate	SΣC	0..1	BackboneElement	The date of the most recent remote device interrogation with a personal monitor.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-interrogation-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:nextScheduledRemoteInterrogationDate	SΣC	0..1	BackboneElement	The date of the next scheduled remote device interrogation.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-interrogation-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:nextSecondaryScheduledRemoteInterrogationDate	SΣC	0..1	BackboneElement	The date of the next scheduled remote device interrogation by the secondary clinic for patients who are dual-managed.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-secondary-interrogation-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
component:connectionInterval	SΣC	0..1	BackboneElement	The time interval in days between expected CIED and remote monitoring software communication.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connection-interval
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	integer	Actual component result
component:expectedTimePeriod	SΣC	0..1	BackboneElement	The time period in days in which successful communication must take place for the connectivity status to remain connected.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: expected-time-period
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	integer	Actual component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	Observation Status	📍5.0.0	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityStatus.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityStatus.​value[x]	Base	required	CIED Connectivity Status Value Set	📦1.0.0	This IG
Observation.component:connectivityModifier.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityModifier.​value[x]	Base	required	CIED Connectivity Status Modifier Value Set	📦1.0.0	This IG
Observation.component:statusReason.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:statusGuidance.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:lastCiedConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:lastMonitorConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextCiedConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextMonitorConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:lastRemoteInterrogationDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextScheduledRemoteInterrogationDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextSecondaryScheduledRemoteInterrogationDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectionInterval.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:expectedTimePeriod.​code	Base	example	LOINC Codes	📍5.0.0	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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-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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value).	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8	error	Observation	bodyStructure SHALL only be present if Observation.bodySite is not present	bodySite.exists() implies bodyStructure.empty()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	Observation	Measurements and simple assertions
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ciedDevice	S	1..*	Reference(Device - Cardiovascular Implantable Electronic Device (CIED))	Cardiac implantable device(s) URL: http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-device-extension
status	S	1..1	code	registered | preliminary | final | amended +
code	S	1..1	CodeableConcept	Type of observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: observation-cied-connectivity
subject	S	1..1	Reference(Patient - CIED Patient Profile)	Who and/or what the observation is about
effective[x]	S	1..1	dateTime	Clinically relevant time/time-period for observation
device	S	0..1	Reference(Device - CIED Monitor Profile)	A reference to the device that generates the measurements or the device settings for the device
Slices for component	S	1..*	BackboneElement	CIED Connectivity Components Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
code	S	1..1	CodeableConcept	Type of component observation (code / type)
value[x]	S	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence)	Actual component result
component:connectivityStatus	S	1..1	BackboneElement	The overall system connectivity status as calculated by the CIED manufacturer.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connectivity-status
value[x]		0..1	CodeableConcept	Actual component result Binding: CIED Connectivity Status Value Set (required)
component:connectivityModifier	S	0..*	BackboneElement	Additional modifiers to connectivity status as calculated by the CIED manufacturer.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connectivity-modifier
value[x]		0..1	CodeableConcept	Actual component result Binding: CIED Connectivity Status Modifier Value Set (required)
component:statusReason	S	0..1	BackboneElement	Text describing reasons why the patient may be listed at a given status and/or modifier.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: status-reason
value[x]		0..1	string	Actual component result
component:statusGuidance	S	0..1	BackboneElement	Text describing steps to get the patient to a connected status
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: status-guidance
value[x]		0..1	string	Actual component result
component:lastCiedConnectivityDate	S	0..1	BackboneElement	The timestamp of the most recent communication between the CIED and monitor.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-cied-connectivity-time
value[x]		0..1	dateTime	Actual component result
component:lastMonitorConnectivityDate	S	0..1	BackboneElement	The timestamp of the most recent communication from the monitor to the remote monitoring platform.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-monitor-connectivity-time
value[x]		0..1	dateTime	Actual component result
component:nextCiedConnectivityDate	S	0..1	BackboneElement	The timestamp of the next expected communication between the CIED and monitor.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-cied-connectivity-date
value[x]		0..1	dateTime	Actual component result
component:nextMonitorConnectivityDate	S	0..1	BackboneElement	The timestamp of the next expected communication from the monitor to the remote monitoring platform.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-monitor-connectivity-date
value[x]		0..1	dateTime	Actual component result
component:lastRemoteInterrogationDate	S	0..1	BackboneElement	The date of the most recent remote device interrogation with a personal monitor.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-interrogation-date
value[x]		0..1	dateTime	Actual component result
component:nextScheduledRemoteInterrogationDate	S	0..1	BackboneElement	The date of the next scheduled remote device interrogation.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-interrogation-date
value[x]		0..1	dateTime	Actual component result
component:nextSecondaryScheduledRemoteInterrogationDate	S	0..1	BackboneElement	The date of the next scheduled remote device interrogation by the secondary clinic for patients who are dual-managed.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-secondary-interrogation-date
value[x]		0..1	dateTime	Actual component result
component:connectionInterval	S	0..1	BackboneElement	The time interval in days between expected CIED and remote monitoring software communication.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connection-interval
value[x]		0..1	integer	Actual component result
component:expectedTimePeriod	S	0..1	BackboneElement	The time period in days in which successful communication must take place for the connectivity status to remain connected.
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
code		1..1	code	Symbol in syntax defined by the system Fixed Value: expected-time-period
value[x]		0..1	integer	Actual component result
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.component:connectivityStatus.​value[x]	Base	required	CIED Connectivity Status Value Set	📦1.0.0	This IG
Observation.component:connectivityModifier.​value[x]	Base	required	CIED Connectivity Status Modifier Value Set	📦1.0.0	This IG

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, obs-8
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		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ciedDevice	S	1..*	Reference(Device - Cardiovascular Implantable Electronic Device (CIED))	Cardiac implantable device(s) URL: http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-device-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
instantiates[x]	Σ	0..1	canonical(ObservationDefinition), Reference(ObservationDefinition)	Instantiates FHIR ObservationDefinition
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
triggeredBy		0..*	BackboneElement	Triggering observation(s)
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
observation	Σ	1..1	Reference(Observation)	Triggering observation
type	Σ	1..1	code	reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
reason		0..1	string	Reason that the observation was triggered
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: observation-cied-connectivity
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient - CIED Patient Profile)	Who and/or what the observation is about
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
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for observation
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	ΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
dataAbsentReason	C	0..1	CodeableConcept	Why the 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.
note		0..*	Annotation	Comments about the observation
bodySite	C	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
bodyStructure	C	0..1	Reference(BodyStructure)	Observed body structure
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	C	0..1	Reference(Specimen | Group)	Specimen used for this observation Constraints: obs-9
device	S	0..1	Reference(Device - CIED Monitor Profile)	A reference to the device that generates the measurements or the device settings for the device
referenceRange	C	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(5.0.0)	Low Range, if relevant
high	C	0..1	SimpleQuantity(5.0.0)	High Range, if relevant
normalValue		0..1	CodeableConcept	Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
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	C	0..1	markdown	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy)	Related resource from which the observation is made
Slices for component	SΣC	1..*	BackboneElement	CIED Connectivity Components Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	SΣ	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
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
dataAbsentReason		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
component:connectivityStatus	SΣC	1..1	BackboneElement	The overall system connectivity status as calculated by the CIED manufacturer.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connectivity-status
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: CIED Connectivity Status Value Set (required)
dataAbsentReason		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
component:connectivityModifier	SΣC	0..*	BackboneElement	Additional modifiers to connectivity status as calculated by the CIED manufacturer.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connectivity-modifier
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: CIED Connectivity Status Modifier Value Set (required)
dataAbsentReason		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
component:statusReason	SΣC	0..1	BackboneElement	Text describing reasons why the patient may be listed at a given status and/or modifier.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: status-reason
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	string	Actual component result
dataAbsentReason		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
component:statusGuidance	SΣC	0..1	BackboneElement	Text describing steps to get the patient to a connected status
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: status-guidance
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	string	Actual component result
dataAbsentReason		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
component:lastCiedConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the most recent communication between the CIED and monitor.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-cied-connectivity-time
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:lastMonitorConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the most recent communication from the monitor to the remote monitoring platform.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-monitor-connectivity-time
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:nextCiedConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the next expected communication between the CIED and monitor.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-cied-connectivity-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:nextMonitorConnectivityDate	SΣC	0..1	BackboneElement	The timestamp of the next expected communication from the monitor to the remote monitoring platform.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-monitor-connectivity-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:lastRemoteInterrogationDate	SΣC	0..1	BackboneElement	The date of the most recent remote device interrogation with a personal monitor.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: last-interrogation-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:nextScheduledRemoteInterrogationDate	SΣC	0..1	BackboneElement	The date of the next scheduled remote device interrogation.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-interrogation-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:nextSecondaryScheduledRemoteInterrogationDate	SΣC	0..1	BackboneElement	The date of the next scheduled remote device interrogation by the secondary clinic for patients who are dual-managed.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: next-secondary-interrogation-date
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	dateTime	Actual component result
dataAbsentReason		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
component:connectionInterval	SΣC	0..1	BackboneElement	The time interval in days between expected CIED and remote monitoring software communication.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: connection-interval
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	integer	Actual component result
dataAbsentReason		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
component:expectedTimePeriod	SΣC	0..1	BackboneElement	The time period in days in which successful communication must take place for the connectivity status to remain connected.
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	SΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: http://hl7.org/fhir/uv/cardx-cied/CodeSystem/CardXCIED
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: expected-time-period
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	integer	Actual component result
dataAbsentReason		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

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Observation.triggeredBy.​type	Base	required	triggered Bytype	📍5.0.0	FHIR Std.
Observation.status	Base	required	Observation Status	📍5.0.0	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍5.0.0	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.
Observation.method	Base	example	Observation Methods	📍5.0.0	FHIR Std.
Observation.referenceRange.​normalValue	Base	extensible	Observation Reference Range Normal Value Codes	📍5.0.0	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍5.0.0	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍5.0.0	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityStatus.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityStatus.​value[x]	Base	required	CIED Connectivity Status Value Set	📦1.0.0	This IG
Observation.component:connectivityStatus.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:connectivityStatus.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityModifier.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectivityModifier.​value[x]	Base	required	CIED Connectivity Status Modifier Value Set	📦1.0.0	This IG
Observation.component:connectivityModifier.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:connectivityModifier.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:statusReason.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:statusReason.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:statusReason.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:statusGuidance.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:statusGuidance.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:statusGuidance.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:lastCiedConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:lastCiedConnectivityDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:lastCiedConnectivityDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:lastMonitorConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:lastMonitorConnectivityDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:lastMonitorConnectivityDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:nextCiedConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextCiedConnectivityDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:nextCiedConnectivityDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:nextMonitorConnectivityDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextMonitorConnectivityDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:nextMonitorConnectivityDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:lastRemoteInterrogationDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:lastRemoteInterrogationDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:lastRemoteInterrogationDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:nextScheduledRemoteInterrogationDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextScheduledRemoteInterrogationDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:nextScheduledRemoteInterrogationDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:nextSecondaryScheduledRemoteInterrogationDate.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:nextSecondaryScheduledRemoteInterrogationDate.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:nextSecondaryScheduledRemoteInterrogationDate.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:connectionInterval.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:connectionInterval.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:connectionInterval.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	FHIR Std.
Observation.component:expectedTimePeriod.​code	Base	example	LOINC Codes	📍5.0.0	FHIR Std.
Observation.component:expectedTimePeriod.​dataAbsentReason	Base	extensible	Data Absent Reason	📍5.0.0	FHIR Std.
Observation.component:expectedTimePeriod.​interpretation	Base	extensible	Observation Interpretation Codes	📍5.0.0	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value).	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8	error	Observation	bodyStructure SHALL only be present if Observation.bodySite is not present	bodySite.exists() implies bodyStructure.empty()
obs-9	error	Observation.specimen	If Observation.specimen is a reference to Group, the group can only have specimens	(reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)

Summary

Mandatory: 6 elements
Must-Support: 22 elements

Structures

This structure refers to these other structures:

• Patient - CIED Patient Profile (http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-patient)
• Device - CIED Monitor Profile (http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-monitor)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-device-extension

Slices

This structure defines the following Slices:

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

Maturity: 2