| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments |
|---|
  Observation | C | 0..* | Observation(4.0.1) | Measurements and simple assertions
| C | 0..* | Observation | US Core Observation ADI Presence Profile
| |
 Observation.id | Σ This element is included in summaries. | 0..1 | id | Logical id of this artifact | Σ This element is included in summaries. | 0..1 | id | Logical id of this artifact | |
| Observation.meta | Σ This element is included in summaries. | 0..1 | Meta | Metadata about the resource | Σ This element is included in summaries. | 0..1 | Meta | Metadata about the resource | |
| Observation.implicitRules | ?! This element is a modifier element. Σ This element is included in summaries. | 0..1 | uri | A set of rules under which this content was created | ?! This element is a modifier element. Σ This element is included in summaries. | 0..1 | uri | A set of rules under which this content was created | |
| Observation.language | | 0..1 | code | Language of the resource content
Binding: ?? (preferred): A human language. | | 0..1 | code | Language of the resource content
Binding: ?? (preferred): A human language. | |
| Observation.text | | 0..1 | Narrative | Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements | | 0..1 | Narrative | Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |
| Observation.contained | | 0..* | Resource | Contained, inline Resources
| | 0..* | Resource | Contained, inline Resources
| |
 Observation.extension | | 0..* | Extension | Additional content defined by implementations
| | 0..* | Extension | Extension
Slice: Unordered, Open by value:url
| |
 Observation.modifierExtension | ?! This element is a modifier element. | 0..* | Extension | Extensions that cannot be ignored
| ?! This element is a modifier element. | 0..* | Extension | Extensions that cannot be ignored
| |
| Observation.identifier | Σ This element is included in summaries. | 0..* | Identifier | Business Identifier for observation
| Σ This element is included in summaries. | 0..* | Identifier | Business Identifier for observation
| |
| Observation.basedOn | Σ This element is included in summaries. | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| Σ This element is included in summaries. | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| |
| Observation.partOf | Σ This element is included in summaries. | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
| Σ This element is included in summaries. | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
| |
| Observation.status | ?! This element is a modifier element. Σ This element is included in summaries. | 1..1 | code | registered | preliminary | final | amended +
Binding: ?? (required): Codes providing the status of an observation. | ?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. | 1..1 | code | registered | preliminary | final | amended +
Binding: ?? (required): Codes providing the status of an observation. | - Elements differ in definition for mustSupport: 'false' vs 'true'
|
| Observation.category | | 0..* | CodeableConcept | Classification of type of observation
Binding: ?? (preferred): Codes for high level observation categories.
| S This element must be supported. | 0..* | CodeableConcept | Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ?? (preferred): FHIR and US Core codes for high level observation categories.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | - Elements differ in definition for mustSupport: 'false' vs 'true'
- Example/preferred bindings differ at Observation.category using binding from ObservationAlcoholUseUvIps
|
| Observation.code | SO This element has obligations and must be supported. Σ This element is included in summaries. | 1..1 | ??  | Type of observation (code / type)
Binding: ?? (example): Codes identifying names of simple observations.
Required Pattern: {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "74013-4"
}
]
}
| Obligations | Actor | | SHALL:populate-if-known | Creator (IPS) | | SHALL:handle | Consumer (IPS) | | SHOULD:display | Consumer (IPS) |
| S This element must be supported. Σ This element is included in summaries. | 1..1 | CodeableConcept | Observation ADI Documentation code
Binding: ?? (example): Codes identifying names of simple observations.
Required Pattern: {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "45473-6"
}
]
}
| |
| Observation.subject | SO This element has obligations and must be supported. Σ This element is included in summaries. | 1..1 | Reference(Patient (IPS)(2.0.1)) | Who and/or what the observation is about| Obligations | Actor | | SHALL:populate-if-known | Creator (IPS) | | SHALL:handle | Consumer (IPS) | | SHOULD:display | Consumer (IPS) |
| S This element must be supported. Σ This element is included in summaries. | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | |
 Observation.subject.id | | 0..1 | string | Unique id for inter-element referencing | | | | | |
| Observation.subject.Slices for extension | | 0..* | Extension | Additional content defined by implementations
Slice: Unordered, Open by value:url
| | | | | |
| Observation.subject.reference | SO This element has obligations and must be supported. Σ This element is included in summaries. C | 1..1 | string | Literal reference, Relative, internal or absolute URL| Obligations | Actor | | SHALL:populate-if-known | Creator (IPS) | | SHALL:handle | Consumer (IPS) |
| | | | | |
| Observation.subject.type | Σ This element is included in summaries. | 0..1 | uri | Type the reference refers to (e.g. "Patient")
Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | | | | | |
| Observation.subject.identifier | Σ This element is included in summaries. | 0..1 | Identifier | Logical reference, when literal reference is not known | | | | | |
 Observation.subject.display | Σ This element is included in summaries. | 0..1 | string | Text alternative for the resource | | | | | |
| Observation.focus | Σ This element is included in summaries. | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
| Σ This element is included in summaries. | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
| |
| Observation.encounter | Σ This element is included in summaries. | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | Σ This element is included in summaries. | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |
| Observation.effective[x] | SO This element has obligations and must be supported. Σ This element is included in summaries. | 1..1 | dateTime | Clinically relevant time/time-period for observation| Obligations | Actor | | SHALL:populate-if-known | Creator (IPS) | | SHALL:handle | Consumer (IPS) | | SHOULD:display | Consumer (IPS) |
| Σ This element is included in summaries. | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation | - Elements differ in definition for mustSupport: 'true' vs 'false'
- Element minimum cardinalities differ: '1' vs '0'
|
| Observation.issued | Σ This element is included in summaries. | 0..1 | instant | Date/Time this version was made available | S This element must be supported. Σ This element is included in summaries. | 0..1 | instant | Date/Time this observation was made available | - Elements differ in definition for mustSupport: 'false' vs 'true'
|
| Observation.performer | Σ This element is included in summaries. | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
| S This element must be supported. Σ This element is included in summaries. | 0..* | Reference(US Core Practitioner Profile S This type must be supported. | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) | Who is responsible for the observation
| - Elements differ in definition for mustSupport: 'false' vs 'true'
|
| Observation.Slices for value[x] | Σ This element is included in summaries. C | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result
Slice: Unordered, Open by type:$this | S This element must be supported. Σ This element is included in summaries. C | 0..1 | CodeableConcept | Actual result
Binding: ?? (required): Answer Set with Yes No and Unknowns | - Elements differ in definition for mustSupport: 'false' vs 'true'
|
| Observation.dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing
Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | C | 0..1 | CodeableConcept | Why the result is missing
Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | |
| Observation.interpretation | | 0..* | CodeableConcept | High, low, normal, etc.
Binding: ?? (extensible): Codes identifying interpretations of observations.
| | 0..* | CodeableConcept | High, low, normal, etc.
Binding: ?? (extensible): Codes identifying interpretations of observations.
| |
| Observation.note | | 0..* | Annotation | Comments about the observation
| | 0..* | Annotation | Comments about the observation
| |
| Observation.bodySite | | 0..1 | CodeableConcept | Observed body part
Binding: ?? (example): Codes describing anatomical locations. May include laterality. | | 0..1 | CodeableConcept | Observed body part
Binding: ?? (example): Codes describing anatomical locations. May include laterality. | |
| Observation.method | | 0..1 | CodeableConcept | How it was done
Binding: ?? (example): Methods for simple observations. | | 0..1 | CodeableConcept | How it was done
Binding: ?? (example): Methods for simple observations. | |
| Observation.specimen | | 0..1 | Reference(Specimen) | Specimen used for this observation | | 0..1 | Reference(Specimen) | Specimen used for this observation | |
| Observation.device | | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |
| Observation.referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation
| C | 0..* | BackboneElement | Provides guide for interpretation
| |
| Observation.referenceRange.id | | 0..1 | string | Unique id for inter-element referencing | | 0..1 | string | Unique id for inter-element referencing | |
| Observation.referenceRange.extension | | 0..* | Extension | Additional content defined by implementations
| | 0..* | Extension | Additional content defined by implementations
| |
| Observation.referenceRange.modifierExtension | ?! This element is a modifier element. Σ This element is included in summaries. | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
| ?! This element is a modifier element. Σ This element is included in summaries. | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
| |
| Observation.referenceRange.low | C | 0..1 | ?? | Low Range, if relevant | C | 0..1 | ?? | Low Range, if relevant | |
| Observation.referenceRange.high | C | 0..1 | ?? | High Range, if relevant | C | 0..1 | ?? | High Range, if relevant | |
| Observation.referenceRange.type | | 0..1 | CodeableConcept | Reference range qualifier
Binding: ?? (preferred): Code for the meaning of a reference range. | | 0..1 | CodeableConcept | Reference range qualifier
Binding: ?? (preferred): Code for the meaning of a reference range. | |
| Observation.referenceRange.appliesTo | | 0..* | CodeableConcept | Reference range population
Binding: ?? (example): Codes identifying the population the reference range applies to.
| | 0..* | CodeableConcept | Reference range population
Binding: ?? (example): Codes identifying the population the reference range applies to.
| |
| Observation.referenceRange.age | | 0..1 | Range | Applicable age range, if relevant | | 0..1 | Range | Applicable age range, if relevant | |
| Observation.referenceRange.text | | 0..1 | string | Text based reference range in an observation | | 0..1 | string | Text based reference range in an observation | |
| Observation.hasMember | Σ This element is included in summaries. | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
| Σ This element is included in summaries. | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
| |
| Observation.derivedFrom | Σ This element is included in summaries. | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
| Σ This element is included in summaries. | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
| |
| Observation.component | Σ This element is included in summaries. | 0..0 | | Component results
| Σ This element is included in summaries. | 0..* | BackboneElement | Component results
| - Element maximum cardinalities differ: '0' vs '2147483647'
|
 Observation.component.id | | 0..1 | string | Unique id for inter-element referencing | | 0..1 | string | Unique id for inter-element referencing | |
| Observation.component.extension | | 0..* | Extension | Additional content defined by implementations
| | 0..* | Extension | Additional content defined by implementations
| |
| Observation.component.modifierExtension | ?! This element is a modifier element. Σ This element is included in summaries. | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
| ?! This element is a modifier element. Σ This element is included in summaries. | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
| |
| Observation.component.code | Σ This element is included in summaries. | 1..1 | CodeableConcept | Type of component observation (code / type)
Binding: ?? (example): Codes identifying names of simple observations. | Σ This element is included in summaries. | 1..1 | CodeableConcept | Type of component observation (code / type)
Binding: ?? (example): Codes identifying names of simple observations. | |
| Observation.component.value[x] | Σ This element is included in summaries. | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | Σ This element is included in summaries. | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | |
| Observation.component.dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing
Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | C | 0..1 | CodeableConcept | Why the component result is missing
Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | |
| Observation.component.interpretation | | 0..* | CodeableConcept | High, low, normal, etc.
Binding: ?? (extensible): Codes identifying interpretations of observations.
| | 0..* | CodeableConcept | High, low, normal, etc.
Binding: ?? (extensible): Codes identifying interpretations of observations.
| |
 Observation.component.referenceRange | | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
| | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
| |
Documentation for this format |