CardX Hypertension Management Use Case
0.1.0 - ci-build
CardX Hypertension Management Use Case
0.1.0 - ci-build
CardX Hypertension Management Use Case, published by Clinical Interoperability Council. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/HL7/cardx-ig/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/blood-pressure-panel | Version: 0.1.0 | |||
| Draft as of 2023-08-03 | Computable Name: BloodPressurePanel | |||
Blood Pressure Panel; a grouping of systolic and diastolic blood pressure components.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 0..* | Observation | Measurements and simple assertions | |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
  bodyPosition | S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
   value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible) | |
| sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible) |
| exerciseAssociation | S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase value set (extensible) |
| MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible) |
| status | S | 1..1 | code | registered | preliminary | final | amended + |
| code | 1..1 | CodeableConcept | Blood pressure panel with all children optional 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://loinc.org | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | |
 subject | S | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] | S | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation |
| value[x] | 0..0 | |||
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place |
| method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure |
| specimen | 0..0 | |||
| device | S | 0..1 | Reference(Device | DeviceMetric) | Blood Pressure Device |
 Slices for component | S | 2..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code |
 component:SystolicBP | 1..1 | BackboneElement | Systolic Blood Pressure | |
  code | S | 1..1 | CodeableConcept | Systolic blood pressure 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |
  value[x] | S | 0..1 | Quantity | Actual component result |
| value | S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit | S | 1..1 | string | Unit representation |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
 component:DiastolicBP | 1..1 | BackboneElement | Diastolic Blood Pressure | |
| code | S | 1..1 | CodeableConcept | Diastolic blood pressure 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |
| value[x] | S | 0..1 | Quantity | Actual component result |
| value | S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit | S | 1..1 | string | Unit representation |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.extension:bodyPosition.value[x] | extensible | BodyPositionvalueset |
| Observation.interpretation | extensible | NumericResultInterpretationNom |
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated |
| Observation.method | extensible | BloodPressureMeasurementMethodvalueset |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | Measurements and simple assertions |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| bodyPosition | S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
 extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible) | |
| sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible) |
| exerciseAssociation | S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase value set (extensible) |
| MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible) |
 modifierExtension | ?! | 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 | Σ | 1..1 | CodeableConcept | Blood pressure panel with all children optional Binding: LOINCCodes (example): Codes identifying names of simple observations. 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | |
| subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
 effective[x] | SΣ | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| effectiveTiming | Timing | |||
| effectiveInstant | instant | |||
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place |
| method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure |
| device | S | 0..1 | Reference(Device | DeviceMetric) | Blood Pressure Device |
| Slices for component | SΣ | 2..* | BackboneElement | Blood pressure 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 | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| component:SystolicBP | Σ | 1..1 | BackboneElement | Systolic Blood Pressure |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 1..1 | CodeableConcept | Systolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |
| value[x] | SΣ | 0..1 | Quantity | Actual component result |
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit | SΣ | 1..1 | string | Unit representation |
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| component:DiastolicBP | Σ | 1..1 | BackboneElement | Diastolic Blood Pressure |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 1..1 | CodeableConcept | Diastolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |
| value[x] | SΣ | 0..1 | Quantity | Actual component result |
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit | SΣ | 1..1 | string | Unit representation |
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.extension:bodyPosition.value[x] | extensible | BodyPositionvalueset |
| Observation.status | required | ObservationStatus |
| Observation.code | example | Pattern: LOINC code 85354-9 |
| Observation.interpretation | extensible | NumericResultInterpretationNom |
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated |
| Observation.method | extensible | BloodPressureMeasurementMethodvalueset |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component:SystolicBP.code | example | Pattern: LOINC code 8480-6 |
| Observation.component:SystolicBP.value[x].comparator | required | QuantityComparator |
| Observation.component:DiastolicBP.code | example | Pattern: LOINC code 8462-4 |
| Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparator |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | Observation | Measurements and simple assertions | ||||
| 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: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| bodyPosition | S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |||||
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible) | |||||
| sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible) | ||||
| exerciseAssociation | S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase value set (extensible) | ||||
| MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible) | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | 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 | Σ | 1..1 | CodeableConcept | Blood pressure panel with all children optional 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://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | |||||
| 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) | Who and/or what the observation is about | ||||
| focus | ΣTU | 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 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| 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 | ||||
| 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..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |||||
| note | 0..* | Annotation | Comments about the observation | |||||
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place | ||||
| method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure | ||||
| device | S | 0..1 | Reference(Device | DeviceMetric) | Blood Pressure Device | ||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
| 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 | Low Range, if relevant | ||||
| high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age | 0..1 | Range | Applicable age range, if relevant | |||||
| text | 0..1 | string | Text based reference range in an observation | |||||
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| Slices for component | SΣ | 2..* | BackboneElement | Blood pressure 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 | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] | Σ | 0..1 | Actual component result | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:SystolicBP | Σ | 1..1 | BackboneElement | Systolic Blood Pressure | ||||
| 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 | SΣ | 1..1 | CodeableConcept | Systolic blood pressure 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://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |||||
| 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 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | SΣ | 1..1 | string | Unit representation | ||||
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:DiastolicBP | Σ | 1..1 | BackboneElement | Diastolic Blood Pressure | ||||
| 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 | SΣ | 1..1 | CodeableConcept | Diastolic blood pressure 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://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |||||
| 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 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | SΣ | 1..1 | string | Unit representation | ||||
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.extension:bodyPosition.value[x] | extensible | BodyPositionvalueset | ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | example | Pattern: LOINC code 85354-9 | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | NumericResultInterpretationNom | ||||
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated | ||||
| Observation.method | extensible | BloodPressureMeasurementMethodvalueset | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:SystolicBP.code | example | Pattern: LOINC code 8480-6 | ||||
| Observation.component:SystolicBP.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:SystolicBP.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:DiastolicBP.code | example | Pattern: LOINC code 8462-4 | ||||
| Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:DiastolicBP.interpretation | extensible | ObservationInterpretationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
This structure is derived from Observation
Summary
Mandatory: 4 elements (8 nested mandatory elements)
Must-Support: 23 elements
Fixed Value: 4 elements
Prohibited: 2 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 0..* | Observation | Measurements and simple assertions | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| bodyPosition | S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible) | |
| sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible) |
| exerciseAssociation | S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase value set (extensible) |
| MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible) |
| status | S | 1..1 | code | registered | preliminary | final | amended + |
| code | 1..1 | CodeableConcept | Blood pressure panel with all children optional 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | |
| subject | S | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] | S | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation |
| value[x] | 0..0 | |||
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place |
| method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure |
| specimen | 0..0 | |||
| device | S | 0..1 | Reference(Device | DeviceMetric) | Blood Pressure Device |
| Slices for component | S | 2..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code |
| component:SystolicBP | 1..1 | BackboneElement | Systolic Blood Pressure | |
| code | S | 1..1 | CodeableConcept | Systolic blood pressure 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |
| value[x] | S | 0..1 | Quantity | Actual component result |
| value | S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit | S | 1..1 | string | Unit representation |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| component:DiastolicBP | 1..1 | BackboneElement | Diastolic Blood Pressure | |
| code | S | 1..1 | CodeableConcept | Diastolic blood pressure 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |
| value[x] | S | 0..1 | Quantity | Actual component result |
| value | S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit | S | 1..1 | string | Unit representation |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.extension:bodyPosition.value[x] | extensible | BodyPositionvalueset |
| Observation.interpretation | extensible | NumericResultInterpretationNom |
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated |
| Observation.method | extensible | BloodPressureMeasurementMethodvalueset |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | Measurements and simple assertions |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| bodyPosition | S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible) | |
| sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible) |
| exerciseAssociation | S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase value set (extensible) |
| MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible) |
| modifierExtension | ?! | 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 | Σ | 1..1 | CodeableConcept | Blood pressure panel with all children optional Binding: LOINCCodes (example): Codes identifying names of simple observations. 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | |
| subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] | SΣ | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| effectiveTiming | Timing | |||
| effectiveInstant | instant | |||
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place |
| method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure |
| device | S | 0..1 | Reference(Device | DeviceMetric) | Blood Pressure Device |
| Slices for component | SΣ | 2..* | BackboneElement | Blood pressure 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 | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| component:SystolicBP | Σ | 1..1 | BackboneElement | Systolic Blood Pressure |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 1..1 | CodeableConcept | Systolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |
| value[x] | SΣ | 0..1 | Quantity | Actual component result |
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit | SΣ | 1..1 | string | Unit representation |
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| component:DiastolicBP | Σ | 1..1 | BackboneElement | Diastolic Blood Pressure |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 1..1 | CodeableConcept | Diastolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |
| value[x] | SΣ | 0..1 | Quantity | Actual component result |
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit | SΣ | 1..1 | string | Unit representation |
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.extension:bodyPosition.value[x] | extensible | BodyPositionvalueset |
| Observation.status | required | ObservationStatus |
| Observation.code | example | Pattern: LOINC code 85354-9 |
| Observation.interpretation | extensible | NumericResultInterpretationNom |
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated |
| Observation.method | extensible | BloodPressureMeasurementMethodvalueset |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component:SystolicBP.code | example | Pattern: LOINC code 8480-6 |
| Observation.component:SystolicBP.value[x].comparator | required | QuantityComparator |
| Observation.component:DiastolicBP.code | example | Pattern: LOINC code 8462-4 |
| Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparator |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | Observation | Measurements and simple assertions | ||||
| 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: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| bodyPosition | S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |||||
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible) | |||||
| sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible) | ||||
| exerciseAssociation | S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase value set (extensible) | ||||
| MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/cardx-htn/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible) | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | 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 | Σ | 1..1 | CodeableConcept | Blood pressure panel with all children optional 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://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | |||||
| 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) | Who and/or what the observation is about | ||||
| focus | ΣTU | 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 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| 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 | ||||
| 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..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |||||
| note | 0..* | Annotation | Comments about the observation | |||||
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place | ||||
| method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure | ||||
| device | S | 0..1 | Reference(Device | DeviceMetric) | Blood Pressure Device | ||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
| 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 | Low Range, if relevant | ||||
| high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age | 0..1 | Range | Applicable age range, if relevant | |||||
| text | 0..1 | string | Text based reference range in an observation | |||||
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| Slices for component | SΣ | 2..* | BackboneElement | Blood pressure 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 | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] | Σ | 0..1 | Actual component result | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:SystolicBP | Σ | 1..1 | BackboneElement | Systolic Blood Pressure | ||||
| 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 | SΣ | 1..1 | CodeableConcept | Systolic blood pressure 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://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |||||
| 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 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | SΣ | 1..1 | string | Unit representation | ||||
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:DiastolicBP | Σ | 1..1 | BackboneElement | Diastolic Blood Pressure | ||||
| 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 | SΣ | 1..1 | CodeableConcept | Diastolic blood pressure 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://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |||||
| 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 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | SΣ | 1..1 | string | Unit representation | ||||
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code | SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.extension:bodyPosition.value[x] | extensible | BodyPositionvalueset | ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | example | Pattern: LOINC code 85354-9 | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | NumericResultInterpretationNom | ||||
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated | ||||
| Observation.method | extensible | BloodPressureMeasurementMethodvalueset | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:SystolicBP.code | example | Pattern: LOINC code 8480-6 | ||||
| Observation.component:SystolicBP.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:SystolicBP.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:DiastolicBP.code | example | Pattern: LOINC code 8462-4 | ||||
| Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:DiastolicBP.interpretation | extensible | ObservationInterpretationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
This structure is derived from Observation
Summary
Mandatory: 4 elements (8 nested mandatory elements)
Must-Support: 23 elements
Fixed Value: 4 elements
Prohibited: 2 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ Clinical Interoperability Council. Package hl7.fhir.us.cardx-htn#0.1.0 based on FHIR 4.0.1. Generated 2023-08-03
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