Intersection of http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab and http://hl7.org/fhir/us/vitals/StructureDefinition/heart-rate

This is the set of resources that conform to both US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab) and Heart Rate (http://hl7.org/fhir/us/vitals/StructureDefinition/heart-rate).

Structure

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*		left: Measurements and simple assertions; right: FHIR Heart Rate Profile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
meta	SΣ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	left: Additional content defined by implementations; right: Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	Business Identifier for observation ele-1: All FHIR elements must have a @value or children
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order ele-1: All FHIR elements must have a @value or children
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
category	S	1..*	CodeableConcept	Classification of type of observation Binding: ?? (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	left: Laboratory Test Name; right: Heart rate Binding: ?? (extensible): left: Laboratory LOINC Codes; right: This identifies the vital sign result type. ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(US Core Patient Profile S | Group | Device | US Core Location Profile)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(US Core Encounter Profile)	left: Encounter associated with Observation; right: Healthcare event during which this observation is made ele-1: All FHIR elements must have a @value or children
effective[x]	SΣC	1..1		left: Clinically relevant time/time-period for observation; right: Often just a dateTime for Vital Signs ele-1: All FHIR elements must have a @value or children us-core-1: Datetime must be at least to day.
effectiveDateTime			dateTime S
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available ele-1: All FHIR elements must have a @value or children
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	0..1		left: Result Value; right: Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. ele-1: All FHIR elements must have a @value or children us-core-3: SHALL use UCUM for coded quantity units. us-core-4: SHOULD use Snomed CT for coded Results
valueQuantity			Quantity S
valueCodeableConcept			CodeableConcept S
valueString			string S
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	S	0..1	CodeableConcept	Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConcept	left: Result interpretation; right: High, low, normal, etc. Binding: ?? (extensible): Observation Interpretation Codes ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	Comments about the observation ele-1: All FHIR elements must have a @value or children
bodySite	S	0..1	CodeableConcept	Observed body part Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children
method	S	0..1	CodeableConcept	How it was done Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children
specimen	S	0..1	Reference(US Core Specimen Profile)	Specimen used for this observation ele-1: All FHIR elements must have a @value or children
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device ele-1: All FHIR elements must have a @value or children
referenceRange	SC	0..*	BackboneElement	left: Result reference range; right: Provides guide for interpretation ele-1: All FHIR elements must have a @value or children obs-3: Must have at least a low or a high or text us-core-22: SHALL use UCUM for coded quantity units.
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
low		0..1	??	Low Range, if relevant ele-1: All FHIR elements must have a @value or children
high		0..1	??	High Range, if relevant ele-1: All FHIR elements must have a @value or children
type		0..1	CodeableConcept	Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. ele-1: All FHIR elements must have a @value or children
appliesTo		0..*	CodeableConcept	Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. ele-1: All FHIR elements must have a @value or children
age		0..1	Range	Applicable age range, if relevant ele-1: All FHIR elements must have a @value or children
text		0..1	string	Text based reference range in an observation ele-1: All FHIR elements must have a @value or children
hasMember	Σ	0..*		left: Related resource that belongs to the Observation group; right: Used when reporting vital signs panel components ele-1: All FHIR elements must have a @value or children
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from ele-1: All FHIR elements must have a @value or children
component	SΣ	0..*	BackboneElement	left: Component results; right: Used when reporting systolic and diastolic blood pressure. ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: ?? (extensible): This identifies the vital sign result type. ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1		left: Actual component result; right: Vital Sign Value recorded with UCUM Binding: ?? (extensible): Common UCUM units for recording Vital Signs. ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	S	0..1	CodeableConcept	Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. ele-1: All FHIR elements must have a @value or children
referenceRange		0..*		Provides guide for interpretation of component result ele-1: All FHIR elements must have a @value or children
Documentation for this format