This is the set of resources that conform to either of the profiles US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab) and Observation - Medical Information Data Quality (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-medical-information-data-quality). E.g. what you have to deal with if you get resources conforming to one of them
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | Measurements and simple assertions 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 |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
versionId | Σ | 0..1 | id | Version specific identifier ele-1: All FHIR elements must have a @value or children |
lastUpdated | SΣ | 0..1 | instant | When the resource last changed ele-1: All FHIR elements must have a @value or children |
source | Σ | 0..1 | uri | Identifies where the resource comes from ele-1: All FHIR elements must have a @value or children |
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to ele-1: All FHIR elements must have a @value or children |
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children |
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". 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. 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 | 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 | ?! | 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 | 0..* | 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: Medical Information Data Quality Observation Binding: ?? (extensible): left: Laboratory LOINC Codes; right: Codes identifying names of simple observations. 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(Encounter) | 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 | 0..1 | Clinically relevant time/time-period for observation 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 | SΣ | 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: Medical information data quality review conclusion. Binding: ?? (example) 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): left: Observation Interpretation Codes; right: Codes identifying interpretations of observations. ele-1: All FHIR elements must have a @value or children |
note | S | 0..* | Annotation | Comments about the observation ele-1: All FHIR elements must have a @value or children |
bodySite | 0..1 | CodeableConcept | Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality. ele-1: All FHIR elements must have a @value or children | |
method | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. ele-1: All FHIR elements must have a @value or children | |
specimen | S | 0..1 | Reference(Specimen) | 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..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group 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 | Σ | 0..* | BackboneElement | Component results 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 | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children |
value[x] | Σ | 0..1 | Actual component result 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 | 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 |