ADI Serious Advanced Condition - PACIO Advance Healthcare Directive Interoperability Implementation Guide v2.0.0

PACIO Advance Healthcare Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-adi/ and changes regularly. See the Directory of published versions

Resource Profile: ADI Serious Advanced Condition

Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-SeriousAdvancedCondition		Version: 2.0.0
Standards status: Trial-use	Maturity Level: 0	Computable Name: ADISeriousAdvancedCondition
Other Identifiers: OID:2.16.840.1.113883.4.642.40.68.42.58

This concept expresses the medical or serious advanced condition that makes the patient appropriate for a portable medical order (PMO).

Usages:

Refer to this Profile: ADI PMO Composition

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Description & Constraints Filter:

Observation C 0..* USCoreSimpleObservationProfile assessment observation
Constraints: obs-6, obs-7

Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final (extensions allowed)

Slices for category

1..*

CodeableConcept

Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: US Core Simple Observation Category (preferred): FHIR and US Core codes for high level observation categories.

Required Pattern:

{
  "coding" : [
    {
      "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-category",
      "code" : "PMO"
    }
  ]
}

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

category:us-core

0..*

CodeableConcept

𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core classification of type of observation
Binding: US Core Simple Observation Category (required): Note that other codes are permitted in other slices, see Required Bindings When Slicing by Value Sets

Additional Bindings

Purpose

US Core Screening Assessment Observation Category

Min Binding

code

1..1

CodeableConcept

Type of observation (code / type)
Binding: LOINCCodes (preferred)
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs",
      "code" : "serious-advanced-condition",
      "display" : "Serious advanced condition"
    }
  ]
}

Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(US Core Patient Profile This type must be supported. ) Who and/or what the observation is about

Observation.effective[x] This element must be supported. This element is included in summaries. 0..1 Clinically relevant time/time-period for observation

Observation.effective[x].effectiveDateTime dateTime This target must be supported.

Observation.effective[x].effectivePeriod Period

Observation.effective[x].effectiveTiming Timing

Observation.effective[x].effectiveInstant instant

Observation.performer This element must be supported. This element is included in summaries. 0..* Reference(US Core Practitioner Profile This type must be supported. | US Core PractitionerRole Profile) Who is responsible for the observation

Observation.Slices for value[x] This element must be supported. This element is included in summaries. C 0..1 Actual result
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Observation.Slices for value[x].valueCodeableConcept CodeableConcept This type must be supported.

Observation.Slices for value[x].valueString string This target must be supported.

Observation.Slices for value[x].value[x]:valueCodeableConcept This element must be supported. This element is included in summaries. C 0..1 CodeableConcept This type must be supported. Actual result
Binding: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns (extensible)

Observation.Slices for value[x].value[x]:valueString This element must be supported. This element is included in summaries. C 0..1 string This type must be supported. Description of the serious advanced condition.

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	US Core Simple Observation Category	📦9.0.0	US Core v9.0
Observation.category:us-core	Base	required	US Core Simple Observation Category	📦9.0.0	US Core v9.0
Observation.code	Base	preferred	LOINC Codes	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	extensible	http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().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()`

This structure is derived from USCoreSimpleObservationProfile

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation		0..*	USCoreSimpleObservationProfile	assessment observation
Observation.status		1..1	code	registered \| preliminary \| final \| amended + Required Pattern: final (extensions allowed)
Observation.category		1..*	CodeableConcept	Classification of type of observation Required Pattern: `{ "coding" : [ { "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-category", "code" : "PMO" } ] }`
Observation.code		1..1	CodeableConcept	Type of observation (code / type) Required Pattern: `{ "coding" : [ { "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs", "code" : "serious-advanced-condition", "display" : "Serious advanced condition" } ] }`
Observation.subject		1..1	Reference(US Core Patient Profile)	Who and/or what the observation is about
Observation.encounter		0..0		Healthcare event during which this observation is made
Observation.performer		0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile)	Who is responsible for the observation
Observation.Slices for value[x]		0..1		Actual result Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for value[x].valueString			string
Observation.Slices for value[x].value[x]:valueCodeableConcept	This element must be supported.	0..1	CodeableConcept This type must be supported.	Actual result Binding: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns (extensible)
Observation.Slices for value[x].value[x]:valueString	This element must be supported.	0..1	string This type must be supported.	Description of the serious advanced condition.
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.value[x]:valueCodeableConcept	Base	extensible	http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns	Not State	Unknown

Description & Constraints Filter:

Observation C 0..* USCoreSimpleObservationProfile assessment observation
Constraints: obs-6, obs-7

Observation.id This element is included in summaries. 0..1 id Logical id of this artifact

Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Observation.implicitRules This element is a modifier element. This element is included in summaries. 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.

Additional Bindings

Purpose

AllLanguages

Max Binding

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

Observation.contained 0..* Resource Contained, inline Resources

Observation.extension 0..* Extension Additional content defined by implementations

Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation

Slices for category

1..*

CodeableConcept

{
  "coding" : [
    {
      "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-category",
      "code" : "PMO"
    }
  ]
}

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

category:us-core

0..*

CodeableConcept

Additional Bindings

Purpose

US Core Screening Assessment Observation Category

Min Binding

code

1..1

CodeableConcept

Type of observation (code / type)
Binding: LOINCCodes (preferred)
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs",
      "code" : "serious-advanced-condition",
      "display" : "Serious advanced condition"
    }
  ]
}

Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record

Observation.effective[x] This element must be supported. This element is included in summaries. 0..1 Clinically relevant time/time-period for observation

Observation.effective[x].effectiveDateTime dateTime This target must be supported.

Observation.effective[x].effectivePeriod Period

Observation.effective[x].effectiveTiming Timing

Observation.effective[x].effectiveInstant instant

Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available

Observation.Slices for value[x].valueCodeableConcept CodeableConcept This type must be supported.

Observation.Slices for value[x].valueString string This target must be supported.

Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

Observation.note 0..* Annotation Comments about the observation

Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation

Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device

Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3

Observation.referenceRange.id 0..1 string Unique id for inter-element referencing

Observation.referenceRange.extension 0..* Extension Additional content defined by implementations

Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1

Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1

Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.

Observation.referenceRange.age 0..1 Range Applicable age range, if relevant

Observation.referenceRange.text 0..1 string Text based reference range in an observation

Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group

Observation.derivedFrom This element is included in summaries. 0..* Reference(Observation | US Core DocumentReference Profile | US Core QuestionnaireResponse Profile | ImagingStudy | Media | MolecularSequence) 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profiles or other resource the observation is made from

Observation.component This element is included in summaries. 0..* BackboneElement Component results

Observation.component.id 0..1 string Unique id for inter-element referencing

Observation.component.extension 0..* Extension Additional content defined by implementations

Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Observation.component.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

Observation.component.value[x] This element is included in summaries. 0..1 Actual component result

Observation.component.value[x].valueQuantity Quantity

Observation.component.value[x].valueCodeableConcept CodeableConcept

Observation.component.value[x].valueString string

Observation.component.value[x].valueBoolean boolean

Observation.component.value[x].valueInteger integer

Observation.component.value[x].valueRange Range

Observation.component.value[x].valueRatio Ratio

Observation.component.value[x].valueSampledData SampledData

Observation.component.value[x].valueTime time

Observation.component.value[x].valueDateTime dateTime

Observation.component.value[x].valuePeriod Period

Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

Observation.component.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	US Core Simple Observation Category	📦9.0.0	US Core v9.0
Observation.category:us-core	Base	required	US Core Simple Observation Category	📦9.0.0	US Core v9.0
Observation.code	Base	preferred	LOINC Codes	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	extensible	http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns	Not State	Unknown
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().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-3	error	Observation.referenceRange	Must have at least a low or a high or text	`low.exists() or high.exists() or text.exists()`
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	`dataAbsentReason.empty() or value.empty()`
obs-7	error	Observation	If Observation.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()`
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	`comparator.empty()`

This structure is derived from USCoreSimpleObservationProfile

Summary

Must-Support: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Observation.value[x]

Maturity: 0

Key Elements View

Description & Constraints Filter:

Observation C 0..* USCoreSimpleObservationProfile assessment observation
Constraints: obs-6, obs-7

Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Slices for category

1..*

CodeableConcept

{
  "coding" : [
    {
      "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-category",
      "code" : "PMO"
    }
  ]
}

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

category:us-core

0..*

CodeableConcept

Additional Bindings

Purpose

US Core Screening Assessment Observation Category

Min Binding

code

1..1

CodeableConcept

Type of observation (code / type)
Binding: LOINCCodes (preferred)
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs",
      "code" : "serious-advanced-condition",
      "display" : "Serious advanced condition"
    }
  ]
}

Observation.effective[x] This element must be supported. This element is included in summaries. 0..1 Clinically relevant time/time-period for observation

Observation.effective[x].effectiveDateTime dateTime This target must be supported.

Observation.effective[x].effectivePeriod Period

Observation.effective[x].effectiveTiming Timing

Observation.effective[x].effectiveInstant instant

Observation.Slices for value[x].valueCodeableConcept CodeableConcept This type must be supported.

Observation.Slices for value[x].valueString string This target must be supported.

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	US Core Simple Observation Category	📦9.0.0	US Core v9.0
Observation.category:us-core	Base	required	US Core Simple Observation Category	📦9.0.0	US Core v9.0
Observation.code	Base	preferred	LOINC Codes	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	extensible	http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().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()`

Differential View

This structure is derived from USCoreSimpleObservationProfile

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation		0..*	USCoreSimpleObservationProfile	assessment observation
Observation.status		1..1	code	registered \| preliminary \| final \| amended + Required Pattern: final (extensions allowed)
Observation.category		1..*	CodeableConcept	Classification of type of observation Required Pattern: `{ "coding" : [ { "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-category", "code" : "PMO" } ] }`
Observation.code		1..1	CodeableConcept	Type of observation (code / type) Required Pattern: `{ "coding" : [ { "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs", "code" : "serious-advanced-condition", "display" : "Serious advanced condition" } ] }`
Observation.subject		1..1	Reference(US Core Patient Profile)	Who and/or what the observation is about
Observation.encounter		0..0		Healthcare event during which this observation is made
Observation.performer		0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile)	Who is responsible for the observation
Observation.Slices for value[x]		0..1		Actual result Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for value[x].valueString			string
Observation.Slices for value[x].value[x]:valueCodeableConcept	This element must be supported.	0..1	CodeableConcept This type must be supported.	Actual result Binding: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns (extensible)
Observation.Slices for value[x].value[x]:valueString	This element must be supported.	0..1	string This type must be supported.	Description of the serious advanced condition.
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.value[x]:valueCodeableConcept	Base	extensible	http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns	Not State	Unknown

Snapshot View

Description & Constraints Filter:

Observation C 0..* USCoreSimpleObservationProfile assessment observation
Constraints: obs-6, obs-7

Observation.id This element is included in summaries. 0..1 id Logical id of this artifact

Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Observation.implicitRules This element is a modifier element. This element is included in summaries. 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.

Additional Bindings

Purpose

AllLanguages

Max Binding

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

Observation.contained 0..* Resource Contained, inline Resources

Observation.extension 0..* Extension Additional content defined by implementations

Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation

Slices for category

1..*

CodeableConcept

{
  "coding" : [
    {
      "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-category",
      "code" : "PMO"
    }
  ]
}

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

category:us-core

0..*

CodeableConcept

Additional Bindings

Purpose

US Core Screening Assessment Observation Category

Min Binding

code

1..1

CodeableConcept

Type of observation (code / type)
Binding: LOINCCodes (preferred)
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://hl7.org/fhir/us/pacio-adi/CodeSystem/adi-temp-cs",
      "code" : "serious-advanced-condition",
      "display" : "Serious advanced condition"
    }
  ]
}