Union of http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab and http://hl7.org/fhir/us/pacio-cs/StructureDefinition/pacio-cs

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 PACIO Cognitive Status (http://hl7.org/fhir/us/pacio-cs/StructureDefinition/pacio-cs). E.g. what you have to deal with if you get resources conforming to one of them

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*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 SΣ0..1MetaMetadata about the resource
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional 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 Σ0..1idVersion specific identifier
ele-1: All FHIR elements must have a @value or children
.... lastUpdated SΣ0..1instantWhen the resource last changed
ele-1: All FHIR elements must have a @value or children
.... source Σ0..1uriIdentifies where the resource comes from
ele-1: All FHIR elements must have a @value or children
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
ele-1: All FHIR elements must have a @value or children
.... security Σ0..*CodingSecurity 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 Σ0..*CodingTags 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 ?!Σ0..1uriA set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.


ele-1: All FHIR elements must have a @value or children
... text 0..1NarrativeText summary of the resource, for human interpretation
ele-1: All FHIR elements must have a @value or children
... contained 0..*ResourceContained, inline Resources
... extension 0..*Extensionleft: 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..*ExtensionExtensions 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 Σ0..*IdentifierBusiness Identifier for observation
ele-1: All FHIR elements must have a @value or children
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)left: Fulfills plan, proposal or order; right: Currently not used in CognitiveStatus.
ele-1: All FHIR elements must have a @value or children
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)left: Part of referenced event; right: Currently not used in CognitiveStatus.
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ1..1codeleft: registered | preliminary | final | amended +; right: Should have the value 'final' when the observation is complete and there are no further actions needed. Otherwise, another value from the value set may appropriately be used.
Binding: ?? (required): Codes providing the status of an observation.


ele-1: All FHIR elements must have a @value or children
... category S1..*CodeableConceptleft: Classification of type of observation; right: A second category code may be used along with the code “functioning”. For example, for assessment tool/survey instrument observations use “survey” as a second code.
Binding: ?? (preferred): Codes for high level observation categories.


ele-1: All FHIR elements must have a @value or children
... code SΣ1..1CodeableConceptleft: Laboratory Test Name; right: For a Post-Acute Care Assessment, should include a LOINC code and text for the question or concept name.
Binding: ?? (extensible): Laboratory LOINC Codes


ele-1: All FHIR elements must have a @value or children
... subject SΣ1..1Reference(US Core Patient Profile S | Group | Device | US Core Location Profile)left: Who and/or what the observation is about; right: Should only reference a Patient resource.
ele-1: All FHIR elements must have a @value or children
... focus Σ0..*Reference(Resource)left: What the observation is about, when it is not about the subject of record; right: Currently not used in CognitiveStatus.
ele-1: All FHIR elements must have a @value or children
... encounter SΣ0..1Reference(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] SΣC0..1Clinically 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.
.... effectiveDateTimedateTime S
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued Σ0..1instantleft: Date/Time this version was made available; right: Currently not used in CognitiveStatus.
ele-1: All FHIR elements must have a @value or children
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)left: Who is responsible for the observation; right: The person who performed the assessment. The preferred way to specify the performer is to use the PractitionerRole resource to provide both the practitioner and organization.
ele-1: All FHIR elements must have a @value or children
... value[x] SΣC0..1left: Result Value; right: Whenever possible should use the CodeableConcept datatype to provide a suitable code to define the concept for the observation data. As for values like an assessment score or roll-up value, the datatype for this element should be determined by Observation.code. However, for values that are ordinal, may use the CodeableConcept datatype along with the Ordinal Value Extension.
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
.... valueQuantityQuantity S
.... valueCodeableConceptCodeableConcept S
.... valueStringstring S
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason S0..1CodeableConceptWhy 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 S0..*CodeableConceptleft: Result interpretation; right: Currently not used in CognitiveStatus.
Binding: ?? (extensible): left: Observation Interpretation Codes; right: Codes identifying interpretations of observations.


ele-1: All FHIR elements must have a @value or children
... note 0..*AnnotationComments about the observation
ele-1: All FHIR elements must have a @value or children
... bodySite 0..1CodeableConceptleft: Observed body part; right: Currently not used in CognitiveStatus.
Binding: ?? (example): Codes describing anatomical locations. May include laterality.


ele-1: All FHIR elements must have a @value or children
... method 0..1CodeableConceptleft: How it was done; right: Currently not used in CognitiveStatus.
Binding: ?? (example): Methods for simple observations.


ele-1: All FHIR elements must have a @value or children
... specimen S0..1Reference(Specimen)left: Specimen used for this observation; right: Currently not used in CognitiveStatus.
ele-1: All FHIR elements must have a @value or children
... device 0..1Reference(Device | DeviceMetric)left: (Measurement) Device; right: Currently not used in CognitiveStatus.
ele-1: All FHIR elements must have a @value or children
... referenceRange SC0..*BackboneElementleft: Result reference range; right: Currently not used in CognitiveStatus.
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..*ExtensionAdditional 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 ?!Σ0..*ExtensionExtensions 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..1CodeableConceptReference 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..*CodeableConceptReference 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..1RangeApplicable age range, if relevant
ele-1: All FHIR elements must have a @value or children
.... text 0..1stringText based reference range in an observation
ele-1: All FHIR elements must have a @value or children
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)left: Related resource that belongs to the Observation group; right: Currently not used in CognitiveStatus.
ele-1: All FHIR elements must have a @value or children
... derivedFrom SΣ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence), Reference(SDC Questionnaire Response)left: Related measurements the observation is made from; right: Should point back to the SDC QuestionnaireResponse that this resource is derived from.
ele-1: All FHIR elements must have a @value or children
... component Σ0..*BackboneElementleft: Component results; right: Currently not used in CognitiveStatus.
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional 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 ?!Σ0..*ExtensionExtensions 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 Σ1..1CodeableConceptType 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] Σ0..1Actual component result
ele-1: All FHIR elements must have a @value or children
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason 0..1CodeableConceptWhy 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..*CodeableConceptHigh, 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

doco Documentation for this format