Personal Health Device Implementation Guide
2.0.0-ballot2 - STU 2 - Ballot International flag

Personal Health Device Implementation Guide, published by HL7 International / Health Care Devices. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/phd/ and changes regularly. See the Directory of published versions

Resource Profile: PhdCompoundNumericObservation

Official URL: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdCompoundNumericObservation Version: 2.0.0-ballot2
Standards status: Trial-use Maturity Level: 1 Computable Name: PhdCompoundNumericObservation

Observations coming from a PHD where the measurement is a set of numbers such as the x, y, and z components of an acceleration.

The Compound Numeric Observation Profile can be used when the PHD observation value is a vector or a set of related numeric concepts. Examples would be the x, y, and z components of the acceleration, the systolic, diastolic, and mean components of a blood pressure measurement, or the set of package positions and associated questions in the Advanced Medication Monitor.

IEEE 11073-10206 ACOM supports more generic compounds where the components can be numeric, codeable concepts, sample arrays or strings. This profile is kept for backwards compatibility with older IEEE 11073-20601-based implementations.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* PhdBaseObservation Measurements and simple assertions
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:GatewayDevice 1..1 (Complex) Gateway Device
URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"
..... value[x] 1..1 Reference(PhgDevice) Reference to the PHG Device
.... extension:CoincidentTimeStamp 0..1 Reference(PhdCoincidentTimeStampObservation) Coincident Timestamp Reference
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:conditionalCreate Σ 0..1 Identifier Unique identifier of this measurement for a given patient and device
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation
..... value Σ 1..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:PHD-Observation 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... coding Σ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: phd
... code ΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: MDC Non-Object codes (extensible)
Constraints: mdc-1
... subject Σ 1..1 Reference(Patient | PhdDevice) Reference to the patient or the PhdDevice that is the subject of the observation
... Slices for effective[x] Σ 1..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime Σ 0..1 dateTime Clinically relevant time/time-period for observation
.... effective[x]:effectivePeriod Σ 0..1 Period Clinically relevant time/time-period for observation
... device 1..1 Reference(PhdDevice) (Measurement) Device
.... reference ΣC 1..1 string Reference to the device responsible for the measurement
... Slices for component Σ 0..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
....... value Σ 0..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.
....... code Σ 0..1 code Coded form of the unit
.... component:supplementalTypesComponent Σ 0..* BackboneElement Supplemental Type: A further description of the measurement type.
..... 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.
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: urn:iso:std:iso:11073:10101
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68193
....... 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
...... coding Σ 1..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 68193
.... component:compound Σ 0..* BackboneElement Compound numeric measurement entry components
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:Accuracy 0..1 Quantity Numeric Accuracy
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy
...... extension:Confidence95 0..1 Range Confidence95
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95
...... extension:SimpleAlerting 0..1 (Complex) SimpleAlerting
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: MDC Non-Object codes (required)
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MdcType Σ 1..1 Coding The 11073-10101 MDC code for the measurement
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ code Σ 1..1 code Symbol in syntax defined by the system
...... text Σ 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... value Σ 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.
...... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
..... dataAbsentReason C 0..1 CodeableConcept Populated when the component reports a special FLOAT value
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
...... coding Σ 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.identifier:conditionalCreate.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:PHD-ObservationpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.codeextensibleMDCnotObject
http://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject
From this IG
Observation.component.codeexampleLOINCCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.component.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component:supplementalTypesComponent.codeexamplePattern Value: 68193
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.component:compound.coderequiredMDCnotObject
http://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject
From this IG
Observation.component:compound.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component:compound.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component:compound.dataAbsentReason.codingrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mdc-1warningObservation.codeA published MDC Code is preferred but private MDC codes are allowed as well.
: coding.exists() and coding.where(system = 'urn:iso:std:iso:11073:10101').exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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 PhdBaseObservation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* PhdBaseObservation Measurements and simple assertions
... value[x] 0..0
... component 0..* BackboneElement Component results
.... code
..... coding
...... system 0..1 uri Identity of the terminology system
...... code 0..1 code Symbol in syntax defined by the system
.... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
..... value[x]:valueQuantity 0..1 Quantity Actual component result
...... value 0..1 decimal Numerical value (with implicit precision)
...... code 0..1 code Coded form of the unit
... Slices for component Content/Rules for all slices
.... component:compound 0..* BackboneElement Compound numeric measurement entry components
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:Accuracy 0..1 Quantity Numeric Accuracy
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy
...... extension:Confidence95 0..1 Range Confidence95
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95
...... extension:SimpleAlerting 0..1 (Complex) SimpleAlerting
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting
..... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: MDC Non-Object codes (required)
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MdcType 1..1 Coding The 11073-10101 MDC code for the measurement
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ code 1..1 code Symbol in syntax defined by the system
...... text 0..1 string Plain text representation of the concept
..... value[x] 0..1 Quantity Actual component result
...... value 1..1 decimal Numerical value (with implicit precision)
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
..... dataAbsentReason 0..1 CodeableConcept Populated when the component reports a special FLOAT value
...... coding 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)
..... interpretation
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MsmtStatusInterpretation 1..1 Coding Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status
........ code 1..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.component:compound.coderequiredMDCnotObject
http://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject
From this IG
Observation.component:compound.dataAbsentReason.codingrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* PhdBaseObservation Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... Slices for security Σ 0..* Coding Security Labels applied to this resource
Slice: Unordered, Open by value:system, value:code
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
..... security:PhdHtest Σ 0..1 Coding Security value set to HTEST when measurement status indicates demo or test data
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: HTEST
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:GatewayDevice 1..1 (Complex) Gateway Device
URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"
..... value[x] 1..1 Reference(PhgDevice) Reference to the PHG Device
.... extension:CoincidentTimeStamp 0..1 Reference(PhdCoincidentTimeStampObservation) Coincident Timestamp Reference
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:conditionalCreate Σ 0..1 Identifier Unique identifier of this measurement for a given patient and device
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... 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 ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:PHD-Observation 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: phd
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... code ΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: MDC Non-Object codes (extensible)
Constraints: mdc-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient | PhdDevice) Reference to the patient or the PhdDevice that is the subject of the observation
... focus Σ 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
... Slices for effective[x] Σ 1..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime Σ 0..1 dateTime Clinically relevant time/time-period for observation
.... effective[x]:effectivePeriod Σ 0..1 Period Clinically relevant time/time-period for observation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... 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 This element is populated when the Measurement Status indicates invalid, not available or measurement-ongoing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)
.... text Σ 0..1 string Plain text representation of the concept
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:MsmtStatusInterpretation Σ 1..1 Coding Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 1..1 Reference(PhdDevice) (Measurement) Device
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Reference to the device responsible for the measurement
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... 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(PhdBaseObservation) Other PHD Observations that are part of this group observation.
... derivedFrom Σ 0..* Reference(PhdBaseObservation) A source the measurement data is derived from.
... Slices for component Σ 0..* BackboneElement Component results
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.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity Σ 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 Σ 0..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 Σ 0..1 string Unit representation
....... system ΣC 0..1 uri System that defines coded unit form
....... code Σ 0..1 code Coded form of the unit
..... 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:supplementalTypesComponent Σ 0..* BackboneElement Supplemental Type: A further description of the measurement type.
..... 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.
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: urn:iso:std:iso:11073:10101
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68193
....... 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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 68193
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept 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
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... 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:compound Σ 0..* BackboneElement Compound numeric measurement entry components
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:Accuracy 0..1 Quantity Numeric Accuracy
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy
...... extension:Confidence95 0..1 Range Confidence95
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95
...... extension:SimpleAlerting 0..1 (Complex) SimpleAlerting
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: MDC Non-Object codes (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MdcType Σ 1..1 Coding The 11073-10101 MDC code for the measurement
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... value[x] Σ 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 Σ 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 Σ 0..1 string Unit representation
...... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
..... dataAbsentReason C 0..1 CodeableConcept Populated when the component reports a special FLOAT value
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)
...... text Σ 0..1 string Plain text representation of the concept
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MsmtStatusInterpretation Σ 1..1 Coding Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
Observation.meta.security:PhdHtestextensibleFixed Value: HTEST
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
Observation.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
From the FHIR Standard
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Observation.identifier:conditionalCreate.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:PHD-ObservationpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.codeextensibleMDCnotObject
http://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject
From this IG
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.dataAbsentReason.codingrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
From the FHIR Standard
Observation.device.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
From the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
From the FHIR Standard
Observation.component.codeexampleLOINCCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.component.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.component:supplementalTypesComponent.codeexamplePattern Value: 68193
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.component:supplementalTypesComponent.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.component:compound.coderequiredMDCnotObject
http://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject
From this IG
Observation.component:compound.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component:compound.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component:compound.dataAbsentReason.codingrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component:compound.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mdc-1warningObservation.codeA published MDC Code is preferred but private MDC codes are allowed as well.
: coding.exists() and coding.where(system = 'urn:iso:std:iso:11073:10101').exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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 PhdBaseObservation

Summary

Mandatory: 0 element(11 nested mandatory elements)
Fixed: 3 elements
Prohibited: 1 element

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component.value[x]
  • The element 1 is sliced based on the value of Observation.component.code.coding
  • The element 1 is sliced based on the value of Observation.component.interpretation.coding

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* PhdBaseObservation Measurements and simple assertions
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:GatewayDevice 1..1 (Complex) Gateway Device
URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"
..... value[x] 1..1 Reference(PhgDevice) Reference to the PHG Device
.... extension:CoincidentTimeStamp 0..1 Reference(PhdCoincidentTimeStampObservation) Coincident Timestamp Reference
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:conditionalCreate Σ 0..1 Identifier Unique identifier of this measurement for a given patient and device
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation
..... value Σ 1..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:PHD-Observation 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... coding Σ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: phd
... code ΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: MDC Non-Object codes (extensible)
Constraints: mdc-1
... subject Σ 1..1 Reference(Patient | PhdDevice) Reference to the patient or the PhdDevice that is the subject of the observation
... Slices for effective[x] Σ 1..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime Σ 0..1 dateTime Clinically relevant time/time-period for observation
.... effective[x]:effectivePeriod Σ 0..1 Period Clinically relevant time/time-period for observation
... device 1..1 Reference(PhdDevice) (Measurement) Device
.... reference ΣC 1..1 string Reference to the device responsible for the measurement
... Slices for component Σ 0..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
....... value Σ 0..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.
....... code Σ 0..1 code Coded form of the unit
.... component:supplementalTypesComponent Σ 0..* BackboneElement Supplemental Type: A further description of the measurement type.
..... 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.
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: urn:iso:std:iso:11073:10101
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68193
....... 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
...... coding Σ 1..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 68193
.... component:compound Σ 0..* BackboneElement Compound numeric measurement entry components
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:Accuracy 0..1 Quantity Numeric Accuracy
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy
...... extension:Confidence95 0..1 Range Confidence95
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95
...... extension:SimpleAlerting 0..1 (Complex) SimpleAlerting
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: MDC Non-Object codes (required)
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MdcType Σ 1..1 Coding The 11073-10101 MDC code for the measurement
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ code Σ 1..1 code Symbol in syntax defined by the system
...... text Σ 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... value Σ 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.
...... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
..... dataAbsentReason C 0..1 CodeableConcept Populated when the component reports a special FLOAT value
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
...... coding Σ 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.identifier:conditionalCreate.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:PHD-ObservationpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.codeextensibleMDCnotObject
http://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject
From this IG
Observation.component.codeexampleLOINCCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.component.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component:supplementalTypesComponent.codeexamplePattern Value: 68193
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.component:compound.coderequiredMDCnotObject
http://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject
From this IG
Observation.component:compound.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component:compound.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component:compound.dataAbsentReason.codingrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mdc-1warningObservation.codeA published MDC Code is preferred but private MDC codes are allowed as well.
: coding.exists() and coding.where(system = 'urn:iso:std:iso:11073:10101').exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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 PhdBaseObservation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* PhdBaseObservation Measurements and simple assertions
... value[x] 0..0
... component 0..* BackboneElement Component results
.... code
..... coding
...... system 0..1 uri Identity of the terminology system
...... code 0..1 code Symbol in syntax defined by the system
.... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
..... value[x]:valueQuantity 0..1 Quantity Actual component result
...... value 0..1 decimal Numerical value (with implicit precision)
...... code 0..1 code Coded form of the unit
... Slices for component Content/Rules for all slices
.... component:compound 0..* BackboneElement Compound numeric measurement entry components
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:Accuracy 0..1 Quantity Numeric Accuracy
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy
...... extension:Confidence95 0..1 Range Confidence95
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95
...... extension:SimpleAlerting 0..1 (Complex) SimpleAlerting
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting
..... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: MDC Non-Object codes (required)
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MdcType 1..1 Coding The 11073-10101 MDC code for the measurement
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ code 1..1 code Symbol in syntax defined by the system
...... text 0..1 string Plain text representation of the concept
..... value[x] 0..1 Quantity Actual component result
...... value 1..1 decimal Numerical value (with implicit precision)
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
..... dataAbsentReason 0..1 CodeableConcept Populated when the component reports a special FLOAT value
...... coding 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)
..... interpretation
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MsmtStatusInterpretation 1..1 Coding Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status
........ code 1..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.component:compound.coderequiredMDCnotObject
http://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject
From this IG
Observation.component:compound.dataAbsentReason.codingrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* PhdBaseObservation Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... Slices for security Σ 0..* Coding Security Labels applied to this resource
Slice: Unordered, Open by value:system, value:code
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
..... security:PhdHtest Σ 0..1 Coding Security value set to HTEST when measurement status indicates demo or test data
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: HTEST
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:GatewayDevice 1..1 (Complex) Gateway Device
URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"
..... value[x] 1..1 Reference(PhgDevice) Reference to the PHG Device
.... extension:CoincidentTimeStamp 0..1 Reference(PhdCoincidentTimeStampObservation) Coincident Timestamp Reference
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:conditionalCreate Σ 0..1 Identifier Unique identifier of this measurement for a given patient and device
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... 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 ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:PHD-Observation 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: phd
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... code ΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: MDC Non-Object codes (extensible)
Constraints: mdc-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient | PhdDevice) Reference to the patient or the PhdDevice that is the subject of the observation
... focus Σ 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
... Slices for effective[x] Σ 1..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime Σ 0..1 dateTime Clinically relevant time/time-period for observation
.... effective[x]:effectivePeriod Σ 0..1 Period Clinically relevant time/time-period for observation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... 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 This element is populated when the Measurement Status indicates invalid, not available or measurement-ongoing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)
.... text Σ 0..1 string Plain text representation of the concept
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:MsmtStatusInterpretation Σ 1..1 Coding Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 1..1 Reference(PhdDevice) (Measurement) Device
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Reference to the device responsible for the measurement
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... 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(PhdBaseObservation) Other PHD Observations that are part of this group observation.
... derivedFrom Σ 0..* Reference(PhdBaseObservation) A source the measurement data is derived from.
... Slices for component Σ 0..* BackboneElement Component results
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.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity Σ 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 Σ 0..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 Σ 0..1 string Unit representation
....... system ΣC 0..1 uri System that defines coded unit form
....... code Σ 0..1 code Coded form of the unit
..... 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:supplementalTypesComponent Σ 0..* BackboneElement Supplemental Type: A further description of the measurement type.
..... 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.
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: urn:iso:std:iso:11073:10101
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68193
....... 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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 68193
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept 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
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... 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:compound Σ 0..* BackboneElement Compound numeric measurement entry components
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:Accuracy 0..1 Quantity Numeric Accuracy
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy
...... extension:Confidence95 0..1 Range Confidence95
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95
...... extension:SimpleAlerting 0..1 (Complex) SimpleAlerting
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: MDC Non-Object codes (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MdcType Σ 1..1 Coding The 11073-10101 MDC code for the measurement
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... value[x] Σ 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 Σ 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 Σ 0..1 string Unit representation
...... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
..... dataAbsentReason C 0..1 CodeableConcept Populated when the component reports a special FLOAT value
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)
...... text Σ 0..1 string Plain text representation of the concept
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:MsmtStatusInterpretation Σ 1..1 Coding Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
Observation.meta.security:PhdHtestextensibleFixed Value: HTEST
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
Observation.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
From the FHIR Standard
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Observation.identifier:conditionalCreate.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:PHD-ObservationpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.codeextensibleMDCnotObject
http://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject
From this IG
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.dataAbsentReason.codingrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
From the FHIR Standard
Observation.device.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
From the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
From the FHIR Standard
Observation.component.codeexampleLOINCCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.component.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.component:supplementalTypesComponent.codeexamplePattern Value: 68193
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.component:supplementalTypesComponent.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.component:compound.coderequiredMDCnotObject
http://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject
From this IG
Observation.component:compound.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.component:compound.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component:compound.dataAbsentReason.codingrequiredDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component:compound.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mdc-1warningObservation.codeA published MDC Code is preferred but private MDC codes are allowed as well.
: coding.exists() and coding.where(system = 'urn:iso:std:iso:11073:10101').exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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 PhdBaseObservation

Summary

Mandatory: 0 element(11 nested mandatory elements)
Fixed: 3 elements
Prohibited: 1 element

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component.value[x]
  • The element 1 is sliced based on the value of Observation.component.code.coding
  • The element 1 is sliced based on the value of Observation.component.interpretation.coding

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron

Notes:

A compound numeric observation reports a measurement value that is described by a set of multiple numbers such as the x, y, and z components of an acceleration. It is NOT used to report an array of measurements but only where the quantity being measured requires more than one number to describe it. Each individual entry of the compound value is reported in an Observation.component element. The encoding of each entry should indicate both precision and the number of significant figures. The Observation.component.valueQuantity.value element is required to honor the reported precision as indicated by the encoding. See the section FLOATs and SFLOATs for instructions on handling IEEE 11073 FLOATs and their encoding to the valueQuantity.

In IEEE 11073-20601 the Observation.component.code –element is obtained from the Metric-Id-List attribute unless the measurement reported is a Compound-Nu-Observed-Value attribute. In that case the attribute itself has the metric type for each entry and that is used instead of the Metric-Id-List entries. The order of the entries in the Metric-Id-List are one-to-one with the order of the compound attribute entries. For example, if the Metric-Id-List in the Blood Pressure measurement has MDC codes for 'systolic", "diastolic" and "mean" in that order, the quantities in the compound attribute are the systolic, diastolic, and mean values, respectively.

The Observation.code element comes from the Type attribute and gives the general type of measurement. For example, the Type attribute might indicate "acceleration" or "non-invasive blood pressure". There is no Observation.value[x] entry. There may still be an Observation.dataAbsentReason element if, say, the Measurement-Status attribute indicates an invalid or otherwise overall failure value. If there is such an overall failure of the measurement, then there is no need to report the components.

The structure definition is given here

Additional Numerical Measurement Information

IEEE 11073-20601 numeric measurement values may have some additional optional attributes that are used only for numerics. An example of such a numeric-only additional attribute is one that describes the accuracy of the measurement value.

In FHIR these attributes are reported in extensions. The same extensions that are used as for non-compound numeric measurements can be used for the numeric components.