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
Official URL: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation | Version: 2.0.0-ballot2 | |||
Standards status: Trial-use | Maturity Level: 1 | Computable Name: PhdNumericObservation |
Observations from a PHD where the measurement is number
The Numeric Observation Profile is used when the PHD measurement reports a quantity. Examples are weight, body temperature, glucose concentration, pulse rate, oxygen saturation, steps take, calories burned, etc.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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C | 0..* | PhdBaseObservation | Simple Numeric measurement Constraints: obs-6, obs-7 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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1..* | Extension | Extension Slice: Unordered, Open by value:url | |
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1..1 | (Complex) | Gateway Device URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice" | |
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1..1 | Reference(PhgDevice) | Reference to the PHG Device | |
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0..1 | Reference(PhdCoincidentTimeStampObservation) | Coincident Timestamp Reference URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference | |
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0..1 | (Complex) | Numeric Accuracy URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy" | |
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1..1 | Quantity | Value of extension | |
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Σ | 0..1 | decimal | Numerical value (with implicit precision) |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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0..1 | Range | Confidence95 URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95 | |
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0..1 | (Complex) | SimpleAlerting URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting | |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:system |
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Σ | 0..1 | Identifier | Unique identifier of this measurement for a given patient and device |
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
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Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation |
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Σ | 1..1 | string | The value that is unique Example General: 123456 |
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?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
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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. | |
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1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
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Σ | 1..* | Coding | Code defined by a terminology system |
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories |
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: phd |
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ΣC | 1..1 | CodeableConcept | Type of observation (code / type) Binding: MDC Non-Object codes (extensible) Constraints: mdc-1 |
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Σ | 1..1 | Reference(Patient | PhdDevice) | Reference to the patient or the PhdDevice that is the subject of the observation |
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Σ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |
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dateTime | |||
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Period | |||
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Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation |
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Σ | 0..1 | Period | Clinically relevant time/time-period for observation |
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ΣC | 0..1 | Quantity | Actual result |
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Σ | 1..1 | decimal | Numerical value (with implicit precision) |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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Σ | 0..1 | string | Unit representation |
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ΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
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Σ | 1..1 | code | The UCUM code for the units of this measurement. |
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C | 0..1 | CodeableConcept | This element is populated for numeric observations when a special FLOAT value is reported that is not a real number. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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1..1 | Reference(PhdDevice) | (Measurement) Device | |
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ΣC | 1..1 | string | Reference to the device responsible for the measurement |
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Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code |
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Content/Rules for all slices | |||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
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Σ | 0..* | BackboneElement | Supplemental Type: A further description of the measurement type. |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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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 |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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Σ | 1..* | Coding | Code defined by a terminology system |
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 |
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 |
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Path | Conformance | ValueSet / Code | URI |
Observation.extension:Accuracy.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | |
Observation.identifier:conditionalCreate.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | |
Observation.category:PHD-Observation | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | |
Observation.code | extensible | MDCnotObjecthttp://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject From this IG | |
Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | |
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | |
Observation.component.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard | |
Observation.component:supplementalTypesComponent.code | example | Pattern Value: 68193http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mdc-1 | warning | Observation.code | A 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-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from PhdBaseObservation
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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0..* | PhdBaseObservation | Simple Numeric measurement | |
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Content/Rules for all slices | |||
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0..1 | (Complex) | Numeric Accuracy URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy | |
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0..1 | decimal | Numerical value (with implicit precision) | |
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0..1 | Range | Confidence95 URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95 | |
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0..1 | (Complex) | SimpleAlerting URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting | |
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0..1 | Quantity | Actual result | |
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1..1 | decimal | Numerical value (with implicit precision) | |
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0..1 | string | Unit representation | |
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1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
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1..1 | code | The UCUM code for the units of this measurement. | |
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0..1 | CodeableConcept | This element is populated for numeric observations when a special FLOAT value is reported that is not a real number. | |
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Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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C | 0..* | PhdBaseObservation | Simple Numeric measurement Constraints: obs-6, obs-7 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | id | Version specific identifier | ||||
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Σ | 0..1 | instant | When the resource version last changed | ||||
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Σ | 0..1 | uri | Identifies where the resource comes from | ||||
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Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
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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. | ||||
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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. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HTEST | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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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". | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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1..1 | (Complex) | Gateway Device URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice" | |||||
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1..1 | Reference(PhgDevice) | Reference to the PHG Device | |||||
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0..1 | Reference(PhdCoincidentTimeStampObservation) | Coincident Timestamp Reference URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference | |||||
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0..1 | (Complex) | Numeric Accuracy URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy" | |||||
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1..1 | Quantity | Value of extension | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 0..1 | uri | System that defines coded unit form | ||||
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Σ | 0..1 | code | Coded form of the unit | ||||
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0..1 | Range | Confidence95 URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95 | |||||
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0..1 | (Complex) | SimpleAlerting URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:system | ||||
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Σ | 0..1 | Identifier | Unique identifier of this measurement for a given patient and device | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation | ||||
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Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
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Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
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?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
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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. | |||||
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1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: phd | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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ΣC | 1..1 | CodeableConcept | Type of observation (code / type) Binding: MDC Non-Object codes (extensible) Constraints: mdc-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 1..1 | Reference(Patient | PhdDevice) | Reference to the patient or the PhdDevice that is the subject of the observation | ||||
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Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
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Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
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Σ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |||||
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dateTime | |||||||
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Period | |||||||
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Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation | ||||
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Σ | 0..1 | Period | Clinically relevant time/time-period for observation | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
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ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
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Σ | 0..1 | instant | Date/Time this version was made available | ||||
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Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
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ΣC | 0..1 | Quantity | Actual result | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
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Σ | 1..1 | code | The UCUM code for the units of this measurement. | ||||
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C | 0..1 | CodeableConcept | This element is populated for numeric observations when a special FLOAT value is reported that is not a real number. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system Binding: DataAbsentReason (required) | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
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Σ | 1..1 | Coding | Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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0..* | Annotation | Comments about the observation | |||||
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0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
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0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
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0..1 | Reference(Specimen) | Specimen used for this observation | |||||
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1..1 | Reference(PhdDevice) | (Measurement) Device | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 1..1 | string | Reference to the device responsible for the measurement | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
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C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
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0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
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0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
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0..1 | Range | Applicable age range, if relevant | |||||
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0..1 | string | Text based reference range in an observation | |||||
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Σ | 0..* | Reference(PhdBaseObservation) | Other PHD Observations that are part of this group observation. | ||||
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Σ | 0..* | Reference(PhdBaseObservation) | A source the measurement data is derived from. | ||||
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Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
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Σ | 0..1 | Actual component result | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Σ | 0..* | BackboneElement | Supplemental Type: A further description of the measurement type. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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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 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 0..1 | CodeableConcept | Actual component result | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Observation.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard | ||||
Observation.meta.security:PhdHtest | extensible | Fixed Value: HTESThttp://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard | ||||
Observation.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard | ||||
Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
Observation.extension:Accuracy.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | ||||
Observation.identifier:conditionalCreate.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | ||||
Observation.category:PHD-Observation | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | ||||
Observation.code | extensible | MDCnotObjecthttp://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject From this IG | ||||
Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.dataAbsentReason.coding | required | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site From the FHIR Standard | ||||
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard | ||||
Observation.device.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard | ||||
Observation.component.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard | ||||
Observation.component:supplementalTypesComponent.code | example | Pattern Value: 68193http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard | ||||
Observation.component:supplementalTypesComponent.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mdc-1 | warning | Observation.code | A 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-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from PhdBaseObservation
Summary
Mandatory: 0 element(3 nested mandatory elements)
Fixed: 1 element
Extensions
This structure refers to these extensions:
Maturity: 1
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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C | 0..* | PhdBaseObservation | Simple Numeric measurement Constraints: obs-6, obs-7 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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1..* | Extension | Extension Slice: Unordered, Open by value:url | |
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1..1 | (Complex) | Gateway Device URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice" | |
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1..1 | Reference(PhgDevice) | Reference to the PHG Device | |
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0..1 | Reference(PhdCoincidentTimeStampObservation) | Coincident Timestamp Reference URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference | |
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0..1 | (Complex) | Numeric Accuracy URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy" | |
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1..1 | Quantity | Value of extension | |
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Σ | 0..1 | decimal | Numerical value (with implicit precision) |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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0..1 | Range | Confidence95 URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95 | |
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0..1 | (Complex) | SimpleAlerting URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting | |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:system |
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Σ | 0..1 | Identifier | Unique identifier of this measurement for a given patient and device |
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
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Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation |
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Σ | 1..1 | string | The value that is unique Example General: 123456 |
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?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
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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. | |
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1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
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Σ | 1..* | Coding | Code defined by a terminology system |
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories |
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: phd |
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ΣC | 1..1 | CodeableConcept | Type of observation (code / type) Binding: MDC Non-Object codes (extensible) Constraints: mdc-1 |
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Σ | 1..1 | Reference(Patient | PhdDevice) | Reference to the patient or the PhdDevice that is the subject of the observation |
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Σ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |
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dateTime | |||
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Period | |||
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Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation |
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Σ | 0..1 | Period | Clinically relevant time/time-period for observation |
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ΣC | 0..1 | Quantity | Actual result |
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Σ | 1..1 | decimal | Numerical value (with implicit precision) |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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Σ | 0..1 | string | Unit representation |
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ΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
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Σ | 1..1 | code | The UCUM code for the units of this measurement. |
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C | 0..1 | CodeableConcept | This element is populated for numeric observations when a special FLOAT value is reported that is not a real number. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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1..1 | Reference(PhdDevice) | (Measurement) Device | |
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ΣC | 1..1 | string | Reference to the device responsible for the measurement |
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Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code |
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Content/Rules for all slices | |||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
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Σ | 0..* | BackboneElement | Supplemental Type: A further description of the measurement type. |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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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 |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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Σ | 1..* | Coding | Code defined by a terminology system |
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 |
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 |
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Path | Conformance | ValueSet / Code | URI |
Observation.extension:Accuracy.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | |
Observation.identifier:conditionalCreate.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | |
Observation.category:PHD-Observation | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | |
Observation.code | extensible | MDCnotObjecthttp://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject From this IG | |
Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | |
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | |
Observation.component.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard | |
Observation.component:supplementalTypesComponent.code | example | Pattern Value: 68193http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mdc-1 | warning | Observation.code | A 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-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
Differential View
This structure is derived from PhdBaseObservation
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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0..* | PhdBaseObservation | Simple Numeric measurement | |
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Content/Rules for all slices | |||
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0..1 | (Complex) | Numeric Accuracy URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy | |
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0..1 | decimal | Numerical value (with implicit precision) | |
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0..1 | Range | Confidence95 URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95 | |
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0..1 | (Complex) | SimpleAlerting URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting | |
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0..1 | Quantity | Actual result | |
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1..1 | decimal | Numerical value (with implicit precision) | |
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0..1 | string | Unit representation | |
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1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
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1..1 | code | The UCUM code for the units of this measurement. | |
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0..1 | CodeableConcept | This element is populated for numeric observations when a special FLOAT value is reported that is not a real number. | |
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Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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C | 0..* | PhdBaseObservation | Simple Numeric measurement Constraints: obs-6, obs-7 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | id | Version specific identifier | ||||
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Σ | 0..1 | instant | When the resource version last changed | ||||
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Σ | 0..1 | uri | Identifies where the resource comes from | ||||
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Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
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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. | ||||
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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. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HTEST | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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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". | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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1..1 | (Complex) | Gateway Device URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice" | |||||
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1..1 | Reference(PhgDevice) | Reference to the PHG Device | |||||
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0..1 | Reference(PhdCoincidentTimeStampObservation) | Coincident Timestamp Reference URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference | |||||
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0..1 | (Complex) | Numeric Accuracy URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy" | |||||
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1..1 | Quantity | Value of extension | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 0..1 | uri | System that defines coded unit form | ||||
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Σ | 0..1 | code | Coded form of the unit | ||||
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0..1 | Range | Confidence95 URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95 | |||||
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0..1 | (Complex) | SimpleAlerting URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:system | ||||
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Σ | 0..1 | Identifier | Unique identifier of this measurement for a given patient and device | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation | ||||
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Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
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Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
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?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
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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. | |||||
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1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: phd | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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ΣC | 1..1 | CodeableConcept | Type of observation (code / type) Binding: MDC Non-Object codes (extensible) Constraints: mdc-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 1..1 | Reference(Patient | PhdDevice) | Reference to the patient or the PhdDevice that is the subject of the observation | ||||
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Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
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Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
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Σ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |||||
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dateTime | |||||||
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Period | |||||||
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Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation | ||||
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Σ | 0..1 | Period | Clinically relevant time/time-period for observation | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
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ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
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Σ | 0..1 | instant | Date/Time this version was made available | ||||
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Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
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ΣC | 0..1 | Quantity | Actual result | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
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Σ | 1..1 | code | The UCUM code for the units of this measurement. | ||||
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C | 0..1 | CodeableConcept | This element is populated for numeric observations when a special FLOAT value is reported that is not a real number. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system Binding: DataAbsentReason (required) | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
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Σ | 1..1 | Coding | Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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0..* | Annotation | Comments about the observation | |||||
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0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
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0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
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0..1 | Reference(Specimen) | Specimen used for this observation | |||||
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1..1 | Reference(PhdDevice) | (Measurement) Device | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 1..1 | string | Reference to the device responsible for the measurement | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
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C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
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0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
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0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
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0..1 | Range | Applicable age range, if relevant | |||||
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0..1 | string | Text based reference range in an observation | |||||
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Σ | 0..* | Reference(PhdBaseObservation) | Other PHD Observations that are part of this group observation. | ||||
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Σ | 0..* | Reference(PhdBaseObservation) | A source the measurement data is derived from. | ||||
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Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
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Σ | 0..1 | Actual component result | |||||
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Quantity | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Σ | 0..* | BackboneElement | Supplemental Type: A further description of the measurement type. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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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 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 0..1 | CodeableConcept | Actual component result | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Observation.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard | ||||
Observation.meta.security:PhdHtest | extensible | Fixed Value: HTESThttp://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard | ||||
Observation.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard | ||||
Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
Observation.extension:Accuracy.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | ||||
Observation.identifier:conditionalCreate.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | ||||
Observation.category:PHD-Observation | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | ||||
Observation.code | extensible | MDCnotObjecthttp://hl7.org/fhir/uv/phd/ValueSet/MDCnotObject From this IG | ||||
Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.dataAbsentReason.coding | required | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site From the FHIR Standard | ||||
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard | ||||
Observation.device.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard | ||||
Observation.component.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard | ||||
Observation.component:supplementalTypesComponent.code | example | Pattern Value: 68193http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard | ||||
Observation.component:supplementalTypesComponent.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mdc-1 | warning | Observation.code | A 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-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from PhdBaseObservation
Summary
Mandatory: 0 element(3 nested mandatory elements)
Fixed: 1 element
Extensions
This structure refers to these extensions:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
This profile is used to map ACOM Numeric Observations. The measured value is reported as a floating number with an optional accuracy. In GHS the value is encoded as an IEEE 11073 FLOAT that indicates both precision and the number of significant digits. The Observation.valueQuantity.value
element is required to honor the reported precision. See FLOATs and SFLOATs for instructions on handling S/FLOATs and their encoding to the valueQuantity .
The MDC unit code as provided by the PHD needs to be mapped to UCUM. See MDC Nomenclature Codes for more details.
IEEE 11073-10206 numeric observations have some additional optional attributes that are used only for numerics and provide further information about the measurement. These optional attributes are seldom used directly by PHDs and are mapped to FHIR extensions.
The Accuracy attribute gives the maximum deviation as an absolute value of the reported measurement from the actual measurement. It shall be reported if the PHD provides it. When static it can be reported as an extension in a Device Metric, otherwise it is reported as an extension of an Observation. See Accuracy extension. The accuracy is reported in the same unit as the measurement itself. An example of an accuracy entry for a thermometer is shown below:
{
"resourceType" : "Observation",
...
"extension" : [
...
{
"url" : "http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy",
"valueQuantity" : {
"value" : 0.1,
"system" : "http://unitsofmeasure.org",
"code" : "Cel"
}
}
],
...
}
The simple alerting extension supports monitoring a numerical value (quantities in FHIR) and provisioning of an alarm if the value is outside a defined threshold or limiting range. The extension includes the range, the operational state of the monitoring and text strings describing these. See Simple Alerting. The PHD pulse oximeter and the continuous glucose monitor specialization support this. The extension defines a current limits range for the quantity, an operational state and optional strings for the operational state and the semantics of the quantity being outside the range.
This mechanism is used in combination with the Observation.interpretation
value being set to "in-alarm" when the quantity is outside the limits.
The presence of the extension in an Observation with a numeric quantity informs the consumer of the use of the alerting mechanism.
An example of an observation with an alert can be found here.
The Measurement-Confidence-95 gives a lower and upper bound with which the manufacturer is 95% confident that the actual reported measurement is within that bounds. The Measurement Confidence 95 applies only to measurement values that are quantities. It is supported by the IEEE 11073-20601 specification, but not by the IEEE 11073-10206 ACOM specification.
It shall be reported if the PHD provides it. When static it can be reported as an extension in a Device Metric, otherwise it is reported as an extension of an Observation. See Confidence95 extension. The range is encoded in an Extension.valueRange
element. The ranges have the same units as the primary measurement.
The IEEE 11073-20601 Measurement-Confidence-95 component is currently used only in the Continuous Glucose specialization. An example of a Measurement Confidence 95 entry is shown below:
{
"resourceType" : "Observation",
...
"extension" : [
...
{
"url" : "http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95",
"valueRange" : {
"low" : {
"value" : 98,
"unit" : "mg/dL",
"system" : "http://unitsofmeasure.org",
"code" : "mg/dL"
},
"high" : {
"value" : 100,
"unit" : "mg/dL",
"system" : "http://unitsofmeasure.org",
"code" : "mg/dL"
}
}
}
],
...
}
The above states that the Continuous Glucose Monitor PHG is 95% sure that the reported measurement of (say 99 mg/dL) lies between 98 and 100 mg/dL.
A basic simple numeric observation with a timestamp and a supplemental types attribute is shown in Pulse Rate Spot Measurement. Simple numeric measurements are common in PHDs.
An example of a NaN (not a number) measurement is shown in NaN Example. Note that the value element is absent and replaced by a dataAbsentReason
element.
The consumer of this profile does not need to concern itself with the complexities or the PHD-related entry for the Observation.identifier
which is used by the uploader to prevent data duplication. There are some extensions introduced by this profile but the resource is consumable by any reader that understands the Observation resource. The following table summarizes the elements used describing the measurement:
Measurement Item | Element | Additional Information |
---|---|---|
Measurement type | Observation.code.coding.code |
There shall be one coding element using the MDC coding system.If a vital sign, there will be an additional coding element using one of the LOINC vital-signs codes. |
Measurement value | Observation.valueQuantity.value |
The value has the precision of the original. measurement. |
Measurement units | Observation.valueQuantity.code |
FHIR uses the UCUM coding system. |
Error | Observation.dataAbsentReason |
Contains error code. If present, no Observation.valueQuantity is present. |
Timestamp | Observation.effectiveDateTime Observation.effectivePeriod |
If the measurement is a point in time. If the measurement has a duration. |
Coincident timestamp reference | Observation.extension.valueReference |
Points to an Observation following the Coincident Timestamp Observation profile. For time quality auditing purposes. Not present if the sensor provides no timestamp. |
Related measurement | Observation.derivedFrom |
Points to PHD Observations that are related to this Observation, such as a height observation related to a BMI measurement. Not present if the observation did not reference other observations it is derived from. |
Related measurement | Observation.memberOf |
Points to a PHD Observation that reports a group of related Observations, such as a cardio session. Not present if the observation is not a member of a group of related measurements. |
Additional descriptions | Observation.extension.* |
When present it contains additional information about the measurement. |
Patient | Observation.subject |
Points to the Patient resource. |
Sensor device | Observation.device |
Points to the Device resource. |