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/PhdRtsaObservation | Version: 2.0.0-ballot2 | |||
Standards status: Trial-use | Maturity Level: 1 | Computable Name: PhdRtsaObservation |
Observations from a PHD where the measurement is a sample array.
The (Real Time) Sample Array (RTSA) Observation Profile is used when the measurement is a periodic sequences of scalars in time, typically waveforms. In theory, this measurement could be split up into a sequence of Numeric Observations but that would be inefficient especially if one is talking about a 1000 samples per second or more. Waveforms are used for spirometry, ECG, pulse oximeter pleth wave traces, etc. This profile is used to represent ACOM Sample Array Observations.
The values are scaled to reduced bandwidth. The bandwidth reduction can be significant in cases where the actual values are small fluctuations about a large average value. The scale factors, number of bits in each sample, the period, and the number of samples in the sequence are given by a set of support attributes.
IEEE 11073-10206 ACOM and GHS support the concept of multi-dimensional arrays. Reporting a sequence of x, y, z acceleration components from a PHD can be done by reporting 3 samples per period, that all share the same unit and scaling factors. FHIR also support the concept of multi-dimensional arrays.
IEEE 11073-10206 Sample Array Attribute | Value type | Description |
---|---|---|
Sample-Period | period | Interval between samples |
number-of-samples-per-period | integer | #Dimensions of the measurement |
Actual-Range | Real range | Lowest-Highest unscaled value PHD can ever report [A,B] |
Scaled-range | Integer range | Low- and high-value used for scaling [I,J] |
Unit-code | MDC code | The unit of the samples |
Samples | array of integer | The scaled measured samples |
When mapping the samples directly to FHIR SampledData.data
, the FHIR scale factor and origin can be derived from this:
SampledData.factor
= (B-A)/(J-I)SampledData.origin
= (A*J - B*I)/ (J-I)A graphing application could use the Actual-range limits to define the upper and lower ranges of a graph and be assured that the waveform would never go above or below those boundaries. These upper and lower boundaries are scaled and placed in the SampledData.lowerLimit
and SampledData.upperLimit
elements, respectively.
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: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | PhdBaseObservation | Measurements and simple assertions Constraints: obs-6, obs-7 |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | (Complex) | Gateway Device URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice | |
![]() ![]() ![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice" | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Reference(PhgDevice) | Reference to the PHG Device | |
![]() ![]() ![]() ![]() |
0..1 | Reference(PhdCoincidentTimeStampObservation) | Coincident Timestamp Reference URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference | |
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() |
Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:system |
![]() ![]() ![]() ![]() |
Σ | 0..1 | Identifier | Unique identifier of this measurement for a given patient and device |
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | string | The value that is unique Example General: 123456 |
![]() ![]() ![]() |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
![]() ![]() ![]() |
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. | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories |
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: phd |
![]() ![]() ![]() |
ΣC | 1..1 | CodeableConcept | Type of observation (code / type) Binding: MDC Non-Object codes (extensible) Constraints: mdc-1 |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient | PhdDevice) | Reference to the patient or the PhdDevice that is the subject of the observation |
![]() ![]() ![]() |
Σ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |
![]() ![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() ![]() |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation |
![]() ![]() ![]() ![]() |
Σ | 0..1 | Period | Clinically relevant time/time-period for observation |
![]() ![]() ![]() |
ΣC | 0..1 | SampledData | Actual result |
![]() ![]() ![]() ![]() |
Σ | 1..1 | SimpleQuantity | Zero value and units |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | decimal | Intercept value (with implicit precision) |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Unit representation |
![]() ![]() ![]() ![]() ![]() |
ΣC | 1..1 | uri | The UCUM coding system Fixed Value: http://unitsofmeasure.org |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Coded form of the unit |
![]() ![]() ![]() ![]() |
Σ | 1..1 | decimal | Number of milliseconds between samples |
![]() ![]() ![]() ![]() |
Σ | 1..1 | decimal | The scale factor |
![]() ![]() ![]() ![]() |
Σ | 0..1 | decimal | The scaled lower limit of the ACOM sample array when provided by the PHD device. |
![]() ![]() ![]() ![]() |
Σ | 0..1 | decimal | The scaled upper limit of the ACOM sample array when provided by the PHD device. |
![]() ![]() ![]() ![]() |
Σ | 1..1 | positiveInt | Number of sample points at each time point |
![]() ![]() ![]() ![]() |
0..1 | string | Decimal values with spaces, or "E" | "U" | "L" | |
![]() ![]() ![]() |
1..1 | Reference(PhdDevice) | (Measurement) Device | |
![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Reference to the device responsible for the measurement |
![]() ![]() ![]() |
Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code |
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
![]() ![]() ![]() ![]() |
Σ | 0..* | BackboneElement | Supplemental Type: A further description of the measurement type. |
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() ![]() |
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 |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 |
![]() |
Path | Conformance | ValueSet / Code | URI |
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.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: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | PhdBaseObservation | Measurements and simple assertions | |
![]() ![]() ![]() |
0..1 | SampledData | Actual result | |
![]() ![]() ![]() ![]() |
1..1 | SimpleQuantity | Zero value and units | |
![]() ![]() ![]() ![]() ![]() |
1..1 | decimal | Intercept value (with implicit precision) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unit representation | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | The UCUM coding system Fixed Value: http://unitsofmeasure.org | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Coded form of the unit | |
![]() ![]() ![]() ![]() |
1..1 | decimal | Number of milliseconds between samples | |
![]() ![]() ![]() ![]() |
1..1 | decimal | The scale factor | |
![]() ![]() ![]() ![]() |
0..1 | decimal | The scaled lower limit of the ACOM sample array when provided by the PHD device. | |
![]() ![]() ![]() ![]() |
0..1 | decimal | The scaled upper limit of the ACOM sample array when provided by the PHD device. | |
![]() ![]() ![]() ![]() |
1..1 | positiveInt | Number of sample points at each time point | |
![]() ![]() ![]() ![]() |
0..1 | string | Decimal values with spaces, or "E" | "U" | "L" | |
![]() |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
C | 0..* | PhdBaseObservation | Measurements and simple assertions Constraints: obs-6, obs-7 | ||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | id | Version specific identifier | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | instant | When the resource version last changed | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
![]() ![]() ![]() ![]() |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
![]() ![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HTEST | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() |
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". | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
1..1 | (Complex) | Gateway Device URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | |||||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice" | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Reference(PhgDevice) | Reference to the PHG Device | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(PhdCoincidentTimeStampObservation) | Coincident Timestamp Reference URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:system | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Identifier | Unique identifier of this measurement for a given patient and device | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
![]() ![]() ![]() |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
![]() ![]() ![]() |
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. | |||||
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: phd | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
ΣC | 1..1 | CodeableConcept | Type of observation (code / type) Binding: MDC Non-Object codes (extensible) Constraints: mdc-1 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient | PhdDevice) | Reference to the patient or the PhdDevice that is the subject of the observation | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
![]() ![]() ![]() |
Σ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |||||
![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Period | Clinically relevant time/time-period for observation | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
![]() ![]() ![]() ![]() ![]() |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
![]() ![]() ![]() |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
![]() ![]() ![]() |
ΣC | 0..1 | SampledData | Actual result | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | SimpleQuantity | Zero value and units | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | decimal | Intercept value (with implicit precision) | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Unit representation | ||||
![]() ![]() ![]() ![]() ![]() |
ΣC | 1..1 | uri | The UCUM coding system Fixed Value: http://unitsofmeasure.org | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Coded form of the unit | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | decimal | Number of milliseconds between samples | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | decimal | The scale factor | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | decimal | The scaled lower limit of the ACOM sample array when provided by the PHD device. | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | decimal | The scaled upper limit of the ACOM sample array when provided by the PHD device. | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | positiveInt | Number of sample points at each time point | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Decimal values with spaces, or "E" | "U" | "L" | |||||
![]() ![]() ![]() |
C | 0..1 | CodeableConcept | This element is populated when the Measurement Status indicates invalid, not available or measurement-ongoing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system Binding: DataAbsentReason (required) | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | Coding | Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
0..* | Annotation | Comments about the observation | |||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
![]() ![]() ![]() |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
![]() ![]() ![]() |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
![]() ![]() ![]() |
1..1 | Reference(PhdDevice) | (Measurement) Device | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Reference to the device responsible for the measurement | ||||
![]() ![]() ![]() ![]() |
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). | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Text alternative for the resource | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
![]() ![]() ![]() ![]() |
0..1 | Range | Applicable age range, if relevant | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Text based reference range in an observation | |||||
![]() ![]() ![]() |
Σ | 0..* | Reference(PhdBaseObservation) | Other PHD Observations that are part of this group observation. | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(PhdBaseObservation) | A source the measurement data is derived from. | ||||
![]() ![]() ![]() |
Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code | ||||
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | Actual component result | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Quantity | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
boolean | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
integer | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Ratio | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
SampledData | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
time | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() ![]() ![]() |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
![]() ![]() ![]() ![]() |
Σ | 0..* | BackboneElement | Supplemental Type: A further description of the measurement type. | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | Actual component result | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() ![]() ![]() |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
![]() |
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.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.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
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | PhdBaseObservation | Measurements and simple assertions Constraints: obs-6, obs-7 |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | (Complex) | Gateway Device URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice | |
![]() ![]() ![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice" | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Reference(PhgDevice) | Reference to the PHG Device | |
![]() ![]() ![]() ![]() |
0..1 | Reference(PhdCoincidentTimeStampObservation) | Coincident Timestamp Reference URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference | |
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() |
Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:system |
![]() ![]() ![]() ![]() |
Σ | 0..1 | Identifier | Unique identifier of this measurement for a given patient and device |
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | string | The value that is unique Example General: 123456 |
![]() ![]() ![]() |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
![]() ![]() ![]() |
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. | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories |
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: phd |
![]() ![]() ![]() |
ΣC | 1..1 | CodeableConcept | Type of observation (code / type) Binding: MDC Non-Object codes (extensible) Constraints: mdc-1 |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient | PhdDevice) | Reference to the patient or the PhdDevice that is the subject of the observation |
![]() ![]() ![]() |
Σ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |
![]() ![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() ![]() |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation |
![]() ![]() ![]() ![]() |
Σ | 0..1 | Period | Clinically relevant time/time-period for observation |
![]() ![]() ![]() |
ΣC | 0..1 | SampledData | Actual result |
![]() ![]() ![]() ![]() |
Σ | 1..1 | SimpleQuantity | Zero value and units |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | decimal | Intercept value (with implicit precision) |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Unit representation |
![]() ![]() ![]() ![]() ![]() |
ΣC | 1..1 | uri | The UCUM coding system Fixed Value: http://unitsofmeasure.org |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Coded form of the unit |
![]() ![]() ![]() ![]() |
Σ | 1..1 | decimal | Number of milliseconds between samples |
![]() ![]() ![]() ![]() |
Σ | 1..1 | decimal | The scale factor |
![]() ![]() ![]() ![]() |
Σ | 0..1 | decimal | The scaled lower limit of the ACOM sample array when provided by the PHD device. |
![]() ![]() ![]() ![]() |
Σ | 0..1 | decimal | The scaled upper limit of the ACOM sample array when provided by the PHD device. |
![]() ![]() ![]() ![]() |
Σ | 1..1 | positiveInt | Number of sample points at each time point |
![]() ![]() ![]() ![]() |
0..1 | string | Decimal values with spaces, or "E" | "U" | "L" | |
![]() ![]() ![]() |
1..1 | Reference(PhdDevice) | (Measurement) Device | |
![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Reference to the device responsible for the measurement |
![]() ![]() ![]() |
Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code |
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
![]() ![]() ![]() ![]() |
Σ | 0..* | BackboneElement | Supplemental Type: A further description of the measurement type. |
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() ![]() |
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 |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 |
![]() |
Path | Conformance | ValueSet / Code | URI |
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.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: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | PhdBaseObservation | Measurements and simple assertions | |
![]() ![]() ![]() |
0..1 | SampledData | Actual result | |
![]() ![]() ![]() ![]() |
1..1 | SimpleQuantity | Zero value and units | |
![]() ![]() ![]() ![]() ![]() |
1..1 | decimal | Intercept value (with implicit precision) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unit representation | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | The UCUM coding system Fixed Value: http://unitsofmeasure.org | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Coded form of the unit | |
![]() ![]() ![]() ![]() |
1..1 | decimal | Number of milliseconds between samples | |
![]() ![]() ![]() ![]() |
1..1 | decimal | The scale factor | |
![]() ![]() ![]() ![]() |
0..1 | decimal | The scaled lower limit of the ACOM sample array when provided by the PHD device. | |
![]() ![]() ![]() ![]() |
0..1 | decimal | The scaled upper limit of the ACOM sample array when provided by the PHD device. | |
![]() ![]() ![]() ![]() |
1..1 | positiveInt | Number of sample points at each time point | |
![]() ![]() ![]() ![]() |
0..1 | string | Decimal values with spaces, or "E" | "U" | "L" | |
![]() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
C | 0..* | PhdBaseObservation | Measurements and simple assertions Constraints: obs-6, obs-7 | ||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | id | Version specific identifier | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | instant | When the resource version last changed | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
![]() ![]() ![]() ![]() |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
![]() ![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HTEST | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() |
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". | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
1..1 | (Complex) | Gateway Device URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | |||||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice" | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Reference(PhgDevice) | Reference to the PHG Device | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(PhdCoincidentTimeStampObservation) | Coincident Timestamp Reference URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:system | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Identifier | Unique identifier of this measurement for a given patient and device | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
![]() ![]() ![]() |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
![]() ![]() ![]() |
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. | |||||
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: phd | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
ΣC | 1..1 | CodeableConcept | Type of observation (code / type) Binding: MDC Non-Object codes (extensible) Constraints: mdc-1 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient | PhdDevice) | Reference to the patient or the PhdDevice that is the subject of the observation | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
![]() ![]() ![]() |
Σ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |||||
![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Period | Clinically relevant time/time-period for observation | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
![]() ![]() ![]() ![]() ![]() |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
![]() ![]() ![]() |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
![]() ![]() ![]() |
ΣC | 0..1 | SampledData | Actual result | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | SimpleQuantity | Zero value and units | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | decimal | Intercept value (with implicit precision) | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Unit representation | ||||
![]() ![]() ![]() ![]() ![]() |
ΣC | 1..1 | uri | The UCUM coding system Fixed Value: http://unitsofmeasure.org | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Coded form of the unit | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | decimal | Number of milliseconds between samples | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | decimal | The scale factor | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | decimal | The scaled lower limit of the ACOM sample array when provided by the PHD device. | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | decimal | The scaled upper limit of the ACOM sample array when provided by the PHD device. | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | positiveInt | Number of sample points at each time point | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Decimal values with spaces, or "E" | "U" | "L" | |||||
![]() ![]() ![]() |
C | 0..1 | CodeableConcept | This element is populated when the Measurement Status indicates invalid, not available or measurement-ongoing. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system Binding: DataAbsentReason (required) | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | Coding | Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
0..* | Annotation | Comments about the observation | |||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
![]() ![]() ![]() |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
![]() ![]() ![]() |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
![]() ![]() ![]() |
1..1 | Reference(PhdDevice) | (Measurement) Device | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Reference to the device responsible for the measurement | ||||
![]() ![]() ![]() ![]() |
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). | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Text alternative for the resource | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
![]() ![]() ![]() ![]() |
0..1 | Range | Applicable age range, if relevant | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Text based reference range in an observation | |||||
![]() ![]() ![]() |
Σ | 0..* | Reference(PhdBaseObservation) | Other PHD Observations that are part of this group observation. | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(PhdBaseObservation) | A source the measurement data is derived from. | ||||
![]() ![]() ![]() |
Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code | ||||
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | Actual component result | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Quantity | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
boolean | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
integer | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Ratio | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
SampledData | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
time | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() ![]() ![]() |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
![]() ![]() ![]() ![]() |
Σ | 0..* | BackboneElement | Supplemental Type: A further description of the measurement type. | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 68193 | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | Actual component result | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:iso:std:iso:11073:10101 | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() ![]() ![]() |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
![]() |
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.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.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
Other representations of profile: CSV, Excel, Schematron
These notes provide information on how the scaling of the ACOM Sample Array observation is done and how it can best be mapped to the FHIR Observation resource and its SampledData element.
In the case of the Sample Array observation, ACOM provides the Actual-range and Scaled-Range attributes. The ith entry of the actual unscaled data from the sensor is obtained from these attributes using the following relation:
y[i] = ((A – B)*x[i])/(I – J) + A – (A-B)*I/(I-J) where:
Since ((A – B)*x[i])/(I – J) + A – (A-B)*I/(I-J) = d[i] * s + b,
d[i] = x[i] if
SampledData.scaleFactor
= (A – B)/(I – J)
andSampledData.origin.value
= A –(A-B)I/(I-J) = (B*I-A*J)/(I-J)Using these scale factor and origin values allows to map the SampleArray.samples[i] values directly to the SampledData.data[i]
values unchanged. It is recommended that the uploader maps the samples to the Observation.valueSampledData
element using the above scaling as it is assumed the PHD chose this scaling for a good reason. However, that does not restrict the uploader using another scaling. As an example, the uploader could decode the scaled values and report the unscaled original sensor values in the Observation.valueSampledData.data
element and set the Observation.valueSampledData.scaleFactor
to 1.0 and the Observation.valueSampledData.origin.value
to 0. This approach is used in IHE PCD-01.
Using the variables 'b' and 's' as defined above the mapping to the FHIR Observation resource is as follows:
IEEE 11073-10206 Sample Array Observation Attribute | FHIR Observation element |
---|---|
samples[i] | valueSampledData.data[i] |
Unit-Code | valueSampledData.origin.code (mapped to UCUM when available) |
See calculation of 'b' above | valueSampledData.origin.value = b |
See calculation of 's' above | valueSampledData.scaleFactor = s |
Sample-period | valueSampledData.period (milliseconds) |
number-of-samples-per-period | valueSampledData.dimensions |
Actual-range.upper-limit | valueSampledData.upperLimit |
Actual-range.lower-limit | valueSampledData.lowerLimit |
All additional attributes such as accuracy that may be reported in a numerical observation may also be present in a Sample Array Observation and are mapped to FHIR in the same way. See the Additional Numerical Measurement Information for more information on these attributes.
About the only work a consumer of this profile needs to do is to back-scale the valueSampledData.data
values to the original values reported by the sensor. The following table summarizes where a reader can obtain the most pertinent information.
information | Data element in Observation |
---|---|
Type of measurement | code.coding.code |
Time at the start of the waveform | effectiveDateTime |
Dimensions / number of samples per period | valueSampledData.dimension |
Time between samples in milliseconds | valueSampledData.period |
Units of samples | valueSampledData.origin.code |
Upper range of values | valueSampledData.upperLimit (scaled) |
Lower range of values | valueSampledData.lowerLimit (scaled) |
The actual n values | valueSampledData.data[*n*] * valueSampledData.scaleFactor + valueSampledData.origin.value |