Personal Health Device Implementation Guide
2.0.1 - STU 2 International flag

Personal Health Device Implementation Guide, published by HL7 International / Devices. This guide is not an authorized publication; it is the continuous build for version 2.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/phd/ and changes regularly. See the Directory of published versions

Resource Profile: PhdCompoundNumericObservation

Official URL: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdCompoundNumericObservation Version: 2.0.1
Standards status: Trial-use Maturity Level: 2 Computable Name: PhdCompoundNumericObservation
Other Identifiers: OID:2.16.840.1.113883.4.642.40.73.42.7

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

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

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

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* PhdBaseObservation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:GatewayDevice 1..1 (Complex) Gateway Device
URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice
Observation.Slices for extension.extension:GatewayDevice.extension 0..0 Extension
Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:GatewayDevice.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"
Observation.Slices for extension.extension:GatewayDevice.value[x] 1..1 Reference(PhgDevice) Reference to the PHG Device
Observation.Slices for extension.extension:CoincidentTimeStamp 0..1 Reference(PhdCoincidentTimeStampObservation) Coincident Timestamp Reference
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.Slices for identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for identifier.identifier:conditionalCreate This element is included in summaries. 0..1 Identifier Unique identifier of this measurement for a given patient and device
Observation.Slices for identifier.identifier:conditionalCreate.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Observation.Slices for identifier.identifier:conditionalCreate.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation
Observation.Slices for identifier.identifier:conditionalCreate.value This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:PHD-Observation 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:PHD-Observation.coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Observation.Slices for category.category:PHD-Observation.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories
Observation.Slices for category.category:PHD-Observation.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: phd
Observation.code This element is included in summaries. C 1..1 CodeableConcept Type of observation (code / type)
Binding: MDC Non-Object codes (extensible)
Constraints: mdc-1
Observation.subject This element is included in summaries. 1..1 Reference(Patient | PhdDevice) Reference to the patient or the PhdDevice that is the subject of the observation
Observation.Slices for effective[x] This element is included in summaries. 1..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effectiveDateTime dateTime
Observation.Slices for effective[x].effectivePeriod Period
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element is included in summaries. 0..1 dateTime Clinically relevant time/time-period for observation
Observation.Slices for effective[x].effective[x]:effectivePeriod This element is included in summaries. 0..1 Period Clinically relevant time/time-period for observation
Observation.device 1..1 Reference(PhdDevice) (Measurement) Device
Observation.device.reference This element is included in summaries. C 1..1 string Reference to the device responsible for the measurement
Observation.Slices for component This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Open by value:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.Slices for value[x] This element is included in summaries. 0..1 Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:All Slices.Slices for value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.Slices for value[x].valueString string
Observation.Slices for component.component:All Slices.Slices for value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.Slices for value[x].valueInteger integer
Observation.Slices for component.component:All Slices.Slices for value[x].valueRange Range
Observation.Slices for component.component:All Slices.Slices for value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.Slices for value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.Slices for value[x].valueTime time
Observation.Slices for component.component:All Slices.Slices for value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.Slices for value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.value This element is included in summaries. 0..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for component.component:supplementalTypesComponent This element is included in summaries. 0..* BackboneElement Supplemental Type: A further description of the measurement type.
Observation.Slices for component.component:supplementalTypesComponent.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:supplementalTypesComponent.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
Observation.Slices for component.component:supplementalTypesComponent.code.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.code.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:supplementalTypesComponent.code.text 0..1 string Plain text representation of the concept
Observation.Slices for component.component:supplementalTypesComponent.code.coding This element is included in summaries. 1..* Coding Code defined by a terminology system

Fixed Value: (Complex)
Observation.Slices for component.component:supplementalTypesComponent.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:supplementalTypesComponent.code.coding.version 0..1 string Version of the system - if relevant
Observation.Slices for component.component:supplementalTypesComponent.code.coding.display 0..1 string Representation defined by the system
Observation.Slices for component.component:supplementalTypesComponent.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:supplementalTypesComponent.code.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
Observation.Slices for component.component:supplementalTypesComponent.code.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: 68193
Observation.Slices for component.component:compound This element is included in summaries. 0..* BackboneElement Compound numeric measurement entry components
Observation.Slices for component.component:compound.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.Slices for extension Content/Rules for all slices
Observation.Slices for component.component:compound.Slices for extension.extension:Accuracy 0..1 Quantity Numeric Accuracy
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy
Observation.Slices for component.component:compound.Slices for extension.extension:Confidence95 0..1 Range Confidence95
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95
Observation.Slices for component.component:compound.Slices for extension.extension:SimpleAlerting 0..1 (Complex) SimpleAlerting
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting
Observation.Slices for component.component:compound.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:compound.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: MDC Non-Object codes (required)
Observation.Slices for component.component:compound.code.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.code.Slices for coding Content/Rules for all slices
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType This element is included in summaries. 1..1 Coding The 11073-10101 MDC code for the measurement
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.Slices for component.component:compound.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:compound.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:compound.value[x].value This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:compound.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:compound.value[x].system This element is included in summaries. C 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:compound.value[x].code This element is included in summaries. 1..1 code Coded form of the unit
Observation.Slices for component.component:compound.dataAbsentReason C 0..1 CodeableConcept Populated when the component reports a special FLOAT value
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:compound.dataAbsentReason.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.identifier:conditionalCreate.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:PHD-Observation Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible MDC Non-Object codes 📦2.0.1 This IG
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:supplementalTypesComponent.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:compound.​code Base required MDC Non-Object codes 📦2.0.1 This IG
Observation.component:compound.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:compound.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:compound.​dataAbsentReason.coding Base required DataAbsentReason 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* PhdBaseObservation Measurements and simple assertions
Observation.value[x] 0..0 Actual result
Observation.component 0..* BackboneElement Component results
Observation.component.code
Observation.component.code.coding
Observation.component.code.coding.system 0..1 uri Identity of the terminology system
Observation.component.code.coding.code 0..1 code Symbol in syntax defined by the system
Observation.component.Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.component.Slices for value[x].value[x]:valueQuantity 0..1 Quantity Actual component result
Observation.component.Slices for value[x].value[x]:valueQuantity.value 0..1 decimal Numerical value (with implicit precision)
Observation.component.Slices for value[x].value[x]:valueQuantity.code 0..1 code Coded form of the unit
Observation.Slices for component Content/Rules for all slices
Observation.Slices for component.component:compound 0..* BackboneElement Compound numeric measurement entry components
Observation.Slices for component.component:compound.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.Slices for extension Content/Rules for all slices
Observation.Slices for component.component:compound.Slices for extension.extension:Accuracy 0..1 Quantity Numeric Accuracy
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy
Observation.Slices for component.component:compound.Slices for extension.extension:Confidence95 0..1 Range Confidence95
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95
Observation.Slices for component.component:compound.Slices for extension.extension:SimpleAlerting 0..1 (Complex) SimpleAlerting
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting
Observation.Slices for component.component:compound.code 1..1 CodeableConcept Type of component observation (code / type)
Binding: MDC Non-Object codes (required)
Observation.Slices for component.component:compound.code.Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.code.Slices for coding Content/Rules for all slices
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType 1..1 Coding The 11073-10101 MDC code for the measurement
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.code 1..1 code Symbol in syntax defined by the system
Observation.Slices for component.component:compound.code.text 0..1 string Plain text representation of the concept
Observation.Slices for component.component:compound.value[x] 0..1 Quantity Actual component result
Observation.Slices for component.component:compound.value[x].value 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:compound.value[x].system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:compound.value[x].code 1..1 code Coded form of the unit
Observation.Slices for component.component:compound.dataAbsentReason 0..1 CodeableConcept Populated when the component reports a special FLOAT value
Observation.Slices for component.component:compound.dataAbsentReason.coding 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)
Observation.Slices for component.component:compound.interpretation
Observation.Slices for component.component:compound.interpretation.Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.interpretation.Slices for coding Content/Rules for all slices
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation 1..1 Coding Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.code 1..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component:compound.​code Base required MDC Non-Object codes 📦2.0.1 This IG
Observation.component:compound.​dataAbsentReason.coding Base required DataAbsentReason 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* PhdBaseObservation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.meta.id 0..1 string Unique id for inter-element referencing
Observation.meta.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
Observation.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
Observation.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
Observation.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Observation.meta.Slices for security This element is included in summaries. 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.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.meta.Slices for security.security:PhdHtest This element is included in summaries. 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.
Observation.meta.Slices for security.security:PhdHtest.id 0..1 string Unique id for inter-element referencing
Observation.meta.Slices for security.security:PhdHtest.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.meta.Slices for security.security:PhdHtest.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason
Observation.meta.Slices for security.security:PhdHtest.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.meta.Slices for security.security:PhdHtest.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: HTEST
Observation.meta.Slices for security.security:PhdHtest.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.meta.Slices for security.security:PhdHtest.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.meta.tag This element is included in summaries. 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".
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:GatewayDevice 1..1 (Complex) Gateway Device
URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice
Observation.Slices for extension.extension:GatewayDevice.id 0..1 string Unique id for inter-element referencing
Observation.Slices for extension.extension:GatewayDevice.extension 0..0 Extension
Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:GatewayDevice.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"
Observation.Slices for extension.extension:GatewayDevice.value[x] 1..1 Reference(PhgDevice) Reference to the PHG Device
Observation.Slices for extension.extension:CoincidentTimeStamp 0..1 Reference(PhdCoincidentTimeStampObservation) Coincident Timestamp Reference
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.Slices for identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for identifier.identifier:conditionalCreate This element is included in summaries. 0..1 Identifier Unique identifier of this measurement for a given patient and device
Observation.Slices for identifier.identifier:conditionalCreate.id 0..1 string Unique id for inter-element referencing
Observation.Slices for identifier.identifier:conditionalCreate.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for identifier.identifier:conditionalCreate.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Observation.Slices for identifier.identifier:conditionalCreate.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation
Observation.Slices for identifier.identifier:conditionalCreate.value This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Observation.Slices for identifier.identifier:conditionalCreate.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Observation.Slices for identifier.identifier:conditionalCreate.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:PHD-Observation 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:PHD-Observation.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:PHD-Observation.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for category.category:PHD-Observation.coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Observation.Slices for category.category:PHD-Observation.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:PHD-Observation.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for category.category:PHD-Observation.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories
Observation.Slices for category.category:PHD-Observation.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for category.category:PHD-Observation.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: phd
Observation.Slices for category.category:PHD-Observation.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for category.category:PHD-Observation.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for category.category:PHD-Observation.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.code This element is included in summaries. C 1..1 CodeableConcept Type of observation (code / type)
Binding: MDC Non-Object codes (extensible)
Constraints: mdc-1
Observation.code.id 0..1 string Unique id for inter-element referencing
Observation.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.code.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Observation.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.code.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.code.coding.system This element is included in summaries. 0..1 uri Identity of the terminology system
Observation.code.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.code.coding.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Observation.code.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.code.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.subject This element is included in summaries. 1..1 Reference(Patient | PhdDevice) Reference to the patient or the PhdDevice that is the subject of the observation
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.Slices for effective[x] This element is included in summaries. 1..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effectiveDateTime dateTime
Observation.Slices for effective[x].effectivePeriod Period
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element is included in summaries. 0..1 dateTime Clinically relevant time/time-period for observation
Observation.Slices for effective[x].effective[x]:effectivePeriod This element is included in summaries. 0..1 Period Clinically relevant time/time-period for observation
Observation.Slices for effective[x].effective[x]:effectivePeriod.id 0..1 string Unique id for inter-element referencing
Observation.Slices for effective[x].effective[x]:effectivePeriod.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for effective[x].effective[x]:effectivePeriod.start This element is included in summaries. C 0..1 dateTime Starting time with inclusive boundary
Observation.Slices for effective[x].effective[x]:effectivePeriod.end This element is included in summaries. C 0..1 dateTime End time with inclusive boundary, if not ongoing
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.dataAbsentReason C 0..1 CodeableConcept This element is populated when the Measurement Status indicates invalid, not available or measurement-ongoing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.dataAbsentReason.id 0..1 string Unique id for inter-element referencing
Observation.dataAbsentReason.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.dataAbsentReason.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)
Observation.dataAbsentReason.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.interpretation.id 0..1 string Unique id for inter-element referencing
Observation.interpretation.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.interpretation.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation This element is included in summaries. 1..1 Coding Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.id 0..1 string Unique id for inter-element referencing
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.interpretation.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 1..1 Reference(PhdDevice) (Measurement) Device
Observation.device.id 0..1 string Unique id for inter-element referencing
Observation.device.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.device.reference This element is included in summaries. C 1..1 string Reference to the device responsible for the measurement
Observation.device.type This element is included in summaries. 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).
Observation.device.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
Observation.device.display This element is included in summaries. 0..1 string Text alternative for the resource
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(PhdBaseObservation) Other PHD Observations that are part of this group observation.
Observation.derivedFrom This element is included in summaries. 0..* Reference(PhdBaseObservation) A source the measurement data is derived from.
Observation.Slices for component This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Open by value:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.code.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:All Slices.code.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Observation.Slices for component.component:All Slices.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.code.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:All Slices.code.coding.system This element is included in summaries. 0..1 uri Identity of the terminology system
Observation.Slices for component.component:All Slices.code.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for component.component:All Slices.code.coding.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Observation.Slices for component.component:All Slices.code.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for component.component:All Slices.code.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:All Slices.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:All Slices.Slices for value[x] This element is included in summaries. 0..1 Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:All Slices.Slices for value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.Slices for value[x].valueString string
Observation.Slices for component.component:All Slices.Slices for value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.Slices for value[x].valueInteger integer
Observation.Slices for component.component:All Slices.Slices for value[x].valueRange Range
Observation.Slices for component.component:All Slices.Slices for value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.Slices for value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.Slices for value[x].valueTime time
Observation.Slices for component.component:All Slices.Slices for value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.Slices for value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.value This element is included in summaries. 0..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for component.component:All Slices.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:supplementalTypesComponent This element is included in summaries. 0..* BackboneElement Supplemental Type: A further description of the measurement type.
Observation.Slices for component.component:supplementalTypesComponent.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:supplementalTypesComponent.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:supplementalTypesComponent.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
Observation.Slices for component.component:supplementalTypesComponent.code.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:supplementalTypesComponent.code.coding This element is included in summaries. 1..* Coding Code defined by a terminology system

Fixed Value: (Complex)
Observation.Slices for component.component:supplementalTypesComponent.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.code.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:supplementalTypesComponent.code.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
Observation.Slices for component.component:supplementalTypesComponent.code.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for component.component:supplementalTypesComponent.code.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: 68193
Observation.Slices for component.component:supplementalTypesComponent.code.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for component.component:supplementalTypesComponent.code.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:supplementalTypesComponent.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:supplementalTypesComponent.value[x] This element is included in summaries. 0..1 CodeableConcept Actual component result
Observation.Slices for component.component:supplementalTypesComponent.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:supplementalTypesComponent.value[x].text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:supplementalTypesComponent.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:supplementalTypesComponent.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:compound This element is included in summaries. 0..* BackboneElement Compound numeric measurement entry components
Observation.Slices for component.component:compound.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.Slices for extension Content/Rules for all slices
Observation.Slices for component.component:compound.Slices for extension.extension:Accuracy 0..1 Quantity Numeric Accuracy
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy
Observation.Slices for component.component:compound.Slices for extension.extension:Confidence95 0..1 Range Confidence95
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95
Observation.Slices for component.component:compound.Slices for extension.extension:SimpleAlerting 0..1 (Complex) SimpleAlerting
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting
Observation.Slices for component.component:compound.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:compound.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: MDC Non-Object codes (required)
Observation.Slices for component.component:compound.code.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:compound.code.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.code.Slices for coding Content/Rules for all slices
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType This element is included in summaries. 1..1 Coding The 11073-10101 MDC code for the measurement
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:compound.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:compound.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:compound.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:compound.value[x].value This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:compound.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:compound.value[x].unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:compound.value[x].system This element is included in summaries. C 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:compound.value[x].code This element is included in summaries. 1..1 code Coded form of the unit
Observation.Slices for component.component:compound.dataAbsentReason C 0..1 CodeableConcept Populated when the component reports a special FLOAT value
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:compound.dataAbsentReason.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.dataAbsentReason.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:compound.dataAbsentReason.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)
Observation.Slices for component.component:compound.dataAbsentReason.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:compound.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:compound.interpretation.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.interpretation.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:compound.interpretation.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.interpretation.Slices for coding Content/Rules for all slices
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation This element is included in summaries. 1..1 Coding Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:compound.interpretation.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:compound.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.security:PhdHtest Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.identifier:conditionalCreate.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:PHD-Observation Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible MDC Non-Object codes 📦2.0.1 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.dataAbsentReason.​coding Base required DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.device.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:supplementalTypesComponent.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:supplementalTypesComponent.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:compound.​code Base required MDC Non-Object codes 📦2.0.1 This IG
Observation.component:compound.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:compound.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:compound.​dataAbsentReason.coding Base required DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:compound.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
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()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from PhdBaseObservation

Summary

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

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Maturity: 2

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* PhdBaseObservation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:GatewayDevice 1..1 (Complex) Gateway Device
URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice
Observation.Slices for extension.extension:GatewayDevice.extension 0..0 Extension
Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:GatewayDevice.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"
Observation.Slices for extension.extension:GatewayDevice.value[x] 1..1 Reference(PhgDevice) Reference to the PHG Device
Observation.Slices for extension.extension:CoincidentTimeStamp 0..1 Reference(PhdCoincidentTimeStampObservation) Coincident Timestamp Reference
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.Slices for identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for identifier.identifier:conditionalCreate This element is included in summaries. 0..1 Identifier Unique identifier of this measurement for a given patient and device
Observation.Slices for identifier.identifier:conditionalCreate.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Observation.Slices for identifier.identifier:conditionalCreate.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation
Observation.Slices for identifier.identifier:conditionalCreate.value This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:PHD-Observation 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:PHD-Observation.coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Observation.Slices for category.category:PHD-Observation.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories
Observation.Slices for category.category:PHD-Observation.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: phd
Observation.code This element is included in summaries. C 1..1 CodeableConcept Type of observation (code / type)
Binding: MDC Non-Object codes (extensible)
Constraints: mdc-1
Observation.subject This element is included in summaries. 1..1 Reference(Patient | PhdDevice) Reference to the patient or the PhdDevice that is the subject of the observation
Observation.Slices for effective[x] This element is included in summaries. 1..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effectiveDateTime dateTime
Observation.Slices for effective[x].effectivePeriod Period
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element is included in summaries. 0..1 dateTime Clinically relevant time/time-period for observation
Observation.Slices for effective[x].effective[x]:effectivePeriod This element is included in summaries. 0..1 Period Clinically relevant time/time-period for observation
Observation.device 1..1 Reference(PhdDevice) (Measurement) Device
Observation.device.reference This element is included in summaries. C 1..1 string Reference to the device responsible for the measurement
Observation.Slices for component This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Open by value:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.Slices for value[x] This element is included in summaries. 0..1 Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:All Slices.Slices for value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.Slices for value[x].valueString string
Observation.Slices for component.component:All Slices.Slices for value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.Slices for value[x].valueInteger integer
Observation.Slices for component.component:All Slices.Slices for value[x].valueRange Range
Observation.Slices for component.component:All Slices.Slices for value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.Slices for value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.Slices for value[x].valueTime time
Observation.Slices for component.component:All Slices.Slices for value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.Slices for value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.value This element is included in summaries. 0..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for component.component:supplementalTypesComponent This element is included in summaries. 0..* BackboneElement Supplemental Type: A further description of the measurement type.
Observation.Slices for component.component:supplementalTypesComponent.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:supplementalTypesComponent.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
Observation.Slices for component.component:supplementalTypesComponent.code.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.code.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:supplementalTypesComponent.code.text 0..1 string Plain text representation of the concept
Observation.Slices for component.component:supplementalTypesComponent.code.coding This element is included in summaries. 1..* Coding Code defined by a terminology system

Fixed Value: (Complex)
Observation.Slices for component.component:supplementalTypesComponent.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.code.coding.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:supplementalTypesComponent.code.coding.version 0..1 string Version of the system - if relevant
Observation.Slices for component.component:supplementalTypesComponent.code.coding.display 0..1 string Representation defined by the system
Observation.Slices for component.component:supplementalTypesComponent.code.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:supplementalTypesComponent.code.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
Observation.Slices for component.component:supplementalTypesComponent.code.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: 68193
Observation.Slices for component.component:compound This element is included in summaries. 0..* BackboneElement Compound numeric measurement entry components
Observation.Slices for component.component:compound.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.Slices for extension Content/Rules for all slices
Observation.Slices for component.component:compound.Slices for extension.extension:Accuracy 0..1 Quantity Numeric Accuracy
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy
Observation.Slices for component.component:compound.Slices for extension.extension:Confidence95 0..1 Range Confidence95
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95
Observation.Slices for component.component:compound.Slices for extension.extension:SimpleAlerting 0..1 (Complex) SimpleAlerting
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting
Observation.Slices for component.component:compound.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:compound.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: MDC Non-Object codes (required)
Observation.Slices for component.component:compound.code.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.code.Slices for coding Content/Rules for all slices
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType This element is included in summaries. 1..1 Coding The 11073-10101 MDC code for the measurement
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.Slices for component.component:compound.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:compound.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:compound.value[x].value This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:compound.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:compound.value[x].system This element is included in summaries. C 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:compound.value[x].code This element is included in summaries. 1..1 code Coded form of the unit
Observation.Slices for component.component:compound.dataAbsentReason C 0..1 CodeableConcept Populated when the component reports a special FLOAT value
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:compound.dataAbsentReason.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.identifier:conditionalCreate.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:PHD-Observation Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible MDC Non-Object codes 📦2.0.1 This IG
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:supplementalTypesComponent.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:compound.​code Base required MDC Non-Object codes 📦2.0.1 This IG
Observation.component:compound.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:compound.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:compound.​dataAbsentReason.coding Base required DataAbsentReason 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* PhdBaseObservation Measurements and simple assertions
Observation.value[x] 0..0 Actual result
Observation.component 0..* BackboneElement Component results
Observation.component.code
Observation.component.code.coding
Observation.component.code.coding.system 0..1 uri Identity of the terminology system
Observation.component.code.coding.code 0..1 code Symbol in syntax defined by the system
Observation.component.Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.component.Slices for value[x].value[x]:valueQuantity 0..1 Quantity Actual component result
Observation.component.Slices for value[x].value[x]:valueQuantity.value 0..1 decimal Numerical value (with implicit precision)
Observation.component.Slices for value[x].value[x]:valueQuantity.code 0..1 code Coded form of the unit
Observation.Slices for component Content/Rules for all slices
Observation.Slices for component.component:compound 0..* BackboneElement Compound numeric measurement entry components
Observation.Slices for component.component:compound.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.Slices for extension Content/Rules for all slices
Observation.Slices for component.component:compound.Slices for extension.extension:Accuracy 0..1 Quantity Numeric Accuracy
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy
Observation.Slices for component.component:compound.Slices for extension.extension:Confidence95 0..1 Range Confidence95
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95
Observation.Slices for component.component:compound.Slices for extension.extension:SimpleAlerting 0..1 (Complex) SimpleAlerting
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting
Observation.Slices for component.component:compound.code 1..1 CodeableConcept Type of component observation (code / type)
Binding: MDC Non-Object codes (required)
Observation.Slices for component.component:compound.code.Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.code.Slices for coding Content/Rules for all slices
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType 1..1 Coding The 11073-10101 MDC code for the measurement
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.code 1..1 code Symbol in syntax defined by the system
Observation.Slices for component.component:compound.code.text 0..1 string Plain text representation of the concept
Observation.Slices for component.component:compound.value[x] 0..1 Quantity Actual component result
Observation.Slices for component.component:compound.value[x].value 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:compound.value[x].system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:compound.value[x].code 1..1 code Coded form of the unit
Observation.Slices for component.component:compound.dataAbsentReason 0..1 CodeableConcept Populated when the component reports a special FLOAT value
Observation.Slices for component.component:compound.dataAbsentReason.coding 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)
Observation.Slices for component.component:compound.interpretation
Observation.Slices for component.component:compound.interpretation.Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.interpretation.Slices for coding Content/Rules for all slices
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation 1..1 Coding Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.code 1..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component:compound.​code Base required MDC Non-Object codes 📦2.0.1 This IG
Observation.component:compound.​dataAbsentReason.coding Base required DataAbsentReason 📦4.0.1 FHIR Std.

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* PhdBaseObservation Measurements and simple assertions
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.meta.id 0..1 string Unique id for inter-element referencing
Observation.meta.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
Observation.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
Observation.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
Observation.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Observation.meta.Slices for security This element is included in summaries. 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.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.meta.Slices for security.security:PhdHtest This element is included in summaries. 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.
Observation.meta.Slices for security.security:PhdHtest.id 0..1 string Unique id for inter-element referencing
Observation.meta.Slices for security.security:PhdHtest.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.meta.Slices for security.security:PhdHtest.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason
Observation.meta.Slices for security.security:PhdHtest.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.meta.Slices for security.security:PhdHtest.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: HTEST
Observation.meta.Slices for security.security:PhdHtest.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.meta.Slices for security.security:PhdHtest.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.meta.tag This element is included in summaries. 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".
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:GatewayDevice 1..1 (Complex) Gateway Device
URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice
Observation.Slices for extension.extension:GatewayDevice.id 0..1 string Unique id for inter-element referencing
Observation.Slices for extension.extension:GatewayDevice.extension 0..0 Extension
Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:GatewayDevice.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"
Observation.Slices for extension.extension:GatewayDevice.value[x] 1..1 Reference(PhgDevice) Reference to the PHG Device
Observation.Slices for extension.extension:CoincidentTimeStamp 0..1 Reference(PhdCoincidentTimeStampObservation) Coincident Timestamp Reference
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.Slices for identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for identifier.identifier:conditionalCreate This element is included in summaries. 0..1 Identifier Unique identifier of this measurement for a given patient and device
Observation.Slices for identifier.identifier:conditionalCreate.id 0..1 string Unique id for inter-element referencing
Observation.Slices for identifier.identifier:conditionalCreate.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for identifier.identifier:conditionalCreate.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Observation.Slices for identifier.identifier:conditionalCreate.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation
Observation.Slices for identifier.identifier:conditionalCreate.value This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Observation.Slices for identifier.identifier:conditionalCreate.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Observation.Slices for identifier.identifier:conditionalCreate.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:PHD-Observation 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:PHD-Observation.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:PHD-Observation.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for category.category:PHD-Observation.coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Observation.Slices for category.category:PHD-Observation.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:PHD-Observation.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for category.category:PHD-Observation.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories
Observation.Slices for category.category:PHD-Observation.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for category.category:PHD-Observation.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: phd
Observation.Slices for category.category:PHD-Observation.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for category.category:PHD-Observation.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for category.category:PHD-Observation.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.code This element is included in summaries. C 1..1 CodeableConcept Type of observation (code / type)
Binding: MDC Non-Object codes (extensible)
Constraints: mdc-1
Observation.code.id 0..1 string Unique id for inter-element referencing
Observation.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.code.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Observation.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.code.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.code.coding.system This element is included in summaries. 0..1 uri Identity of the terminology system
Observation.code.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.code.coding.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Observation.code.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.code.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.subject This element is included in summaries. 1..1 Reference(Patient | PhdDevice) Reference to the patient or the PhdDevice that is the subject of the observation
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.Slices for effective[x] This element is included in summaries. 1..1 Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effectiveDateTime dateTime
Observation.Slices for effective[x].effectivePeriod Period
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element is included in summaries. 0..1 dateTime Clinically relevant time/time-period for observation
Observation.Slices for effective[x].effective[x]:effectivePeriod This element is included in summaries. 0..1 Period Clinically relevant time/time-period for observation
Observation.Slices for effective[x].effective[x]:effectivePeriod.id 0..1 string Unique id for inter-element referencing
Observation.Slices for effective[x].effective[x]:effectivePeriod.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for effective[x].effective[x]:effectivePeriod.start This element is included in summaries. C 0..1 dateTime Starting time with inclusive boundary
Observation.Slices for effective[x].effective[x]:effectivePeriod.end This element is included in summaries. C 0..1 dateTime End time with inclusive boundary, if not ongoing
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.dataAbsentReason C 0..1 CodeableConcept This element is populated when the Measurement Status indicates invalid, not available or measurement-ongoing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.dataAbsentReason.id 0..1 string Unique id for inter-element referencing
Observation.dataAbsentReason.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.dataAbsentReason.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)
Observation.dataAbsentReason.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.interpretation.id 0..1 string Unique id for inter-element referencing
Observation.interpretation.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.interpretation.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation This element is included in summaries. 1..1 Coding Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.id 0..1 string Unique id for inter-element referencing
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.interpretation.Slices for coding.coding:MsmtStatusInterpretation.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.interpretation.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 1..1 Reference(PhdDevice) (Measurement) Device
Observation.device.id 0..1 string Unique id for inter-element referencing
Observation.device.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.device.reference This element is included in summaries. C 1..1 string Reference to the device responsible for the measurement
Observation.device.type This element is included in summaries. 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).
Observation.device.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
Observation.device.display This element is included in summaries. 0..1 string Text alternative for the resource
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(PhdBaseObservation) Other PHD Observations that are part of this group observation.
Observation.derivedFrom This element is included in summaries. 0..* Reference(PhdBaseObservation) A source the measurement data is derived from.
Observation.Slices for component This element is included in summaries. 0..* BackboneElement Component results
Slice: Unordered, Open by value:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.code.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:All Slices.code.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Observation.Slices for component.component:All Slices.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.code.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:All Slices.code.coding.system This element is included in summaries. 0..1 uri Identity of the terminology system
Observation.Slices for component.component:All Slices.code.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for component.component:All Slices.code.coding.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Observation.Slices for component.component:All Slices.code.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for component.component:All Slices.code.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:All Slices.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:All Slices.Slices for value[x] This element is included in summaries. 0..1 Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:All Slices.Slices for value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.Slices for value[x].valueString string
Observation.Slices for component.component:All Slices.Slices for value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.Slices for value[x].valueInteger integer
Observation.Slices for component.component:All Slices.Slices for value[x].valueRange Range
Observation.Slices for component.component:All Slices.Slices for value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.Slices for value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.Slices for value[x].valueTime time
Observation.Slices for component.component:All Slices.Slices for value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.Slices for value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.value This element is included in summaries. 0..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.system This element is included in summaries. C 0..1 uri System that defines coded unit form
Observation.Slices for component.component:All Slices.Slices for value[x].value[x]:valueQuantity.code This element is included in summaries. 0..1 code Coded form of the unit
Observation.Slices for component.component:All Slices.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:supplementalTypesComponent This element is included in summaries. 0..* BackboneElement Supplemental Type: A further description of the measurement type.
Observation.Slices for component.component:supplementalTypesComponent.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:supplementalTypesComponent.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:supplementalTypesComponent.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
Observation.Slices for component.component:supplementalTypesComponent.code.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:supplementalTypesComponent.code.coding This element is included in summaries. 1..* Coding Code defined by a terminology system

Fixed Value: (Complex)
Observation.Slices for component.component:supplementalTypesComponent.code.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.code.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:supplementalTypesComponent.code.coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
Observation.Slices for component.component:supplementalTypesComponent.code.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for component.component:supplementalTypesComponent.code.coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: 68193
Observation.Slices for component.component:supplementalTypesComponent.code.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for component.component:supplementalTypesComponent.code.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:supplementalTypesComponent.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:supplementalTypesComponent.value[x] This element is included in summaries. 0..1 CodeableConcept Actual component result
Observation.Slices for component.component:supplementalTypesComponent.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for component.component:supplementalTypesComponent.value[x].coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:supplementalTypesComponent.value[x].text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:supplementalTypesComponent.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:supplementalTypesComponent.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:compound This element is included in summaries. 0..* BackboneElement Compound numeric measurement entry components
Observation.Slices for component.component:compound.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.Slices for extension Content/Rules for all slices
Observation.Slices for component.component:compound.Slices for extension.extension:Accuracy 0..1 Quantity Numeric Accuracy
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy
Observation.Slices for component.component:compound.Slices for extension.extension:Confidence95 0..1 Range Confidence95
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95
Observation.Slices for component.component:compound.Slices for extension.extension:SimpleAlerting 0..1 (Complex) SimpleAlerting
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting
Observation.Slices for component.component:compound.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:compound.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: MDC Non-Object codes (required)
Observation.Slices for component.component:compound.code.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:compound.code.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.code.Slices for coding Content/Rules for all slices
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType This element is included in summaries. 1..1 Coding The 11073-10101 MDC code for the measurement
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for component.component:compound.code.Slices for coding.coding:MdcType.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:compound.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:compound.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:compound.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:compound.value[x].value This element is included in summaries. 1..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:compound.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:compound.value[x].unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:compound.value[x].system This element is included in summaries. C 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:compound.value[x].code This element is included in summaries. 1..1 code Coded form of the unit
Observation.Slices for component.component:compound.dataAbsentReason C 0..1 CodeableConcept Populated when the component reports a special FLOAT value
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:compound.dataAbsentReason.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.dataAbsentReason.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:compound.dataAbsentReason.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Binding: DataAbsentReason (required)
Observation.Slices for component.component:compound.dataAbsentReason.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:compound.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:compound.interpretation.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.interpretation.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:compound.interpretation.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:compound.interpretation.Slices for coding Content/Rules for all slices
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation This element is included in summaries. 1..1 Coding Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for component.component:compound.interpretation.Slices for coding.coding:MsmtStatusInterpretation.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for component.component:compound.interpretation.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.Slices for component.component:compound.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.security:PhdHtest Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.identifier:conditionalCreate.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:PHD-Observation Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible MDC Non-Object codes 📦2.0.1 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.dataAbsentReason.​coding Base required DataAbsentReason 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.device.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:supplementalTypesComponent.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:supplementalTypesComponent.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:compound.​code Base required MDC Non-Object codes 📦2.0.1 This IG
Observation.component:compound.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:compound.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:compound.​dataAbsentReason.coding Base required DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:compound.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
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()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from PhdBaseObservation

Summary

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

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Maturity: 2

 

Other representations of profile: CSV, Excel, Schematron

Notes:

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

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

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

The structure definition is given here

Additional Numerical Measurement Information

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

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