PhdRtsaObservation - Personal Health Device Implementation Guide v2.0.1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

versionId

0..1

Version specific identifier

lastUpdated

0..1

When the resource version last changed

source

0..1

canonical(StructureDefinition)

Identifies where the resource comes from

profile

0..*

Profiles this resource claims to conform to

Slices for security

0..*

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

security:PhdHtest

0..1

Security value set to HTEST when measurement status indicates demo or test data
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..1

Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: HTEST

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

tag

0..*

Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

implicitRules

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Narrative

Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

contained

0..*

Resource

Contained, inline Resources

Slices for extension

1..*

Extension
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

extension:GatewayDevice

1..1

(Complex)

Gateway Device
URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice

0..1

Unique id for inter-element referencing

0..0

Extension
Slice: Unordered, Open by value:url

url

1..1

"http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"

extension:CoincidentTimeStamp

1..1

Reference(PhgDevice)

Reference to the PHG Device

0..1

Reference(PhdCoincidentTimeStampObservation)

Coincident Timestamp Reference
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference

0..*

Extensions that cannot be ignored

Slices for identifier

0..*

identifier:conditionalCreate

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

0..1

Unique identifier of this measurement for a given patient and device

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

0..1

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

1..1

The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation

1..1

The value that is unique
Example General: 123456

0..1

Time period when id is/was valid for use

assigner

0..1

Reference(Organization)

Organization that issued id (may be just text)

basedOn

0..*

Fulfills plan, proposal or order

partOf

0..*

Part of referenced event

status

1..1

registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

Slices for category

1..*

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

category:PHD-Observation

1..1

Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..*

Code defined by a terminology system

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..1

Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: phd

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

1..1

Type of observation (code / type)
Binding: MDC Non-Object codes (extensible)
Constraints: mdc-1

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

0..*

Code defined by a terminology system

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

0..1

Identity of the terminology system

0..1

Version of the system - if relevant

0..1

Symbol in syntax defined by the system

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

subject

1..1

Reference(Patient | PhdDevice)

Reference to the patient or the PhdDevice that is the subject of the observation

focus

0..*

Reference(Resource)

What the observation is about, when it is not about the subject of record

encounter

0..1

Reference(Encounter)

Healthcare event during which this observation is made

Slices for effective[x]

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

effectiveDateTime

effectivePeriod

effective[x]:effectiveDateTime

0..1

effective[x]:effectivePeriod

Clinically relevant time/time-period for observation

0..1

Clinically relevant time/time-period for observation

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

start

0..1

Starting time with inclusive boundary

end

0..1

End time with inclusive boundary, if not ongoing

issued

0..1

Date/Time this version was made available

performer

0..*

Who is responsible for the observation

0..1

SampledData

Actual result

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

origin

1..1

Zero value and units
Constraints: sqty-1

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..1

Intercept value (with implicit precision)

unit

0..1

Unit representation

1..1

The UCUM coding system
Fixed Value: http://unitsofmeasure.org

1..1

Coded form of the unit

1..1

Number of milliseconds between samples

factor

1..1

The scale factor

lowerLimit

0..1

The scaled lower limit of the ACOM sample array when provided by the PHD device.

upperLimit

0..1

The scaled upper limit of the ACOM sample array when provided by the PHD device.

dimensions

1..1

positiveInt

Number of sample points at each time point

data

0..1

Decimal values with spaces, or "E" | "U" | "L"

dataAbsentReason

0..1

This element is populated when the Measurement Status indicates invalid, not available or measurement-ongoing.
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

0..*

Code defined by a terminology system
Binding: DataAbsentReason (required)

0..1

Plain text representation of the concept

0..*

High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

Slices for coding

1..*

coding:MsmtStatusInterpretation

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

1..1

Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..1

Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

note

0..*

Annotation

Comments about the observation

bodySite

0..1

Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

method

0..1

How it was done
Binding: ObservationMethods (example): Methods for simple observations.

specimen

0..1

Reference(Specimen)

Specimen used for this observation

device

1..1

Reference(PhdDevice)

(Measurement) Device

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

reference

1..1

Reference to the device responsible for the measurement

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

identifier

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

0..*

Provides guide for interpretation
Constraints: obs-3

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

low

0..1

Low Range, if relevant
Constraints: sqty-1

high

0..1

High Range, if relevant
Constraints: sqty-1

0..1

Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

appliesTo

0..*

Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.

age

0..1

Range

Applicable age range, if relevant

0..1

Text based reference range in an observation

hasMember

0..*

Other PHD Observations that are part of this group observation.

derivedFrom

0..*

A source the measurement data is derived from.

Slices for component

0..*

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

component:All Slices

Content/Rules for all slices

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

0..1

Actual component result

valueQuantity

valueCodeableConcept

valueString

valueBoolean

valueInteger

valueRange

valueRatio

valueSampledData

valueTime

valueDateTime

valuePeriod

0..1

Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

0..*

High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

0..*

component:supplementalTypesComponent

Provides guide for interpretation of component result

0..*

Supplemental Type: A further description of the measurement type.

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..*

Code defined by a terminology system

Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..1

Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 68193

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..1

Actual component result

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

0..*

Code defined by a terminology system

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..1

Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

0..*

Documentation for this format

Provides guide for interpretation of component result

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.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.

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.value[x].origin, 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(4 nested mandatory elements)
Fixed: 1 element

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
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.value[x]	This element is included in summaries. C	0..1	SampledData	Actual result
Observation.value[x].origin	This element is included in summaries. C	1..1	SimpleQuantity(4.0.1)	Zero value and units Constraints: sqty-1
Observation.value[x].origin.value	This element is included in summaries.	1..1	decimal	Intercept value (with implicit precision)
Observation.value[x].origin.unit	This element is included in summaries.	0..1	string	Unit representation
Observation.value[x].origin.system	This element is included in summaries. C	1..1	uri	The UCUM coding system Fixed Value: http://unitsofmeasure.org
Observation.value[x].origin.code	This element is included in summaries.	1..1	code	Coded form of the unit
Observation.value[x].period	This element is included in summaries.	1..1	decimal	Number of milliseconds between samples
Observation.value[x].factor	This element is included in summaries.	1..1	decimal	The scale factor
Observation.value[x].lowerLimit	This element is included in summaries.	0..1	decimal	The scaled lower limit of the ACOM sample array when provided by the PHD device.
Observation.value[x].upperLimit	This element is included in summaries.	0..1	decimal	The scaled upper limit of the ACOM sample array when provided by the PHD device.
Observation.value[x].dimensions	This element is included in summaries.	1..1	positiveInt	Number of sample points at each time point
Observation.value[x].data		0..1	string	Decimal values with spaces, or "E" \| "U" \| "L"
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: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
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:supplementalTypesComponent.code	Base	example	LOINC 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-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.value[x].origin	The comparator is not used on a SimpleQuantity	`comparator.empty()`

Differential View

This structure is derived from PhdBaseObservation

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	0..*	PhdBaseObservation	Measurements and simple assertions
Observation.value[x]	0..1	SampledData	Actual result
Observation.value[x].origin	1..1	SimpleQuantity(4.0.1)	Zero value and units
Observation.value[x].origin.value	1..1	decimal	Intercept value (with implicit precision)
Observation.value[x].origin.unit	0..1	string	Unit representation
Observation.value[x].origin.system	1..1	uri	The UCUM coding system Fixed Value: http://unitsofmeasure.org
Observation.value[x].origin.code	1..1	code	Coded form of the unit
Observation.value[x].period	1..1	decimal	Number of milliseconds between samples
Observation.value[x].factor	1..1	decimal	The scale factor
Observation.value[x].lowerLimit	0..1	decimal	The scaled lower limit of the ACOM sample array when provided by the PHD device.
Observation.value[x].upperLimit	0..1	decimal	The scaled upper limit of the ACOM sample array when provided by the PHD device.
Observation.value[x].dimensions	1..1	positiveInt	Number of sample points at each time point
Observation.value[x].data	0..1	string	Decimal values with spaces, or "E" \| "U" \| "L"
Documentation for this format

Snapshot ViewView

Description & Constraints Filter:

Observation

0..*

PhdBaseObservation

Measurements and simple assertions
Constraints: obs-6, obs-7

0..1

Logical id of this artifact

Meta

Metadata about the resource

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

versionId

0..1

Version specific identifier

lastUpdated

0..1

When the resource version last changed

source

0..1

canonical(StructureDefinition)

Identifies where the resource comes from

profile

0..*

Profiles this resource claims to conform to

0..*

0..1

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..1

Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: HTEST

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

tag

0..*

Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

implicitRules

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Narrative

Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

contained

0..*

Resource

Contained, inline Resources

Slices for extension

1..*

Extension
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

extension:GatewayDevice

1..1

(Complex)

Gateway Device
URL: http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice

0..1

Unique id for inter-element referencing

0..0

Extension
Slice: Unordered, Open by value:url

url

1..1

"http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"

extension:CoincidentTimeStamp

1..1

Reference(PhgDevice)

Reference to the PHG Device

0..1

Reference(PhdCoincidentTimeStampObservation)

Coincident Timestamp Reference
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference

0..*

Extensions that cannot be ignored

Slices for identifier

0..*

identifier:conditionalCreate

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

0..1

Unique identifier of this measurement for a given patient and device

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

0..1

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

1..1

The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation

1..1

The value that is unique
Example General: 123456

0..1

Time period when id is/was valid for use

assigner

0..1

Reference(Organization)

Organization that issued id (may be just text)

basedOn

0..*

Fulfills plan, proposal or order

partOf

0..*

Part of referenced event

status

1..1

registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

Slices for category

1..*

category:PHD-Observation

1..1

Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..*

Code defined by a terminology system

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..1

Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: phd

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

1..1

Type of observation (code / type)
Binding: MDC Non-Object codes (extensible)
Constraints: mdc-1

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

0..*

Code defined by a terminology system

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

0..1

Identity of the terminology system

0..1

Version of the system - if relevant

0..1

Symbol in syntax defined by the system

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

subject

1..1

Reference(Patient | PhdDevice)

Reference to the patient or the PhdDevice that is the subject of the observation

focus

0..*

Reference(Resource)

What the observation is about, when it is not about the subject of record

encounter

0..1

Reference(Encounter)

Healthcare event during which this observation is made

Slices for effective[x]

1..1

effectiveDateTime

effectivePeriod

effective[x]:effectiveDateTime

0..1

effective[x]:effectivePeriod

Clinically relevant time/time-period for observation

0..1

Clinically relevant time/time-period for observation

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

start

0..1

Starting time with inclusive boundary

end

0..1

End time with inclusive boundary, if not ongoing

issued

0..1

Date/Time this version was made available

performer

0..*

Who is responsible for the observation

0..1

SampledData

Actual result

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

origin

1..1

Zero value and units
Constraints: sqty-1

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..1

Intercept value (with implicit precision)

unit

0..1

Unit representation

1..1

The UCUM coding system
Fixed Value: http://unitsofmeasure.org

1..1

Coded form of the unit

1..1

Number of milliseconds between samples

factor

1..1

The scale factor

lowerLimit

0..1

The scaled lower limit of the ACOM sample array when provided by the PHD device.

upperLimit

0..1

The scaled upper limit of the ACOM sample array when provided by the PHD device.

dimensions

1..1

positiveInt

Number of sample points at each time point

data

0..1

Decimal values with spaces, or "E" | "U" | "L"

dataAbsentReason

0..1

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

0..*

Code defined by a terminology system
Binding: DataAbsentReason (required)

0..1

Plain text representation of the concept

0..*

High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

Slices for coding

1..*

coding:MsmtStatusInterpretation

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

1..1

Measurement status interpretation when questionable, calibration-ongoing, validated, early-indication, threshold exceeded, alarm inhibited

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..1

Identity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

note

0..*

Annotation

Comments about the observation

bodySite

0..1

Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

method

0..1

How it was done
Binding: ObservationMethods (example): Methods for simple observations.

specimen

0..1

Reference(Specimen)

Specimen used for this observation

device

1..1

Reference(PhdDevice)

(Measurement) Device

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

reference

1..1

Reference to the device responsible for the measurement

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

identifier

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

0..*

Provides guide for interpretation
Constraints: obs-3

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

low

0..1

Low Range, if relevant
Constraints: sqty-1

high

0..1

High Range, if relevant
Constraints: sqty-1

0..1

Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

appliesTo

0..*

Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.

age

0..1

Range

Applicable age range, if relevant

0..1

Text based reference range in an observation

hasMember

0..*

Other PHD Observations that are part of this group observation.

derivedFrom

0..*

A source the measurement data is derived from.

Slices for component

0..*

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

component:All Slices

Content/Rules for all slices

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

0..1

Actual component result

valueQuantity

valueCodeableConcept

valueString

valueBoolean

valueInteger

valueRange

valueRatio

valueSampledData

valueTime

valueDateTime

valuePeriod

0..1

Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

0..*

High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

0..*

component:supplementalTypesComponent

Provides guide for interpretation of component result

0..*

Supplemental Type: A further description of the measurement type.

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..*

Code defined by a terminology system

Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..1

Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 68193

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..1

Actual component result

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

0..*

Code defined by a terminology system

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

1..1

Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

0..*