Resumen Clínico del Paciente de Chile
0.7.0-ci-build - STU3 Chile flag

Resumen Clínico del Paciente de Chile, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.7.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/IPS-CL/ and changes regularly. See the Directory of published versions

Resource Profile: Observación - HS: Uso de Alcohol

Official URL: https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Observation-uso-de-alcohol-cl-ips Version: 0.7.0-ci-build
Standards status: Draft Maturity Level: 1 Computable Name: ObservationUsoAlcoholClIps
Other Identifiers: OID:2.16.840.1.113883.2.22.40.13.42.19

Este perfil restringe el recurso Observation para representar la evaluación del consumo de alcohol del paciente.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* ObservacionCL 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.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element must be supported. This element is included in summaries. 0..* Identifier Identificación para la observación
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown
Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
Observation.Slices for category This element must be supported. 1..* CodeableConcept Concepto que referencia a una terminología o un texto acorde
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

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:historialSocial This element must be supported. 1..1 CodeableConcept Clasificación del tipo de observación
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history"
    }
  ]
}
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Tipo de observación (code/type)
Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74013-4"
    }
  ]
}
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(Paciente) Sobre Quien o Que se está realizando la observación
Observation.subject.reference This element must be supported. This element is included in summaries. C 1..1 string Referencia literal, interna o url absoluta
Observation.encounter This element must be supported. This element is included in summaries. 0..1 Reference(CL Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
Observation.effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime Tiempo/Tiempo-periodo de relevancia clínica para la observación
Observation.effective[x].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.effective[x].Slices for extension.extension:data-absent-reason This element must be supported. 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
Observation.performer This element must be supported. This element is included in summaries. 0..* Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson) Quien es responsable por la observación
Observation.Slices for value[x] This element must be supported. This element is included in summaries. C 0..1 Actual Resultado
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 value[x].valueQuantity Quantity
Observation.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for value[x].valueString string
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 Quantity Una cantidad medida utilizando UCUM (Unified Code for Units of Measure).
Observation.interpretation This element must be supported. 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
Observation.note This element must be supported. 0..* Annotation Comentarios sobre la observación
Observation.specimen This element must be supported. 0..1 Reference(Specimen) Muestra tomada para la observación
Observation.hasMember This element must be supported. This element is included in summaries. 0..* Reference(CL Observación | QuestionnaireResponse | MolecularSequence) Grupo de recursos relacionados a la observación

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:historialSocial Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​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()
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 ObservacionCL

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation ObservacionCL
Observation.Slices for category 1..* CodeableConcept Concepto que referencia a una terminología o un texto acorde
Slice: Unordered, Open by pattern:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:historialSocial This element must be supported. 1..1 CodeableConcept Clasificación del tipo de observación
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history"
    }
  ]
}
Observation.code 1..1 CodeableConcept Tipo de observación (code/type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74013-4"
    }
  ]
}
Observation.subject 1..1 Reference(Paciente) Sobre Quien o Que se está realizando la observación
Observation.subject.reference This element must be supported. 1..1 string Referencia literal, interna o url absoluta
Observation.effective[x].Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.effective[x].Slices for extension.extension:data-absent-reason This element must be supported. 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
Observation.Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual Resultado
Slice: Unordered, Open by type:$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.Slices for value[x].value[x]:valueQuantity 0..1 Quantity Una cantidad medida utilizando UCUM (Unified Code for Units of Measure).
Observation.component 0..0 Componentes de los resultados

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* ObservacionCL 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.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.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element must be supported. This element is included in summaries. 0..* Identifier Identificación para la observación
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 must be supported. This element is included in summaries. 1..1 code registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown
Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
Observation.Slices for category This element must be supported. 1..* CodeableConcept Concepto que referencia a una terminología o un texto acorde
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

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:historialSocial This element must be supported. 1..1 CodeableConcept Clasificación del tipo de observación
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history"
    }
  ]
}
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Tipo de observación (code/type)
Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74013-4"
    }
  ]
}
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(Paciente) Sobre Quien o Que se está realizando la observación
Observation.subject.id 0..1 string Unique id for inter-element referencing
Observation.subject.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.subject.reference This element must be supported. This element is included in summaries. C 1..1 string Referencia literal, interna o url absoluta
Observation.subject.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.subject.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
Observation.subject.display This element is included in summaries. 0..1 string Text alternative for the resource
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 must be supported. This element is included in summaries. 0..1 Reference(CL Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
Observation.effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime Tiempo/Tiempo-periodo de relevancia clínica para la observación
Observation.effective[x].id 0..1 string xml:id (or equivalent in JSON)
Observation.effective[x].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.effective[x].Slices for extension.extension:data-absent-reason This element must be supported. 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
Observation.effective[x].value 0..1 dateTime Primitive value for dateTime
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element must be supported. This element is included in summaries. 0..* Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson) Quien es responsable por la observación
Observation.Slices for value[x] This element must be supported. This element is included in summaries. C 0..1 Actual Resultado
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 value[x].valueQuantity Quantity
Observation.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for value[x].valueString string
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 Quantity Una cantidad medida utilizando UCUM (Unified Code for Units of Measure).
Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation This element must be supported. 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
Observation.note This element must be supported. 0..* Annotation Comentarios sobre la observación
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 This element must be supported. 0..1 Reference(Specimen) Muestra tomada para la observación
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
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 Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity 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 must be supported. This element is included in summaries. 0..* Reference(CL Observación | QuestionnaireResponse | MolecularSequence) Grupo de recursos relacionados a la observación
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📦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:historialSocial Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible 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.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.

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()
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 ObservacionCL

Summary

Mandatory: 5 elements
Must-Support: 3 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

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.category
  • The element 1 is sliced based on the value of Observation.value[x]

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* ObservacionCL 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.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element must be supported. This element is included in summaries. 0..* Identifier Identificación para la observación
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown
Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
Observation.Slices for category This element must be supported. 1..* CodeableConcept Concepto que referencia a una terminología o un texto acorde
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

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:historialSocial This element must be supported. 1..1 CodeableConcept Clasificación del tipo de observación
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history"
    }
  ]
}
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Tipo de observación (code/type)
Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74013-4"
    }
  ]
}
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(Paciente) Sobre Quien o Que se está realizando la observación
Observation.subject.reference This element must be supported. This element is included in summaries. C 1..1 string Referencia literal, interna o url absoluta
Observation.encounter This element must be supported. This element is included in summaries. 0..1 Reference(CL Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
Observation.effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime Tiempo/Tiempo-periodo de relevancia clínica para la observación
Observation.effective[x].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.effective[x].Slices for extension.extension:data-absent-reason This element must be supported. 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
Observation.performer This element must be supported. This element is included in summaries. 0..* Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson) Quien es responsable por la observación
Observation.Slices for value[x] This element must be supported. This element is included in summaries. C 0..1 Actual Resultado
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 value[x].valueQuantity Quantity
Observation.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for value[x].valueString string
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 Quantity Una cantidad medida utilizando UCUM (Unified Code for Units of Measure).
Observation.interpretation This element must be supported. 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
Observation.note This element must be supported. 0..* Annotation Comentarios sobre la observación
Observation.specimen This element must be supported. 0..1 Reference(Specimen) Muestra tomada para la observación
Observation.hasMember This element must be supported. This element is included in summaries. 0..* Reference(CL Observación | QuestionnaireResponse | MolecularSequence) Grupo de recursos relacionados a la observación

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:historialSocial Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​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()
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 ObservacionCL

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation ObservacionCL
Observation.Slices for category 1..* CodeableConcept Concepto que referencia a una terminología o un texto acorde
Slice: Unordered, Open by pattern:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:historialSocial This element must be supported. 1..1 CodeableConcept Clasificación del tipo de observación
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history"
    }
  ]
}
Observation.code 1..1 CodeableConcept Tipo de observación (code/type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74013-4"
    }
  ]
}
Observation.subject 1..1 Reference(Paciente) Sobre Quien o Que se está realizando la observación
Observation.subject.reference This element must be supported. 1..1 string Referencia literal, interna o url absoluta
Observation.effective[x] 1..1 dateTime Tiempo/Tiempo-periodo de relevancia clínica para la observación
Observation.effective[x].Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.effective[x].Slices for extension.extension:data-absent-reason This element must be supported. 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
Observation.Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual Resultado
Slice: Unordered, Open by type:$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.Slices for value[x].value[x]:valueQuantity 0..1 Quantity Una cantidad medida utilizando UCUM (Unified Code for Units of Measure).
Observation.component 0..0 Componentes de los resultados

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* ObservacionCL 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.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.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element must be supported. This element is included in summaries. 0..* Identifier Identificación para la observación
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 must be supported. This element is included in summaries. 1..1 code registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown
Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
Observation.Slices for category This element must be supported. 1..* CodeableConcept Concepto que referencia a una terminología o un texto acorde
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

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:historialSocial This element must be supported. 1..1 CodeableConcept Clasificación del tipo de observación
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history"
    }
  ]
}
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Tipo de observación (code/type)
Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74013-4"
    }
  ]
}
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(Paciente) Sobre Quien o Que se está realizando la observación
Observation.subject.id 0..1 string Unique id for inter-element referencing
Observation.subject.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.subject.reference This element must be supported. This element is included in summaries. C 1..1 string Referencia literal, interna o url absoluta
Observation.subject.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.subject.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
Observation.subject.display This element is included in summaries. 0..1 string Text alternative for the resource
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 must be supported. This element is included in summaries. 0..1 Reference(CL Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
Observation.effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime Tiempo/Tiempo-periodo de relevancia clínica para la observación
Observation.effective[x].id 0..1 string xml:id (or equivalent in JSON)
Observation.effective[x].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.effective[x].Slices for extension.extension:data-absent-reason This element must be supported. 0..1 code effective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
Observation.effective[x].value 0..1 dateTime Primitive value for dateTime
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element must be supported. This element is included in summaries. 0..* Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson) Quien es responsable por la observación
Observation.Slices for value[x] This element must be supported. This element is included in summaries. C 0..1 Actual Resultado
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 value[x].valueQuantity Quantity
Observation.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for value[x].valueString string
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 Quantity Una cantidad medida utilizando UCUM (Unified Code for Units of Measure).
Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation This element must be supported. 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
Observation.note This element must be supported. 0..* Annotation Comentarios sobre la observación
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 This element must be supported. 0..1 Reference(Specimen) Muestra tomada para la observación
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
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 Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity 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 must be supported. This element is included in summaries. 0..* Reference(CL Observación | QuestionnaireResponse | MolecularSequence) Grupo de recursos relacionados a la observación
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📦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:historialSocial Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible 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.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.

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()
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 ObservacionCL

Summary

Mandatory: 5 elements
Must-Support: 3 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

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.category
  • The element 1 is sliced based on the value of Observation.value[x]

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron