Guía de Implementación ''cl core'' FHIR R4, (Versión Evolutiva)
2.0.0 - draft Chile flag

Guía de Implementación ''cl core'' FHIR R4, (Versión Evolutiva), published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/clcore_2.0/ and changes regularly. See the Directory of published versions

Resource Profile: CL Observación

Official URL: https://hl7chile.cl/fhir/ig/clcore2/StructureDefinition/CoreObservacionCL Version: 2.0.0
Active as of 2024-08-13 Computable Name: ObservacionCL

Copyright/Legal: Usado con el permiso de HL7 International, todos los derechos resevados en los Licencias de HL7 Internacional.

Perfil para definir un mínimo para cualquier observación.

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... identifier S 0..* Identifier Identificación para la observación
... status S 1..1 code registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown
Binding: ObservationStatus (required): Códigos provistos para el estado de una observación

... category S 0..* CodeableConcept Clasificación del tipo de observación
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

... subject S 0..1 Reference(CL Paciente | Group | Device | CL Localización) Sobre Quien o Que se esta realizando la observación
... encounter S 0..1 Reference(Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
... effective[x] S 0..1 dateTime, Period, Timing, instant Tiempo/Tiempo-periodo de relevancia clínica para la observación
... performer S 0..* Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson) Quien es responsable por la observación
... value[x] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual Resultado
... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación

... note S 0..* Annotation Comentarios sobre la observación
... specimen S 0..1 Reference(Specimen) Muestra tomada para la observación
... hasMember S 0..* Reference(CL Observación | QuestionnaireResponse | MolecularSequence) Grupo de recursos relacionados a la observación
... component S 0..* BackboneElement Componentes de los resultados
.... code S 1..1 CodeableConcept Tipo de componente de la observación (code/type)
Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación

.... value[x] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual Resultado del componente
.... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificación para la observación
... category S 0..* CodeableConcept Clasificación del tipo de observación
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación


... code SΣ 1..1 CodeableConcept Tipo de observación (code/type)
Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación

... subject SΣ 0..1 Reference(CL Paciente | Group | Device | CL Localización) Sobre Quien o Que se esta realizando la observación
... encounter SΣ 0..1 Reference(Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
... effective[x] SΣ 0..1 Tiempo/Tiempo-periodo de relevancia clínica para la observación
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... performer SΣ 0..* Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson) Quien es responsable por la observación
... value[x] SΣC 0..1 Actual Resultado
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación


... note S 0..* Annotation Comentarios sobre la observación
... specimen S 0..1 Reference(Specimen) Muestra tomada para la observación
... hasMember SΣ 0..* Reference(CL Observación | QuestionnaireResponse | MolecularSequence) Grupo de recursos relacionados a la observación
... component SΣ 0..* BackboneElement Componentes de los resultados
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Tipo de componente de la observación (code/type)
Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación

.... value[x] SΣ 0..1 Actual Resultado del componente
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación



doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificación para la observación
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown
Binding: ObservationStatus (required): Códigos provistos para el estado de una observación

... category S 0..* CodeableConcept Clasificación del tipo de observación
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación


... code SΣ 1..1 CodeableConcept Tipo de observación (code/type)
Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación

... subject SΣ 0..1 Reference(CL Paciente | Group | Device | CL Localización) Sobre Quien o Que se esta realizando la observación
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
... effective[x] SΣ 0..1 Tiempo/Tiempo-periodo de relevancia clínica para la observación
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson) Quien es responsable por la observación
... value[x] SΣC 0..1 Actual Resultado
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación


... note S 0..* Annotation Comentarios sobre la observación
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen S 0..1 Reference(Specimen) Muestra tomada para la observación
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember SΣ 0..* Reference(CL Observación | QuestionnaireResponse | MolecularSequence) Grupo de recursos relacionados a la observación
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component SΣ 0..* BackboneElement Componentes de los resultados
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Tipo de componente de la observación (code/type)
Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación

.... value[x] SΣ 0..1 Actual Resultado del componente
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación


.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... identifier S 0..* Identifier Identificación para la observación
... status S 1..1 code registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown
Binding: ObservationStatus (required): Códigos provistos para el estado de una observación

... category S 0..* CodeableConcept Clasificación del tipo de observación
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación

... subject S 0..1 Reference(CL Paciente | Group | Device | CL Localización) Sobre Quien o Que se esta realizando la observación
... encounter S 0..1 Reference(Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
... effective[x] S 0..1 dateTime, Period, Timing, instant Tiempo/Tiempo-periodo de relevancia clínica para la observación
... performer S 0..* Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson) Quien es responsable por la observación
... value[x] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual Resultado
... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación

... note S 0..* Annotation Comentarios sobre la observación
... specimen S 0..1 Reference(Specimen) Muestra tomada para la observación
... hasMember S 0..* Reference(CL Observación | QuestionnaireResponse | MolecularSequence) Grupo de recursos relacionados a la observación
... component S 0..* BackboneElement Componentes de los resultados
.... code S 1..1 CodeableConcept Tipo de componente de la observación (code/type)
Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación

.... value[x] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual Resultado del componente
.... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificación para la observación
... category S 0..* CodeableConcept Clasificación del tipo de observación
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación


... code SΣ 1..1 CodeableConcept Tipo de observación (code/type)
Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación

... subject SΣ 0..1 Reference(CL Paciente | Group | Device | CL Localización) Sobre Quien o Que se esta realizando la observación
... encounter SΣ 0..1 Reference(Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
... effective[x] SΣ 0..1 Tiempo/Tiempo-periodo de relevancia clínica para la observación
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... performer SΣ 0..* Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson) Quien es responsable por la observación
... value[x] SΣC 0..1 Actual Resultado
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación


... note S 0..* Annotation Comentarios sobre la observación
... specimen S 0..1 Reference(Specimen) Muestra tomada para la observación
... hasMember SΣ 0..* Reference(CL Observación | QuestionnaireResponse | MolecularSequence) Grupo de recursos relacionados a la observación
... component SΣ 0..* BackboneElement Componentes de los resultados
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Tipo de componente de la observación (code/type)
Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación

.... value[x] SΣ 0..1 Actual Resultado del componente
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación



doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificación para la observación
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown
Binding: ObservationStatus (required): Códigos provistos para el estado de una observación

... category S 0..* CodeableConcept Clasificación del tipo de observación
Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación


... code SΣ 1..1 CodeableConcept Tipo de observación (code/type)
Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación

... subject SΣ 0..1 Reference(CL Paciente | Group | Device | CL Localización) Sobre Quien o Que se esta realizando la observación
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encuentro Clínico) Evento clínico durante el cual se hizo esta observación
... effective[x] SΣ 0..1 Tiempo/Tiempo-periodo de relevancia clínica para la observación
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson) Quien es responsable por la observación
... value[x] SΣC 0..1 Actual Resultado
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación


... note S 0..* Annotation Comentarios sobre la observación
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen S 0..1 Reference(Specimen) Muestra tomada para la observación
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember SΣ 0..* Reference(CL Observación | QuestionnaireResponse | MolecularSequence) Grupo de recursos relacionados a la observación
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component SΣ 0..* BackboneElement Componentes de los resultados
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Tipo de componente de la observación (code/type)
Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación

.... value[x] SΣ 0..1 Actual Resultado del componente
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation S 0..* CodeableConcept Alta, baja, normal, etc
Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación


.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

 

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