Lithuanian Colorectal Cancer Implementation Guide
0.0.1 - ci-build Lithuania vėliava

Lithuanian Colorectal Cancer Implementation Guide, published by Lithuanian Medical Library. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7LT/ig-lt-colorectal/ and changes regularly. See the Directory of published versions

Resursų profilis: Histological Diagnosis (LT Colorectal)

Oficialus URL: https://hl7.lt/fhir/colorectal/StructureDefinition/histological-diagnosis-lt-colorectal Versija: 0.0.1
Mašiniškai apdorojamas pavadinimas: HistologicalDiagnosisLtColorectal

Profile for recording histological diagnosis results from polyp or tumor biopsy specimens in the Lithuanian colorectal cancer screening program. Captures histological type, dysplasia grade, radicalism of removal, tumor budding, invasion depth, and MMR protein expression.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Profilio turinio formaliosios peržiūros

Profilių, skirtumų rinkinių, momentinių kopijų aprašas ir jų reprezentacijos.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationLt(0.3.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(ObservationLt(0.3.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 714797009
..... display 1..1 string Representation defined by the system
Fixed Value: Histologic test (procedure)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who and/or what the observation is about
... focus SΣ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0)) Who is responsible for the observation
... value[x] SΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... valueAttachment Attachment
.... valueReference Reference(MolecularSequence)
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... note S 0..* Annotation Comments about the observation
... bodyStructure SC 0..1 Reference(BodyStructure) Observed body structure
... specimen SC 0..1 Reference(Specimen | Group) Specimen used for this observation
Constraints: obs-9
... device S 0..1 Reference(Device | DeviceMetric) A reference to the device that generates the measurements or the device settings for the device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low SC 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue S 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
.... age S 0..1 Range Applicable age range, if relevant
.... text SC 0..1 markdown Text based reference range in an observation
... hasMember SΣ 0..* Reference(ObservationLt(0.3.0) | QuestionnaireResponse) Related resource that belongs to the Observation group
... derivedFrom SΣ 0..* Reference(DocumentReference | ImagingStudy | QuestionnaireResponse | ObservationLt(0.3.0)) Related resource from which the observation is made
... Slices for component SΣC 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] SΣ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... valueAttachment Attachment
...... valueReference Reference(MolecularSequence)
.... component:histologicalType SΣC 0..1 BackboneElement Histological type of the specimen
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Histological diagnosis
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: ColorectalHistologicalDiagnosisVS (0.0.1) (required)
.... component:dysplasiaGrade SΣC 0..1 BackboneElement Grade of dysplasia
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Dysplasia grade
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: DysplasiaGradeVS (0.0.1) (required)
.... component:radicalismOfRemoval SΣC 0..1 BackboneElement Completeness of polyp removal (R0, R1, Rx)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Radicalism of removal
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: RadicalismOfRemovalVS (0.0.1) (required)
.... component:tumorBudding SΣC 0..1 BackboneElement Tumor budding assessment
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Tumor budding
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: TumorBuddingVS (0.0.1) (required)
.... component:invasionDepth SΣC 0..1 BackboneElement Depth of submucosal invasion
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Invasion depth
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: InvasionDepthVS (0.0.1) (required)
.... component:mmrpExpression SΣC 0..1 BackboneElement Mismatch repair protein (MMRp) expression status
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: MMR protein expression
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: MmrpExpressionVS (0.0.1) (required)
.... component:pdcGrade SΣC 0..1 BackboneElement PDC grade (poorly differentiated clusters)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Poorly differentiated clusters
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: PdcGradeVS (0.0.1) (required)
.... component:intravascularInvasion SΣC 0..1 BackboneElement Vascular invasion status
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Intravascular invasion
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: IntravascularInvasionVS (0.0.1) (required)
.... component:differentiationGrade SΣC 0..1 BackboneElement Histologic grade (G1-G2 low / G3 high)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Degree of differentiation
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: DegreeOfDifferentiationVS (0.0.1) (required)
.... component:sccGrade SΣC 0..1 BackboneElement SCC grading (G1/G2/G3), used only for squamous cell carcinoma
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Squamous cell carcinoma grade
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: SccGradingVS (0.0.1) (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required Observation Status 📍5.0.0 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:histologicalType.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:histologicalType.​value[x] Base required Colorectal Histological Diagnosis 📍0.0.1 This IG
Observation.component:dysplasiaGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:dysplasiaGrade.​value[x] Base required Dysplasia Grade 📍0.0.1 This IG
Observation.component:radicalismOfRemoval.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:radicalismOfRemoval.​value[x] Base required Radicalism of Removal 📍0.0.1 This IG
Observation.component:tumorBudding.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:tumorBudding.​value[x] Base required Tumor Budding 📍0.0.1 This IG
Observation.component:invasionDepth.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:invasionDepth.​value[x] Base required Invasion Depth 📍0.0.1 This IG
Observation.component:mmrpExpression.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:mmrpExpression.​value[x] Base required MMRP Expression Status 📍0.0.1 This IG
Observation.component:pdcGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:pdcGrade.​value[x] Base required Poorly Differentiated Clusters (PDC) Grade 📍0.0.1 This IG
Observation.component:intravascularInvasion.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:intravascularInvasion.​value[x] Base required Intravascular Invasion 📍0.0.1 This IG
Observation.component:differentiationGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:differentiationGrade.​value[x] Base required Degree of Differentiation 📍0.0.1 This IG
Observation.component:sccGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:sccGrade.​value[x] Base required Squamous Cell Carcinoma Grading 📍0.0.1 This IG

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Observation.implicitRules, Observation.modifierExtension, Observation.identifier, Observation.instantiates[x], Observation.basedOn, Observation.triggeredBy, Observation.triggeredBy.modifierExtension, Observation.triggeredBy.observation, Observation.triggeredBy.type, Observation.triggeredBy.reason, Observation.partOf, Observation.status, Observation.category, Observation.code, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.note, Observation.bodyStructure, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.normalValue, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component:histologicalType, Observation.component:histologicalType.modifierExtension, Observation.component:histologicalType.code, Observation.component:histologicalType.code.text, Observation.component:histologicalType.value[x], Observation.component:dysplasiaGrade, Observation.component:dysplasiaGrade.modifierExtension, Observation.component:dysplasiaGrade.code, Observation.component:dysplasiaGrade.code.text, Observation.component:dysplasiaGrade.value[x], Observation.component:radicalismOfRemoval, Observation.component:radicalismOfRemoval.modifierExtension, Observation.component:radicalismOfRemoval.code, Observation.component:radicalismOfRemoval.code.text, Observation.component:radicalismOfRemoval.value[x], Observation.component:tumorBudding, Observation.component:tumorBudding.modifierExtension, Observation.component:tumorBudding.code, Observation.component:tumorBudding.code.text, Observation.component:tumorBudding.value[x], Observation.component:invasionDepth, Observation.component:invasionDepth.modifierExtension, Observation.component:invasionDepth.code, Observation.component:invasionDepth.code.text, Observation.component:invasionDepth.value[x], Observation.component:mmrpExpression, Observation.component:mmrpExpression.modifierExtension, Observation.component:mmrpExpression.code, Observation.component:mmrpExpression.code.text, Observation.component:mmrpExpression.value[x], Observation.component:pdcGrade, Observation.component:pdcGrade.modifierExtension, Observation.component:pdcGrade.code, Observation.component:pdcGrade.code.text, Observation.component:pdcGrade.value[x], Observation.component:intravascularInvasion, Observation.component:intravascularInvasion.modifierExtension, Observation.component:intravascularInvasion.code, Observation.component:intravascularInvasion.code.text, Observation.component:intravascularInvasion.value[x], Observation.component:differentiationGrade, Observation.component:differentiationGrade.modifierExtension, Observation.component:differentiationGrade.code, Observation.component:differentiationGrade.code.text, Observation.component:differentiationGrade.value[x], Observation.component:sccGrade, Observation.component:sccGrade.modifierExtension, Observation.component:sccGrade.code, Observation.component:sccGrade.code.text, Observation.component:sccGrade.value[x] All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.modifierExtension, Observation.triggeredBy.modifierExtension, Observation.referenceRange.modifierExtension, Observation.component.modifierExtension, Observation.component:histologicalType.modifierExtension, Observation.component:dysplasiaGrade.modifierExtension, Observation.component:radicalismOfRemoval.modifierExtension, Observation.component:tumorBudding.modifierExtension, Observation.component:invasionDepth.modifierExtension, Observation.component:mmrpExpression.modifierExtension, Observation.component:pdcGrade.modifierExtension, Observation.component:intravascularInvasion.modifierExtension, Observation.component:differentiationGrade.modifierExtension, Observation.component:sccGrade.modifierExtension 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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()
obs-9 error Observation.specimen If Observation.specimen is a reference to Group, the group can only have specimens (reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* ObservationLt(0.3.0) Measurements and simple assertions
... code 1..1 CodeableConcept Type of observation (code / type)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 714797009
..... display 1..1 string Representation defined by the system
Fixed Value: Histologic test (procedure)
... subject 1..1 Reference(PatientLt(0.3.0)) Who and/or what the observation is about
... Slices for component 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:histologicalType S 0..1 BackboneElement Histological type of the specimen
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Histological diagnosis
..... value[x] 0..1 CodeableConcept Actual component result
Binding: ColorectalHistologicalDiagnosisVS (0.0.1) (required)
.... component:dysplasiaGrade S 0..1 BackboneElement Grade of dysplasia
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Dysplasia grade
..... value[x] 0..1 CodeableConcept Actual component result
Binding: DysplasiaGradeVS (0.0.1) (required)
.... component:radicalismOfRemoval S 0..1 BackboneElement Completeness of polyp removal (R0, R1, Rx)
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Radicalism of removal
..... value[x] 0..1 CodeableConcept Actual component result
Binding: RadicalismOfRemovalVS (0.0.1) (required)
.... component:tumorBudding S 0..1 BackboneElement Tumor budding assessment
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Tumor budding
..... value[x] 0..1 CodeableConcept Actual component result
Binding: TumorBuddingVS (0.0.1) (required)
.... component:invasionDepth S 0..1 BackboneElement Depth of submucosal invasion
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Invasion depth
..... value[x] 0..1 CodeableConcept Actual component result
Binding: InvasionDepthVS (0.0.1) (required)
.... component:mmrpExpression S 0..1 BackboneElement Mismatch repair protein (MMRp) expression status
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: MMR protein expression
..... value[x] 0..1 CodeableConcept Actual component result
Binding: MmrpExpressionVS (0.0.1) (required)
.... component:pdcGrade S 0..1 BackboneElement PDC grade (poorly differentiated clusters)
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Poorly differentiated clusters
..... value[x] 0..1 CodeableConcept Actual component result
Binding: PdcGradeVS (0.0.1) (required)
.... component:intravascularInvasion S 0..1 BackboneElement Vascular invasion status
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Intravascular invasion
..... value[x] 0..1 CodeableConcept Actual component result
Binding: IntravascularInvasionVS (0.0.1) (required)
.... component:differentiationGrade S 0..1 BackboneElement Histologic grade (G1-G2 low / G3 high)
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Degree of differentiation
..... value[x] 0..1 CodeableConcept Actual component result
Binding: DegreeOfDifferentiationVS (0.0.1) (required)
.... component:sccGrade S 0..1 BackboneElement SCC grading (G1/G2/G3), used only for squamous cell carcinoma
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Squamous cell carcinoma grade
..... value[x] 0..1 CodeableConcept Actual component result
Binding: SccGradingVS (0.0.1) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component:histologicalType.​value[x] Base required Colorectal Histological Diagnosis 📍0.0.1 This IG
Observation.component:dysplasiaGrade.​value[x] Base required Dysplasia Grade 📍0.0.1 This IG
Observation.component:radicalismOfRemoval.​value[x] Base required Radicalism of Removal 📍0.0.1 This IG
Observation.component:tumorBudding.​value[x] Base required Tumor Budding 📍0.0.1 This IG
Observation.component:invasionDepth.​value[x] Base required Invasion Depth 📍0.0.1 This IG
Observation.component:mmrpExpression.​value[x] Base required MMRP Expression Status 📍0.0.1 This IG
Observation.component:pdcGrade.​value[x] Base required Poorly Differentiated Clusters (PDC) Grade 📍0.0.1 This IG
Observation.component:intravascularInvasion.​value[x] Base required Intravascular Invasion 📍0.0.1 This IG
Observation.component:differentiationGrade.​value[x] Base required Degree of Differentiation 📍0.0.1 This IG
Observation.component:sccGrade.​value[x] Base required Squamous Cell Carcinoma Grading 📍0.0.1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationLt(0.3.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(ObservationLt(0.3.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 714797009
..... display 1..1 string Representation defined by the system
Fixed Value: Histologic test (procedure)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who and/or what the observation is about
... focus SΣ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0)) Who is responsible for the observation
... value[x] SΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... valueAttachment Attachment
.... valueReference Reference(MolecularSequence)
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note S 0..* Annotation Comments about the observation
... bodySite C 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... bodyStructure SC 0..1 Reference(BodyStructure) Observed body structure
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen SC 0..1 Reference(Specimen | Group) Specimen used for this observation
Constraints: obs-9
... device S 0..1 Reference(Device | DeviceMetric) A reference to the device that generates the measurements or the device settings for the device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low SC 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue S 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
.... 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 S 0..1 Range Applicable age range, if relevant
.... text SC 0..1 markdown Text based reference range in an observation
... hasMember SΣ 0..* Reference(ObservationLt(0.3.0) | QuestionnaireResponse) Related resource that belongs to the Observation group
... derivedFrom SΣ 0..* Reference(DocumentReference | ImagingStudy | QuestionnaireResponse | ObservationLt(0.3.0)) Related resource from which the observation is made
... Slices for component SΣC 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] SΣ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... valueAttachment Attachment
...... valueReference Reference(MolecularSequence)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:histologicalType SΣC 0..1 BackboneElement Histological type of the specimen
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Histological diagnosis
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: ColorectalHistologicalDiagnosisVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:dysplasiaGrade SΣC 0..1 BackboneElement Grade of dysplasia
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Dysplasia grade
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: DysplasiaGradeVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:radicalismOfRemoval SΣC 0..1 BackboneElement Completeness of polyp removal (R0, R1, Rx)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Radicalism of removal
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: RadicalismOfRemovalVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:tumorBudding SΣC 0..1 BackboneElement Tumor budding assessment
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Tumor budding
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: TumorBuddingVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:invasionDepth SΣC 0..1 BackboneElement Depth of submucosal invasion
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Invasion depth
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: InvasionDepthVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:mmrpExpression SΣC 0..1 BackboneElement Mismatch repair protein (MMRp) expression status
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: MMR protein expression
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: MmrpExpressionVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:pdcGrade SΣC 0..1 BackboneElement PDC grade (poorly differentiated clusters)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Poorly differentiated clusters
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: PdcGradeVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:intravascularInvasion SΣC 0..1 BackboneElement Vascular invasion status
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Intravascular invasion
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: IntravascularInvasionVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:differentiationGrade SΣC 0..1 BackboneElement Histologic grade (G1-G2 low / G3 high)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Degree of differentiation
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: DegreeOfDifferentiationVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:sccGrade SΣC 0..1 BackboneElement SCC grading (G1/G2/G3), used only for squamous cell carcinoma
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Squamous cell carcinoma grade
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: SccGradingVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base required All Languages 📍5.0.0 FHIR Std.
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required Observation Status 📍5.0.0 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
Observation.method Base example Observation Methods 📍5.0.0 FHIR Std.
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:histologicalType.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:histologicalType.​value[x] Base required Colorectal Histological Diagnosis 📍0.0.1 This IG
Observation.component:histologicalType.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:histologicalType.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:dysplasiaGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:dysplasiaGrade.​value[x] Base required Dysplasia Grade 📍0.0.1 This IG
Observation.component:dysplasiaGrade.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:dysplasiaGrade.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:radicalismOfRemoval.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:radicalismOfRemoval.​value[x] Base required Radicalism of Removal 📍0.0.1 This IG
Observation.component:radicalismOfRemoval.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:radicalismOfRemoval.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:tumorBudding.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:tumorBudding.​value[x] Base required Tumor Budding 📍0.0.1 This IG
Observation.component:tumorBudding.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:tumorBudding.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:invasionDepth.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:invasionDepth.​value[x] Base required Invasion Depth 📍0.0.1 This IG
Observation.component:invasionDepth.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:invasionDepth.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:mmrpExpression.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:mmrpExpression.​value[x] Base required MMRP Expression Status 📍0.0.1 This IG
Observation.component:mmrpExpression.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:mmrpExpression.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:pdcGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:pdcGrade.​value[x] Base required Poorly Differentiated Clusters (PDC) Grade 📍0.0.1 This IG
Observation.component:pdcGrade.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:pdcGrade.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:intravascularInvasion.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:intravascularInvasion.​value[x] Base required Intravascular Invasion 📍0.0.1 This IG
Observation.component:intravascularInvasion.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:intravascularInvasion.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:differentiationGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:differentiationGrade.​value[x] Base required Degree of Differentiation 📍0.0.1 This IG
Observation.component:differentiationGrade.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:differentiationGrade.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:sccGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:sccGrade.​value[x] Base required Squamous Cell Carcinoma Grading 📍0.0.1 This IG
Observation.component:sccGrade.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:sccGrade.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.modifierExtension, Observation.identifier, Observation.instantiates[x], Observation.basedOn, Observation.triggeredBy, Observation.triggeredBy.extension, Observation.triggeredBy.modifierExtension, Observation.triggeredBy.observation, Observation.triggeredBy.type, Observation.triggeredBy.reason, Observation.partOf, Observation.status, Observation.category, Observation.code, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.bodyStructure, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.normalValue, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange, Observation.component:histologicalType, Observation.component:histologicalType.extension, Observation.component:histologicalType.modifierExtension, Observation.component:histologicalType.code, Observation.component:histologicalType.code.extension, Observation.component:histologicalType.code.coding, Observation.component:histologicalType.code.text, Observation.component:histologicalType.value[x], Observation.component:histologicalType.dataAbsentReason, Observation.component:histologicalType.interpretation, Observation.component:histologicalType.referenceRange, Observation.component:dysplasiaGrade, Observation.component:dysplasiaGrade.extension, Observation.component:dysplasiaGrade.modifierExtension, Observation.component:dysplasiaGrade.code, Observation.component:dysplasiaGrade.code.extension, Observation.component:dysplasiaGrade.code.coding, Observation.component:dysplasiaGrade.code.text, Observation.component:dysplasiaGrade.value[x], Observation.component:dysplasiaGrade.dataAbsentReason, Observation.component:dysplasiaGrade.interpretation, Observation.component:dysplasiaGrade.referenceRange, Observation.component:radicalismOfRemoval, Observation.component:radicalismOfRemoval.extension, Observation.component:radicalismOfRemoval.modifierExtension, Observation.component:radicalismOfRemoval.code, Observation.component:radicalismOfRemoval.code.extension, Observation.component:radicalismOfRemoval.code.coding, Observation.component:radicalismOfRemoval.code.text, Observation.component:radicalismOfRemoval.value[x], Observation.component:radicalismOfRemoval.dataAbsentReason, Observation.component:radicalismOfRemoval.interpretation, Observation.component:radicalismOfRemoval.referenceRange, Observation.component:tumorBudding, Observation.component:tumorBudding.extension, Observation.component:tumorBudding.modifierExtension, Observation.component:tumorBudding.code, Observation.component:tumorBudding.code.extension, Observation.component:tumorBudding.code.coding, Observation.component:tumorBudding.code.text, Observation.component:tumorBudding.value[x], Observation.component:tumorBudding.dataAbsentReason, Observation.component:tumorBudding.interpretation, Observation.component:tumorBudding.referenceRange, Observation.component:invasionDepth, Observation.component:invasionDepth.extension, Observation.component:invasionDepth.modifierExtension, Observation.component:invasionDepth.code, Observation.component:invasionDepth.code.extension, Observation.component:invasionDepth.code.coding, Observation.component:invasionDepth.code.text, Observation.component:invasionDepth.value[x], Observation.component:invasionDepth.dataAbsentReason, Observation.component:invasionDepth.interpretation, Observation.component:invasionDepth.referenceRange, Observation.component:mmrpExpression, Observation.component:mmrpExpression.extension, Observation.component:mmrpExpression.modifierExtension, Observation.component:mmrpExpression.code, Observation.component:mmrpExpression.code.extension, Observation.component:mmrpExpression.code.coding, Observation.component:mmrpExpression.code.text, Observation.component:mmrpExpression.value[x], Observation.component:mmrpExpression.dataAbsentReason, Observation.component:mmrpExpression.interpretation, Observation.component:mmrpExpression.referenceRange, Observation.component:pdcGrade, Observation.component:pdcGrade.extension, Observation.component:pdcGrade.modifierExtension, Observation.component:pdcGrade.code, Observation.component:pdcGrade.code.extension, Observation.component:pdcGrade.code.coding, Observation.component:pdcGrade.code.text, Observation.component:pdcGrade.value[x], Observation.component:pdcGrade.dataAbsentReason, Observation.component:pdcGrade.interpretation, Observation.component:pdcGrade.referenceRange, Observation.component:intravascularInvasion, Observation.component:intravascularInvasion.extension, Observation.component:intravascularInvasion.modifierExtension, Observation.component:intravascularInvasion.code, Observation.component:intravascularInvasion.code.extension, Observation.component:intravascularInvasion.code.coding, Observation.component:intravascularInvasion.code.text, Observation.component:intravascularInvasion.value[x], Observation.component:intravascularInvasion.dataAbsentReason, Observation.component:intravascularInvasion.interpretation, Observation.component:intravascularInvasion.referenceRange, Observation.component:differentiationGrade, Observation.component:differentiationGrade.extension, Observation.component:differentiationGrade.modifierExtension, Observation.component:differentiationGrade.code, Observation.component:differentiationGrade.code.extension, Observation.component:differentiationGrade.code.coding, Observation.component:differentiationGrade.code.text, Observation.component:differentiationGrade.value[x], Observation.component:differentiationGrade.dataAbsentReason, Observation.component:differentiationGrade.interpretation, Observation.component:differentiationGrade.referenceRange, Observation.component:sccGrade, Observation.component:sccGrade.extension, Observation.component:sccGrade.modifierExtension, Observation.component:sccGrade.code, Observation.component:sccGrade.code.extension, Observation.component:sccGrade.code.coding, Observation.component:sccGrade.code.text, Observation.component:sccGrade.value[x], Observation.component:sccGrade.dataAbsentReason, Observation.component:sccGrade.interpretation, Observation.component:sccGrade.referenceRange All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.modifierExtension, Observation.triggeredBy.extension, Observation.triggeredBy.modifierExtension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension, Observation.component:histologicalType.extension, Observation.component:histologicalType.modifierExtension, Observation.component:histologicalType.code.extension, Observation.component:dysplasiaGrade.extension, Observation.component:dysplasiaGrade.modifierExtension, Observation.component:dysplasiaGrade.code.extension, Observation.component:radicalismOfRemoval.extension, Observation.component:radicalismOfRemoval.modifierExtension, Observation.component:radicalismOfRemoval.code.extension, Observation.component:tumorBudding.extension, Observation.component:tumorBudding.modifierExtension, Observation.component:tumorBudding.code.extension, Observation.component:invasionDepth.extension, Observation.component:invasionDepth.modifierExtension, Observation.component:invasionDepth.code.extension, Observation.component:mmrpExpression.extension, Observation.component:mmrpExpression.modifierExtension, Observation.component:mmrpExpression.code.extension, Observation.component:pdcGrade.extension, Observation.component:pdcGrade.modifierExtension, Observation.component:pdcGrade.code.extension, Observation.component:intravascularInvasion.extension, Observation.component:intravascularInvasion.modifierExtension, Observation.component:intravascularInvasion.code.extension, Observation.component:differentiationGrade.extension, Observation.component:differentiationGrade.modifierExtension, Observation.component:differentiationGrade.code.extension, Observation.component:sccGrade.extension, Observation.component:sccGrade.modifierExtension, Observation.component:sccGrade.code.extension 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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()
obs-9 error Observation.specimen If Observation.specimen is a reference to Group, the group can only have specimens (reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)

Summary

Mandatory: 1 element
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component

Pagrindinių elementų peržiūra

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationLt(0.3.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(ObservationLt(0.3.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 714797009
..... display 1..1 string Representation defined by the system
Fixed Value: Histologic test (procedure)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who and/or what the observation is about
... focus SΣ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0)) Who is responsible for the observation
... value[x] SΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... valueAttachment Attachment
.... valueReference Reference(MolecularSequence)
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... note S 0..* Annotation Comments about the observation
... bodyStructure SC 0..1 Reference(BodyStructure) Observed body structure
... specimen SC 0..1 Reference(Specimen | Group) Specimen used for this observation
Constraints: obs-9
... device S 0..1 Reference(Device | DeviceMetric) A reference to the device that generates the measurements or the device settings for the device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low SC 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue S 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
.... age S 0..1 Range Applicable age range, if relevant
.... text SC 0..1 markdown Text based reference range in an observation
... hasMember SΣ 0..* Reference(ObservationLt(0.3.0) | QuestionnaireResponse) Related resource that belongs to the Observation group
... derivedFrom SΣ 0..* Reference(DocumentReference | ImagingStudy | QuestionnaireResponse | ObservationLt(0.3.0)) Related resource from which the observation is made
... Slices for component SΣC 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] SΣ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... valueAttachment Attachment
...... valueReference Reference(MolecularSequence)
.... component:histologicalType SΣC 0..1 BackboneElement Histological type of the specimen
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Histological diagnosis
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: ColorectalHistologicalDiagnosisVS (0.0.1) (required)
.... component:dysplasiaGrade SΣC 0..1 BackboneElement Grade of dysplasia
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Dysplasia grade
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: DysplasiaGradeVS (0.0.1) (required)
.... component:radicalismOfRemoval SΣC 0..1 BackboneElement Completeness of polyp removal (R0, R1, Rx)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Radicalism of removal
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: RadicalismOfRemovalVS (0.0.1) (required)
.... component:tumorBudding SΣC 0..1 BackboneElement Tumor budding assessment
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Tumor budding
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: TumorBuddingVS (0.0.1) (required)
.... component:invasionDepth SΣC 0..1 BackboneElement Depth of submucosal invasion
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Invasion depth
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: InvasionDepthVS (0.0.1) (required)
.... component:mmrpExpression SΣC 0..1 BackboneElement Mismatch repair protein (MMRp) expression status
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: MMR protein expression
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: MmrpExpressionVS (0.0.1) (required)
.... component:pdcGrade SΣC 0..1 BackboneElement PDC grade (poorly differentiated clusters)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Poorly differentiated clusters
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: PdcGradeVS (0.0.1) (required)
.... component:intravascularInvasion SΣC 0..1 BackboneElement Vascular invasion status
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Intravascular invasion
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: IntravascularInvasionVS (0.0.1) (required)
.... component:differentiationGrade SΣC 0..1 BackboneElement Histologic grade (G1-G2 low / G3 high)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Degree of differentiation
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: DegreeOfDifferentiationVS (0.0.1) (required)
.... component:sccGrade SΣC 0..1 BackboneElement SCC grading (G1/G2/G3), used only for squamous cell carcinoma
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Squamous cell carcinoma grade
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: SccGradingVS (0.0.1) (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required Observation Status 📍5.0.0 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:histologicalType.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:histologicalType.​value[x] Base required Colorectal Histological Diagnosis 📍0.0.1 This IG
Observation.component:dysplasiaGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:dysplasiaGrade.​value[x] Base required Dysplasia Grade 📍0.0.1 This IG
Observation.component:radicalismOfRemoval.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:radicalismOfRemoval.​value[x] Base required Radicalism of Removal 📍0.0.1 This IG
Observation.component:tumorBudding.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:tumorBudding.​value[x] Base required Tumor Budding 📍0.0.1 This IG
Observation.component:invasionDepth.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:invasionDepth.​value[x] Base required Invasion Depth 📍0.0.1 This IG
Observation.component:mmrpExpression.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:mmrpExpression.​value[x] Base required MMRP Expression Status 📍0.0.1 This IG
Observation.component:pdcGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:pdcGrade.​value[x] Base required Poorly Differentiated Clusters (PDC) Grade 📍0.0.1 This IG
Observation.component:intravascularInvasion.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:intravascularInvasion.​value[x] Base required Intravascular Invasion 📍0.0.1 This IG
Observation.component:differentiationGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:differentiationGrade.​value[x] Base required Degree of Differentiation 📍0.0.1 This IG
Observation.component:sccGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:sccGrade.​value[x] Base required Squamous Cell Carcinoma Grading 📍0.0.1 This IG

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Observation.implicitRules, Observation.modifierExtension, Observation.identifier, Observation.instantiates[x], Observation.basedOn, Observation.triggeredBy, Observation.triggeredBy.modifierExtension, Observation.triggeredBy.observation, Observation.triggeredBy.type, Observation.triggeredBy.reason, Observation.partOf, Observation.status, Observation.category, Observation.code, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.note, Observation.bodyStructure, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.normalValue, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component:histologicalType, Observation.component:histologicalType.modifierExtension, Observation.component:histologicalType.code, Observation.component:histologicalType.code.text, Observation.component:histologicalType.value[x], Observation.component:dysplasiaGrade, Observation.component:dysplasiaGrade.modifierExtension, Observation.component:dysplasiaGrade.code, Observation.component:dysplasiaGrade.code.text, Observation.component:dysplasiaGrade.value[x], Observation.component:radicalismOfRemoval, Observation.component:radicalismOfRemoval.modifierExtension, Observation.component:radicalismOfRemoval.code, Observation.component:radicalismOfRemoval.code.text, Observation.component:radicalismOfRemoval.value[x], Observation.component:tumorBudding, Observation.component:tumorBudding.modifierExtension, Observation.component:tumorBudding.code, Observation.component:tumorBudding.code.text, Observation.component:tumorBudding.value[x], Observation.component:invasionDepth, Observation.component:invasionDepth.modifierExtension, Observation.component:invasionDepth.code, Observation.component:invasionDepth.code.text, Observation.component:invasionDepth.value[x], Observation.component:mmrpExpression, Observation.component:mmrpExpression.modifierExtension, Observation.component:mmrpExpression.code, Observation.component:mmrpExpression.code.text, Observation.component:mmrpExpression.value[x], Observation.component:pdcGrade, Observation.component:pdcGrade.modifierExtension, Observation.component:pdcGrade.code, Observation.component:pdcGrade.code.text, Observation.component:pdcGrade.value[x], Observation.component:intravascularInvasion, Observation.component:intravascularInvasion.modifierExtension, Observation.component:intravascularInvasion.code, Observation.component:intravascularInvasion.code.text, Observation.component:intravascularInvasion.value[x], Observation.component:differentiationGrade, Observation.component:differentiationGrade.modifierExtension, Observation.component:differentiationGrade.code, Observation.component:differentiationGrade.code.text, Observation.component:differentiationGrade.value[x], Observation.component:sccGrade, Observation.component:sccGrade.modifierExtension, Observation.component:sccGrade.code, Observation.component:sccGrade.code.text, Observation.component:sccGrade.value[x] All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.modifierExtension, Observation.triggeredBy.modifierExtension, Observation.referenceRange.modifierExtension, Observation.component.modifierExtension, Observation.component:histologicalType.modifierExtension, Observation.component:dysplasiaGrade.modifierExtension, Observation.component:radicalismOfRemoval.modifierExtension, Observation.component:tumorBudding.modifierExtension, Observation.component:invasionDepth.modifierExtension, Observation.component:mmrpExpression.modifierExtension, Observation.component:pdcGrade.modifierExtension, Observation.component:intravascularInvasion.modifierExtension, Observation.component:differentiationGrade.modifierExtension, Observation.component:sccGrade.modifierExtension 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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()
obs-9 error Observation.specimen If Observation.specimen is a reference to Group, the group can only have specimens (reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)

Skirtumų rinkinių peržiūra

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* ObservationLt(0.3.0) Measurements and simple assertions
... code 1..1 CodeableConcept Type of observation (code / type)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 714797009
..... display 1..1 string Representation defined by the system
Fixed Value: Histologic test (procedure)
... subject 1..1 Reference(PatientLt(0.3.0)) Who and/or what the observation is about
... Slices for component 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:histologicalType S 0..1 BackboneElement Histological type of the specimen
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Histological diagnosis
..... value[x] 0..1 CodeableConcept Actual component result
Binding: ColorectalHistologicalDiagnosisVS (0.0.1) (required)
.... component:dysplasiaGrade S 0..1 BackboneElement Grade of dysplasia
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Dysplasia grade
..... value[x] 0..1 CodeableConcept Actual component result
Binding: DysplasiaGradeVS (0.0.1) (required)
.... component:radicalismOfRemoval S 0..1 BackboneElement Completeness of polyp removal (R0, R1, Rx)
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Radicalism of removal
..... value[x] 0..1 CodeableConcept Actual component result
Binding: RadicalismOfRemovalVS (0.0.1) (required)
.... component:tumorBudding S 0..1 BackboneElement Tumor budding assessment
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Tumor budding
..... value[x] 0..1 CodeableConcept Actual component result
Binding: TumorBuddingVS (0.0.1) (required)
.... component:invasionDepth S 0..1 BackboneElement Depth of submucosal invasion
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Invasion depth
..... value[x] 0..1 CodeableConcept Actual component result
Binding: InvasionDepthVS (0.0.1) (required)
.... component:mmrpExpression S 0..1 BackboneElement Mismatch repair protein (MMRp) expression status
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: MMR protein expression
..... value[x] 0..1 CodeableConcept Actual component result
Binding: MmrpExpressionVS (0.0.1) (required)
.... component:pdcGrade S 0..1 BackboneElement PDC grade (poorly differentiated clusters)
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Poorly differentiated clusters
..... value[x] 0..1 CodeableConcept Actual component result
Binding: PdcGradeVS (0.0.1) (required)
.... component:intravascularInvasion S 0..1 BackboneElement Vascular invasion status
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Intravascular invasion
..... value[x] 0..1 CodeableConcept Actual component result
Binding: IntravascularInvasionVS (0.0.1) (required)
.... component:differentiationGrade S 0..1 BackboneElement Histologic grade (G1-G2 low / G3 high)
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Degree of differentiation
..... value[x] 0..1 CodeableConcept Actual component result
Binding: DegreeOfDifferentiationVS (0.0.1) (required)
.... component:sccGrade S 0..1 BackboneElement SCC grading (G1/G2/G3), used only for squamous cell carcinoma
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Squamous cell carcinoma grade
..... value[x] 0..1 CodeableConcept Actual component result
Binding: SccGradingVS (0.0.1) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component:histologicalType.​value[x] Base required Colorectal Histological Diagnosis 📍0.0.1 This IG
Observation.component:dysplasiaGrade.​value[x] Base required Dysplasia Grade 📍0.0.1 This IG
Observation.component:radicalismOfRemoval.​value[x] Base required Radicalism of Removal 📍0.0.1 This IG
Observation.component:tumorBudding.​value[x] Base required Tumor Budding 📍0.0.1 This IG
Observation.component:invasionDepth.​value[x] Base required Invasion Depth 📍0.0.1 This IG
Observation.component:mmrpExpression.​value[x] Base required MMRP Expression Status 📍0.0.1 This IG
Observation.component:pdcGrade.​value[x] Base required Poorly Differentiated Clusters (PDC) Grade 📍0.0.1 This IG
Observation.component:intravascularInvasion.​value[x] Base required Intravascular Invasion 📍0.0.1 This IG
Observation.component:differentiationGrade.​value[x] Base required Degree of Differentiation 📍0.0.1 This IG
Observation.component:sccGrade.​value[x] Base required Squamous Cell Carcinoma Grading 📍0.0.1 This IG

Momentinės kopijos peržiūraView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationLt(0.3.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(ObservationLt(0.3.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 714797009
..... display 1..1 string Representation defined by the system
Fixed Value: Histologic test (procedure)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who and/or what the observation is about
... focus SΣ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0)) Who is responsible for the observation
... value[x] SΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... valueAttachment Attachment
.... valueReference Reference(MolecularSequence)
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note S 0..* Annotation Comments about the observation
... bodySite C 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... bodyStructure SC 0..1 Reference(BodyStructure) Observed body structure
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen SC 0..1 Reference(Specimen | Group) Specimen used for this observation
Constraints: obs-9
... device S 0..1 Reference(Device | DeviceMetric) A reference to the device that generates the measurements or the device settings for the device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low SC 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue S 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
.... 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 S 0..1 Range Applicable age range, if relevant
.... text SC 0..1 markdown Text based reference range in an observation
... hasMember SΣ 0..* Reference(ObservationLt(0.3.0) | QuestionnaireResponse) Related resource that belongs to the Observation group
... derivedFrom SΣ 0..* Reference(DocumentReference | ImagingStudy | QuestionnaireResponse | ObservationLt(0.3.0)) Related resource from which the observation is made
... Slices for component SΣC 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] SΣ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... valueAttachment Attachment
...... valueReference Reference(MolecularSequence)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:histologicalType SΣC 0..1 BackboneElement Histological type of the specimen
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Histological diagnosis
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: ColorectalHistologicalDiagnosisVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:dysplasiaGrade SΣC 0..1 BackboneElement Grade of dysplasia
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Dysplasia grade
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: DysplasiaGradeVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:radicalismOfRemoval SΣC 0..1 BackboneElement Completeness of polyp removal (R0, R1, Rx)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Radicalism of removal
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: RadicalismOfRemovalVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:tumorBudding SΣC 0..1 BackboneElement Tumor budding assessment
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Tumor budding
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: TumorBuddingVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:invasionDepth SΣC 0..1 BackboneElement Depth of submucosal invasion
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Invasion depth
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: InvasionDepthVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:mmrpExpression SΣC 0..1 BackboneElement Mismatch repair protein (MMRp) expression status
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: MMR protein expression
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: MmrpExpressionVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:pdcGrade SΣC 0..1 BackboneElement PDC grade (poorly differentiated clusters)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Poorly differentiated clusters
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: PdcGradeVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:intravascularInvasion SΣC 0..1 BackboneElement Vascular invasion status
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Intravascular invasion
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: IntravascularInvasionVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:differentiationGrade SΣC 0..1 BackboneElement Histologic grade (G1-G2 low / G3 high)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Degree of differentiation
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: DegreeOfDifferentiationVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:sccGrade SΣC 0..1 BackboneElement SCC grading (G1/G2/G3), used only for squamous cell carcinoma
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Squamous cell carcinoma grade
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: SccGradingVS (0.0.1) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base required All Languages 📍5.0.0 FHIR Std.
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required Observation Status 📍5.0.0 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
Observation.method Base example Observation Methods 📍5.0.0 FHIR Std.
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:histologicalType.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:histologicalType.​value[x] Base required Colorectal Histological Diagnosis 📍0.0.1 This IG
Observation.component:histologicalType.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:histologicalType.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:dysplasiaGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:dysplasiaGrade.​value[x] Base required Dysplasia Grade 📍0.0.1 This IG
Observation.component:dysplasiaGrade.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:dysplasiaGrade.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:radicalismOfRemoval.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:radicalismOfRemoval.​value[x] Base required Radicalism of Removal 📍0.0.1 This IG
Observation.component:radicalismOfRemoval.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:radicalismOfRemoval.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:tumorBudding.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:tumorBudding.​value[x] Base required Tumor Budding 📍0.0.1 This IG
Observation.component:tumorBudding.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:tumorBudding.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:invasionDepth.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:invasionDepth.​value[x] Base required Invasion Depth 📍0.0.1 This IG
Observation.component:invasionDepth.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:invasionDepth.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:mmrpExpression.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:mmrpExpression.​value[x] Base required MMRP Expression Status 📍0.0.1 This IG
Observation.component:mmrpExpression.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:mmrpExpression.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:pdcGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:pdcGrade.​value[x] Base required Poorly Differentiated Clusters (PDC) Grade 📍0.0.1 This IG
Observation.component:pdcGrade.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:pdcGrade.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:intravascularInvasion.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:intravascularInvasion.​value[x] Base required Intravascular Invasion 📍0.0.1 This IG
Observation.component:intravascularInvasion.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:intravascularInvasion.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:differentiationGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:differentiationGrade.​value[x] Base required Degree of Differentiation 📍0.0.1 This IG
Observation.component:differentiationGrade.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:differentiationGrade.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:sccGrade.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:sccGrade.​value[x] Base required Squamous Cell Carcinoma Grading 📍0.0.1 This IG
Observation.component:sccGrade.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:sccGrade.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.modifierExtension, Observation.identifier, Observation.instantiates[x], Observation.basedOn, Observation.triggeredBy, Observation.triggeredBy.extension, Observation.triggeredBy.modifierExtension, Observation.triggeredBy.observation, Observation.triggeredBy.type, Observation.triggeredBy.reason, Observation.partOf, Observation.status, Observation.category, Observation.code, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.bodyStructure, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.normalValue, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange, Observation.component:histologicalType, Observation.component:histologicalType.extension, Observation.component:histologicalType.modifierExtension, Observation.component:histologicalType.code, Observation.component:histologicalType.code.extension, Observation.component:histologicalType.code.coding, Observation.component:histologicalType.code.text, Observation.component:histologicalType.value[x], Observation.component:histologicalType.dataAbsentReason, Observation.component:histologicalType.interpretation, Observation.component:histologicalType.referenceRange, Observation.component:dysplasiaGrade, Observation.component:dysplasiaGrade.extension, Observation.component:dysplasiaGrade.modifierExtension, Observation.component:dysplasiaGrade.code, Observation.component:dysplasiaGrade.code.extension, Observation.component:dysplasiaGrade.code.coding, Observation.component:dysplasiaGrade.code.text, Observation.component:dysplasiaGrade.value[x], Observation.component:dysplasiaGrade.dataAbsentReason, Observation.component:dysplasiaGrade.interpretation, Observation.component:dysplasiaGrade.referenceRange, Observation.component:radicalismOfRemoval, Observation.component:radicalismOfRemoval.extension, Observation.component:radicalismOfRemoval.modifierExtension, Observation.component:radicalismOfRemoval.code, Observation.component:radicalismOfRemoval.code.extension, Observation.component:radicalismOfRemoval.code.coding, Observation.component:radicalismOfRemoval.code.text, Observation.component:radicalismOfRemoval.value[x], Observation.component:radicalismOfRemoval.dataAbsentReason, Observation.component:radicalismOfRemoval.interpretation, Observation.component:radicalismOfRemoval.referenceRange, Observation.component:tumorBudding, Observation.component:tumorBudding.extension, Observation.component:tumorBudding.modifierExtension, Observation.component:tumorBudding.code, Observation.component:tumorBudding.code.extension, Observation.component:tumorBudding.code.coding, Observation.component:tumorBudding.code.text, Observation.component:tumorBudding.value[x], Observation.component:tumorBudding.dataAbsentReason, Observation.component:tumorBudding.interpretation, Observation.component:tumorBudding.referenceRange, Observation.component:invasionDepth, Observation.component:invasionDepth.extension, Observation.component:invasionDepth.modifierExtension, Observation.component:invasionDepth.code, Observation.component:invasionDepth.code.extension, Observation.component:invasionDepth.code.coding, Observation.component:invasionDepth.code.text, Observation.component:invasionDepth.value[x], Observation.component:invasionDepth.dataAbsentReason, Observation.component:invasionDepth.interpretation, Observation.component:invasionDepth.referenceRange, Observation.component:mmrpExpression, Observation.component:mmrpExpression.extension, Observation.component:mmrpExpression.modifierExtension, Observation.component:mmrpExpression.code, Observation.component:mmrpExpression.code.extension, Observation.component:mmrpExpression.code.coding, Observation.component:mmrpExpression.code.text, Observation.component:mmrpExpression.value[x], Observation.component:mmrpExpression.dataAbsentReason, Observation.component:mmrpExpression.interpretation, Observation.component:mmrpExpression.referenceRange, Observation.component:pdcGrade, Observation.component:pdcGrade.extension, Observation.component:pdcGrade.modifierExtension, Observation.component:pdcGrade.code, Observation.component:pdcGrade.code.extension, Observation.component:pdcGrade.code.coding, Observation.component:pdcGrade.code.text, Observation.component:pdcGrade.value[x], Observation.component:pdcGrade.dataAbsentReason, Observation.component:pdcGrade.interpretation, Observation.component:pdcGrade.referenceRange, Observation.component:intravascularInvasion, Observation.component:intravascularInvasion.extension, Observation.component:intravascularInvasion.modifierExtension, Observation.component:intravascularInvasion.code, Observation.component:intravascularInvasion.code.extension, Observation.component:intravascularInvasion.code.coding, Observation.component:intravascularInvasion.code.text, Observation.component:intravascularInvasion.value[x], Observation.component:intravascularInvasion.dataAbsentReason, Observation.component:intravascularInvasion.interpretation, Observation.component:intravascularInvasion.referenceRange, Observation.component:differentiationGrade, Observation.component:differentiationGrade.extension, Observation.component:differentiationGrade.modifierExtension, Observation.component:differentiationGrade.code, Observation.component:differentiationGrade.code.extension, Observation.component:differentiationGrade.code.coding, Observation.component:differentiationGrade.code.text, Observation.component:differentiationGrade.value[x], Observation.component:differentiationGrade.dataAbsentReason, Observation.component:differentiationGrade.interpretation, Observation.component:differentiationGrade.referenceRange, Observation.component:sccGrade, Observation.component:sccGrade.extension, Observation.component:sccGrade.modifierExtension, Observation.component:sccGrade.code, Observation.component:sccGrade.code.extension, Observation.component:sccGrade.code.coding, Observation.component:sccGrade.code.text, Observation.component:sccGrade.value[x], Observation.component:sccGrade.dataAbsentReason, Observation.component:sccGrade.interpretation, Observation.component:sccGrade.referenceRange All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.modifierExtension, Observation.triggeredBy.extension, Observation.triggeredBy.modifierExtension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension, Observation.component:histologicalType.extension, Observation.component:histologicalType.modifierExtension, Observation.component:histologicalType.code.extension, Observation.component:dysplasiaGrade.extension, Observation.component:dysplasiaGrade.modifierExtension, Observation.component:dysplasiaGrade.code.extension, Observation.component:radicalismOfRemoval.extension, Observation.component:radicalismOfRemoval.modifierExtension, Observation.component:radicalismOfRemoval.code.extension, Observation.component:tumorBudding.extension, Observation.component:tumorBudding.modifierExtension, Observation.component:tumorBudding.code.extension, Observation.component:invasionDepth.extension, Observation.component:invasionDepth.modifierExtension, Observation.component:invasionDepth.code.extension, Observation.component:mmrpExpression.extension, Observation.component:mmrpExpression.modifierExtension, Observation.component:mmrpExpression.code.extension, Observation.component:pdcGrade.extension, Observation.component:pdcGrade.modifierExtension, Observation.component:pdcGrade.code.extension, Observation.component:intravascularInvasion.extension, Observation.component:intravascularInvasion.modifierExtension, Observation.component:intravascularInvasion.code.extension, Observation.component:differentiationGrade.extension, Observation.component:differentiationGrade.modifierExtension, Observation.component:differentiationGrade.code.extension, Observation.component:sccGrade.extension, Observation.component:sccGrade.modifierExtension, Observation.component:sccGrade.code.extension 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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()
obs-9 error Observation.specimen If Observation.specimen is a reference to Group, the group can only have specimens (reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)

Summary

Mandatory: 1 element
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component

 

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