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

Lithuanian Lung 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-lung/ and changes regularly. See the Directory of published versions

Resursų profilis: Mediastinal Mass (LT Lung)

Oficialus URL: https://hl7.lt/fhir/lung/StructureDefinition/mediastinal-mass-lt-lung Versija: 0.0.1
Active nuo 2026-09-10 Mašiniškai apdorojamas pavadinimas: MediastinalMassLtLung

Mediastinal mass incidental finding detected during LDCT screening. Multiple masses can be recorded as separate observation instances. At least one of size, changed density, or calcification should be documented per ADP dataset section 1.2.2.2 item 4.

Usages:

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NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* IncidentalFindingLtLung(0.0.1) 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.
Required Pattern: final
... 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: 404684003
..... display 1..1 string Representation defined by the system
Fixed Value: Clinical finding (finding)
..... 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 1..1 dateTime Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(PractitionerLt(0.3.0)) Who is responsible for the observation
... value[x] SΣC 1..1 CodeableConcept Actual result
Binding: IncidentalFindingVS (0.0.1) (extensible)
Required Pattern: At least the following
... 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:severity SΣC 0..1 BackboneElement Severity: moderate or severe/expressed
..... 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.
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: 246112005
....... display 1..1 string Representation defined by the system
Fixed Value: Severity (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: ConditionDiagnosisSeverity (preferred)
.... component:laterality SΣC 0..1 BackboneElement Laterality: right, left, or bilateral
..... 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.
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: 272741003
....... display 1..1 string Representation defined by the system
Fixed Value: Laterality
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
.... component:size SΣC 0..1 BackboneElement Size of finding in mm
..... 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.
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: 246115007
....... display 1..1 string Representation defined by the system
Fixed Value: Size (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 Quantity Actual component result
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code ΣC 0..1 code Coded form of the unit
Required Pattern: mm
.... component:density SΣC 0..1 BackboneElement Density: cystic, solid, complex
..... 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.
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: 28328005
....... display 1..1 string Representation defined by the system
Fixed Value: Abnormal radiologic density
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: FindingDensityVS (0.0.1) (extensible)
.... component:multiplicity SΣC 0..1 BackboneElement Component results
..... 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.
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: 246454002
....... display 1..1 string Representation defined by the system
Fixed Value: Occurrence (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: FindingMultiplicityVS (0.0.1) (extensible)
.... component:quantity SΣC 0..1 BackboneElement Quantity: small, medium, or large (e.g. pleural fluid, pericardial effusion)
..... 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.
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: 246205007
....... display 1..1 string Representation defined by the system
Fixed Value: Quantity (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: FindingQuantityVS (0.0.1) (required)
.... component:lymphNodeLocation SΣC 0..* BackboneElement Location of lymphadenopathy
..... 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.
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: 439985001
....... display 1..1 string Representation defined by the system
Fixed Value: Area of body region by imaging measurement
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: LymphNodeLocationVS (0.0.1) (extensible)
.... component:consolidationInterpretation SΣC 0..1 BackboneElement Consolidation interpretation: inflammation or neoplasm (ADP 1.2.2.1 item 9)
..... 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.
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: 363714003
....... display 1..1 string Representation defined by the system
Fixed Value: Interprets (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: ConsolidationInterpretationVS (0.0.1) (required)
.... component:largestDimension SΣC 0..1 BackboneElement Largest dimension in the axial plane (mm)
..... 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.
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: 396361002
....... display 1..1 string Representation defined by the system
Fixed Value: Lesion size, largest dimension (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 Quantity Actual component result
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code ΣC 0..1 code Coded form of the unit
Required Pattern: mm
.... component:changedDensity SΣC 0..1 BackboneElement Whether the mass shows changed (abnormal) density
..... 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.
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: 28328005
....... display 1..1 string Representation defined by the system
Fixed Value: Abnormal radiologic density (finding)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 boolean Actual component result
.... component:calcification SΣC 0..1 BackboneElement Whether calcification is present in the mass
..... 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.
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: 129748009
....... display 1..1 string Representation defined by the system
Fixed Value: Radiographic calcification finding (finding)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 boolean Actual component result

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.value[x] Base extensible Incidental Finding 📍0.0.1 This IG
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:severity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:severity.​value[x] Base preferred Condition/Diagnosis Severity 📍5.0.0 FHIR Std.
Observation.component:laterality.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:size.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:size.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:density.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:density.​value[x] Base extensible Finding Density 📍0.0.1 This IG
Observation.component:multiplicity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:multiplicity.​value[x] Base extensible Finding Multiplicity 📍0.0.1 This IG
Observation.component:quantity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:quantity.​value[x] Base required Finding Quantity 📍0.0.1 This IG
Observation.component:lymphNodeLocation.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:lymphNodeLocation.​value[x] Base extensible Lymph Node Location 📍0.0.1 This IG
Observation.component:consolidationInterpretation.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:consolidationInterpretation.​value[x] Base required Consolidation Interpretation 📍0.0.1 This IG
Observation.component:largestDimension.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:largestDimension.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:changedDensity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:calcification.​code Base example LOINC 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.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:severity, Observation.component:severity.modifierExtension, Observation.component:severity.code, Observation.component:severity.value[x], Observation.component:laterality, Observation.component:laterality.modifierExtension, Observation.component:laterality.code, Observation.component:laterality.value[x], Observation.component:size, Observation.component:size.modifierExtension, Observation.component:size.code, Observation.component:size.value[x], Observation.component:size.value[x].comparator, Observation.component:size.value[x].system, Observation.component:size.value[x].code, Observation.component:density, Observation.component:density.modifierExtension, Observation.component:density.code, Observation.component:density.value[x], Observation.component:multiplicity, Observation.component:multiplicity.modifierExtension, Observation.component:multiplicity.code, Observation.component:multiplicity.value[x], Observation.component:quantity, Observation.component:quantity.modifierExtension, Observation.component:quantity.code, Observation.component:quantity.value[x], Observation.component:lymphNodeLocation, Observation.component:lymphNodeLocation.modifierExtension, Observation.component:lymphNodeLocation.code, Observation.component:lymphNodeLocation.value[x], Observation.component:consolidationInterpretation, Observation.component:consolidationInterpretation.modifierExtension, Observation.component:consolidationInterpretation.code, Observation.component:consolidationInterpretation.value[x], Observation.component:largestDimension, Observation.component:largestDimension.modifierExtension, Observation.component:largestDimension.code, Observation.component:largestDimension.value[x], Observation.component:largestDimension.value[x].comparator, Observation.component:largestDimension.value[x].system, Observation.component:largestDimension.value[x].code, Observation.component:changedDensity, Observation.component:changedDensity.modifierExtension, Observation.component:changedDensity.code, Observation.component:changedDensity.value[x], Observation.component:calcification, Observation.component:calcification.modifierExtension, Observation.component:calcification.code, Observation.component:calcification.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:severity.modifierExtension, Observation.component:laterality.modifierExtension, Observation.component:size.modifierExtension, Observation.component:density.modifierExtension, Observation.component:multiplicity.modifierExtension, Observation.component:quantity.modifierExtension, Observation.component:lymphNodeLocation.modifierExtension, Observation.component:consolidationInterpretation.modifierExtension, Observation.component:largestDimension.modifierExtension, Observation.component:changedDensity.modifierExtension, Observation.component:calcification.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..* IncidentalFindingLtLung(0.0.1) Measurements and simple assertions
... value[x] 1..1 CodeableConcept Actual result
Required Pattern: At least the following
... Slices for component Content/Rules for all slices
.... component:largestDimension 0..1 BackboneElement Largest dimension in the axial plane (mm)
..... code 1..1 CodeableConcept Type of component 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: 396361002
....... display 1..1 string Representation defined by the system
Fixed Value: Lesion size, largest dimension (observable entity)
..... value[x] 0..1 Quantity Actual component result
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Required Pattern: mm
.... component:changedDensity 0..1 BackboneElement Whether the mass shows changed (abnormal) density
..... code 1..1 CodeableConcept Type of component 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: 28328005
....... display 1..1 string Representation defined by the system
Fixed Value: Abnormal radiologic density (finding)
..... value[x] 0..1 boolean Actual component result
.... component:calcification 0..1 BackboneElement Whether calcification is present in the mass
..... code 1..1 CodeableConcept Type of component 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: 129748009
....... display 1..1 string Representation defined by the system
Fixed Value: Radiographic calcification finding (finding)
..... value[x] 0..1 boolean Actual component result

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* IncidentalFindingLtLung(0.0.1) 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.
Required Pattern: final
... 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: 404684003
..... display 1..1 string Representation defined by the system
Fixed Value: Clinical finding (finding)
..... 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 1..1 dateTime Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(PractitionerLt(0.3.0)) Who is responsible for the observation
... value[x] SΣC 1..1 CodeableConcept Actual result
Binding: IncidentalFindingVS (0.0.1) (extensible)
Required Pattern: At least the following
... 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:severity SΣC 0..1 BackboneElement Severity: moderate or severe/expressed
..... 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.
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: 246112005
....... display 1..1 string Representation defined by the system
Fixed Value: Severity (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: ConditionDiagnosisSeverity (preferred)
..... 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:laterality SΣC 0..1 BackboneElement Laterality: right, left, or bilateral
..... 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.
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: 272741003
....... display 1..1 string Representation defined by the system
Fixed Value: Laterality
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
..... 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:size SΣC 0..1 BackboneElement Size of finding in mm
..... 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.
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: 246115007
....... display 1..1 string Representation defined by the system
Fixed Value: Size (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 Quantity Actual component result
...... 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
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code ΣC 0..1 code Coded form of the unit
Required Pattern: mm
..... 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:density SΣC 0..1 BackboneElement Density: cystic, solid, complex
..... 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.
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: 28328005
....... display 1..1 string Representation defined by the system
Fixed Value: Abnormal radiologic density
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: FindingDensityVS (0.0.1) (extensible)
..... 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:multiplicity SΣC 0..1 BackboneElement Component results
..... 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.
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: 246454002
....... display 1..1 string Representation defined by the system
Fixed Value: Occurrence (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: FindingMultiplicityVS (0.0.1) (extensible)
..... 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:quantity SΣC 0..1 BackboneElement Quantity: small, medium, or large (e.g. pleural fluid, pericardial effusion)
..... 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.
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: 246205007
....... display 1..1 string Representation defined by the system
Fixed Value: Quantity (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: FindingQuantityVS (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:lymphNodeLocation SΣC 0..* BackboneElement Location of lymphadenopathy
..... 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.
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: 439985001
....... display 1..1 string Representation defined by the system
Fixed Value: Area of body region by imaging measurement
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: LymphNodeLocationVS (0.0.1) (extensible)
..... 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:consolidationInterpretation SΣC 0..1 BackboneElement Consolidation interpretation: inflammation or neoplasm (ADP 1.2.2.1 item 9)
..... 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.
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: 363714003
....... display 1..1 string Representation defined by the system
Fixed Value: Interprets (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: ConsolidationInterpretationVS (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:largestDimension SΣC 0..1 BackboneElement Largest dimension in the axial plane (mm)
..... 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.
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: 396361002
....... display 1..1 string Representation defined by the system
Fixed Value: Lesion size, largest dimension (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 Quantity Actual component result
...... 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
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code ΣC 0..1 code Coded form of the unit
Required Pattern: mm
..... 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:changedDensity SΣC 0..1 BackboneElement Whether the mass shows changed (abnormal) density
..... 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.
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: 28328005
....... display 1..1 string Representation defined by the system
Fixed Value: Abnormal radiologic density (finding)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 boolean Actual component result
..... 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:calcification SΣC 0..1 BackboneElement Whether calcification is present in the mass
..... 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.
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: 129748009
....... display 1..1 string Representation defined by the system
Fixed Value: Radiographic calcification finding (finding)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 boolean Actual component result
..... 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.value[x] Base extensible Incidental Finding 📍0.0.1 This IG
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:severity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:severity.​value[x] Base preferred Condition/Diagnosis Severity 📍5.0.0 FHIR Std.
Observation.component:severity.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:severity.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:laterality.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:laterality.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:laterality.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:size.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:size.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:size.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:size.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:density.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:density.​value[x] Base extensible Finding Density 📍0.0.1 This IG
Observation.component:density.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:density.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:multiplicity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:multiplicity.​value[x] Base extensible Finding Multiplicity 📍0.0.1 This IG
Observation.component:multiplicity.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:multiplicity.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:quantity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:quantity.​value[x] Base required Finding Quantity 📍0.0.1 This IG
Observation.component:quantity.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:quantity.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:lymphNodeLocation.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:lymphNodeLocation.​value[x] Base extensible Lymph Node Location 📍0.0.1 This IG
Observation.component:lymphNodeLocation.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:lymphNodeLocation.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:consolidationInterpretation.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:consolidationInterpretation.​value[x] Base required Consolidation Interpretation 📍0.0.1 This IG
Observation.component:consolidationInterpretation.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:consolidationInterpretation.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:largestDimension.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:largestDimension.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:largestDimension.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:largestDimension.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:changedDensity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:changedDensity.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:changedDensity.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:calcification.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:calcification.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:calcification.​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:severity, Observation.component:severity.extension, Observation.component:severity.modifierExtension, Observation.component:severity.code, Observation.component:severity.value[x], Observation.component:severity.dataAbsentReason, Observation.component:severity.interpretation, Observation.component:severity.referenceRange, Observation.component:laterality, Observation.component:laterality.extension, Observation.component:laterality.modifierExtension, Observation.component:laterality.code, Observation.component:laterality.value[x], Observation.component:laterality.dataAbsentReason, Observation.component:laterality.interpretation, Observation.component:laterality.referenceRange, Observation.component:size, Observation.component:size.extension, Observation.component:size.modifierExtension, Observation.component:size.code, Observation.component:size.value[x], Observation.component:size.value[x].extension, Observation.component:size.value[x].value, Observation.component:size.value[x].comparator, Observation.component:size.value[x].unit, Observation.component:size.value[x].system, Observation.component:size.value[x].code, Observation.component:size.dataAbsentReason, Observation.component:size.interpretation, Observation.component:size.referenceRange, Observation.component:density, Observation.component:density.extension, Observation.component:density.modifierExtension, Observation.component:density.code, Observation.component:density.value[x], Observation.component:density.dataAbsentReason, Observation.component:density.interpretation, Observation.component:density.referenceRange, Observation.component:multiplicity, Observation.component:multiplicity.extension, Observation.component:multiplicity.modifierExtension, Observation.component:multiplicity.code, Observation.component:multiplicity.value[x], Observation.component:multiplicity.dataAbsentReason, Observation.component:multiplicity.interpretation, Observation.component:multiplicity.referenceRange, Observation.component:quantity, Observation.component:quantity.extension, Observation.component:quantity.modifierExtension, Observation.component:quantity.code, Observation.component:quantity.value[x], Observation.component:quantity.dataAbsentReason, Observation.component:quantity.interpretation, Observation.component:quantity.referenceRange, Observation.component:lymphNodeLocation, Observation.component:lymphNodeLocation.extension, Observation.component:lymphNodeLocation.modifierExtension, Observation.component:lymphNodeLocation.code, Observation.component:lymphNodeLocation.value[x], Observation.component:lymphNodeLocation.dataAbsentReason, Observation.component:lymphNodeLocation.interpretation, Observation.component:lymphNodeLocation.referenceRange, Observation.component:consolidationInterpretation, Observation.component:consolidationInterpretation.extension, Observation.component:consolidationInterpretation.modifierExtension, Observation.component:consolidationInterpretation.code, Observation.component:consolidationInterpretation.value[x], Observation.component:consolidationInterpretation.dataAbsentReason, Observation.component:consolidationInterpretation.interpretation, Observation.component:consolidationInterpretation.referenceRange, Observation.component:largestDimension, Observation.component:largestDimension.extension, Observation.component:largestDimension.modifierExtension, Observation.component:largestDimension.code, Observation.component:largestDimension.value[x], Observation.component:largestDimension.value[x].extension, Observation.component:largestDimension.value[x].value, Observation.component:largestDimension.value[x].comparator, Observation.component:largestDimension.value[x].unit, Observation.component:largestDimension.value[x].system, Observation.component:largestDimension.value[x].code, Observation.component:largestDimension.dataAbsentReason, Observation.component:largestDimension.interpretation, Observation.component:largestDimension.referenceRange, Observation.component:changedDensity, Observation.component:changedDensity.extension, Observation.component:changedDensity.modifierExtension, Observation.component:changedDensity.code, Observation.component:changedDensity.value[x], Observation.component:changedDensity.dataAbsentReason, Observation.component:changedDensity.interpretation, Observation.component:changedDensity.referenceRange, Observation.component:calcification, Observation.component:calcification.extension, Observation.component:calcification.modifierExtension, Observation.component:calcification.code, Observation.component:calcification.value[x], Observation.component:calcification.dataAbsentReason, Observation.component:calcification.interpretation, Observation.component:calcification.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:severity.extension, Observation.component:severity.modifierExtension, Observation.component:laterality.extension, Observation.component:laterality.modifierExtension, Observation.component:size.extension, Observation.component:size.modifierExtension, Observation.component:size.value[x].extension, Observation.component:density.extension, Observation.component:density.modifierExtension, Observation.component:multiplicity.extension, Observation.component:multiplicity.modifierExtension, Observation.component:quantity.extension, Observation.component:quantity.modifierExtension, Observation.component:lymphNodeLocation.extension, Observation.component:lymphNodeLocation.modifierExtension, Observation.component:consolidationInterpretation.extension, Observation.component:consolidationInterpretation.modifierExtension, Observation.component:largestDimension.extension, Observation.component:largestDimension.modifierExtension, Observation.component:largestDimension.value[x].extension, Observation.component:changedDensity.extension, Observation.component:changedDensity.modifierExtension, Observation.component:calcification.extension, Observation.component:calcification.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)

Summary

Pagrindinių elementų peržiūra

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* IncidentalFindingLtLung(0.0.1) 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.
Required Pattern: final
... 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: 404684003
..... display 1..1 string Representation defined by the system
Fixed Value: Clinical finding (finding)
..... 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 1..1 dateTime Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(PractitionerLt(0.3.0)) Who is responsible for the observation
... value[x] SΣC 1..1 CodeableConcept Actual result
Binding: IncidentalFindingVS (0.0.1) (extensible)
Required Pattern: At least the following
... 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:severity SΣC 0..1 BackboneElement Severity: moderate or severe/expressed
..... 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.
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: 246112005
....... display 1..1 string Representation defined by the system
Fixed Value: Severity (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: ConditionDiagnosisSeverity (preferred)
.... component:laterality SΣC 0..1 BackboneElement Laterality: right, left, or bilateral
..... 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.
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: 272741003
....... display 1..1 string Representation defined by the system
Fixed Value: Laterality
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
.... component:size SΣC 0..1 BackboneElement Size of finding in mm
..... 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.
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: 246115007
....... display 1..1 string Representation defined by the system
Fixed Value: Size (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 Quantity Actual component result
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code ΣC 0..1 code Coded form of the unit
Required Pattern: mm
.... component:density SΣC 0..1 BackboneElement Density: cystic, solid, complex
..... 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.
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: 28328005
....... display 1..1 string Representation defined by the system
Fixed Value: Abnormal radiologic density
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: FindingDensityVS (0.0.1) (extensible)
.... component:multiplicity SΣC 0..1 BackboneElement Component results
..... 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.
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: 246454002
....... display 1..1 string Representation defined by the system
Fixed Value: Occurrence (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: FindingMultiplicityVS (0.0.1) (extensible)
.... component:quantity SΣC 0..1 BackboneElement Quantity: small, medium, or large (e.g. pleural fluid, pericardial effusion)
..... 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.
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: 246205007
....... display 1..1 string Representation defined by the system
Fixed Value: Quantity (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: FindingQuantityVS (0.0.1) (required)
.... component:lymphNodeLocation SΣC 0..* BackboneElement Location of lymphadenopathy
..... 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.
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: 439985001
....... display 1..1 string Representation defined by the system
Fixed Value: Area of body region by imaging measurement
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: LymphNodeLocationVS (0.0.1) (extensible)
.... component:consolidationInterpretation SΣC 0..1 BackboneElement Consolidation interpretation: inflammation or neoplasm (ADP 1.2.2.1 item 9)
..... 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.
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: 363714003
....... display 1..1 string Representation defined by the system
Fixed Value: Interprets (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: ConsolidationInterpretationVS (0.0.1) (required)
.... component:largestDimension SΣC 0..1 BackboneElement Largest dimension in the axial plane (mm)
..... 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.
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: 396361002
....... display 1..1 string Representation defined by the system
Fixed Value: Lesion size, largest dimension (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 Quantity Actual component result
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code ΣC 0..1 code Coded form of the unit
Required Pattern: mm
.... component:changedDensity SΣC 0..1 BackboneElement Whether the mass shows changed (abnormal) density
..... 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.
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: 28328005
....... display 1..1 string Representation defined by the system
Fixed Value: Abnormal radiologic density (finding)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 boolean Actual component result
.... component:calcification SΣC 0..1 BackboneElement Whether calcification is present in the mass
..... 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.
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: 129748009
....... display 1..1 string Representation defined by the system
Fixed Value: Radiographic calcification finding (finding)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 boolean Actual component result

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.value[x] Base extensible Incidental Finding 📍0.0.1 This IG
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:severity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:severity.​value[x] Base preferred Condition/Diagnosis Severity 📍5.0.0 FHIR Std.
Observation.component:laterality.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:size.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:size.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:density.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:density.​value[x] Base extensible Finding Density 📍0.0.1 This IG
Observation.component:multiplicity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:multiplicity.​value[x] Base extensible Finding Multiplicity 📍0.0.1 This IG
Observation.component:quantity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:quantity.​value[x] Base required Finding Quantity 📍0.0.1 This IG
Observation.component:lymphNodeLocation.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:lymphNodeLocation.​value[x] Base extensible Lymph Node Location 📍0.0.1 This IG
Observation.component:consolidationInterpretation.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:consolidationInterpretation.​value[x] Base required Consolidation Interpretation 📍0.0.1 This IG
Observation.component:largestDimension.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:largestDimension.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:changedDensity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:calcification.​code Base example LOINC 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.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:severity, Observation.component:severity.modifierExtension, Observation.component:severity.code, Observation.component:severity.value[x], Observation.component:laterality, Observation.component:laterality.modifierExtension, Observation.component:laterality.code, Observation.component:laterality.value[x], Observation.component:size, Observation.component:size.modifierExtension, Observation.component:size.code, Observation.component:size.value[x], Observation.component:size.value[x].comparator, Observation.component:size.value[x].system, Observation.component:size.value[x].code, Observation.component:density, Observation.component:density.modifierExtension, Observation.component:density.code, Observation.component:density.value[x], Observation.component:multiplicity, Observation.component:multiplicity.modifierExtension, Observation.component:multiplicity.code, Observation.component:multiplicity.value[x], Observation.component:quantity, Observation.component:quantity.modifierExtension, Observation.component:quantity.code, Observation.component:quantity.value[x], Observation.component:lymphNodeLocation, Observation.component:lymphNodeLocation.modifierExtension, Observation.component:lymphNodeLocation.code, Observation.component:lymphNodeLocation.value[x], Observation.component:consolidationInterpretation, Observation.component:consolidationInterpretation.modifierExtension, Observation.component:consolidationInterpretation.code, Observation.component:consolidationInterpretation.value[x], Observation.component:largestDimension, Observation.component:largestDimension.modifierExtension, Observation.component:largestDimension.code, Observation.component:largestDimension.value[x], Observation.component:largestDimension.value[x].comparator, Observation.component:largestDimension.value[x].system, Observation.component:largestDimension.value[x].code, Observation.component:changedDensity, Observation.component:changedDensity.modifierExtension, Observation.component:changedDensity.code, Observation.component:changedDensity.value[x], Observation.component:calcification, Observation.component:calcification.modifierExtension, Observation.component:calcification.code, Observation.component:calcification.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:severity.modifierExtension, Observation.component:laterality.modifierExtension, Observation.component:size.modifierExtension, Observation.component:density.modifierExtension, Observation.component:multiplicity.modifierExtension, Observation.component:quantity.modifierExtension, Observation.component:lymphNodeLocation.modifierExtension, Observation.component:consolidationInterpretation.modifierExtension, Observation.component:largestDimension.modifierExtension, Observation.component:changedDensity.modifierExtension, Observation.component:calcification.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..* IncidentalFindingLtLung(0.0.1) Measurements and simple assertions
... value[x] 1..1 CodeableConcept Actual result
Required Pattern: At least the following
... Slices for component Content/Rules for all slices
.... component:largestDimension 0..1 BackboneElement Largest dimension in the axial plane (mm)
..... code 1..1 CodeableConcept Type of component 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: 396361002
....... display 1..1 string Representation defined by the system
Fixed Value: Lesion size, largest dimension (observable entity)
..... value[x] 0..1 Quantity Actual component result
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Required Pattern: mm
.... component:changedDensity 0..1 BackboneElement Whether the mass shows changed (abnormal) density
..... code 1..1 CodeableConcept Type of component 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: 28328005
....... display 1..1 string Representation defined by the system
Fixed Value: Abnormal radiologic density (finding)
..... value[x] 0..1 boolean Actual component result
.... component:calcification 0..1 BackboneElement Whether calcification is present in the mass
..... code 1..1 CodeableConcept Type of component 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: 129748009
....... display 1..1 string Representation defined by the system
Fixed Value: Radiographic calcification finding (finding)
..... value[x] 0..1 boolean Actual component result

doco Documentation for this format

Momentinės kopijos peržiūraView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* IncidentalFindingLtLung(0.0.1) 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.
Required Pattern: final
... 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: 404684003
..... display 1..1 string Representation defined by the system
Fixed Value: Clinical finding (finding)
..... 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 1..1 dateTime Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(PractitionerLt(0.3.0)) Who is responsible for the observation
... value[x] SΣC 1..1 CodeableConcept Actual result
Binding: IncidentalFindingVS (0.0.1) (extensible)
Required Pattern: At least the following
... 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:severity SΣC 0..1 BackboneElement Severity: moderate or severe/expressed
..... 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.
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: 246112005
....... display 1..1 string Representation defined by the system
Fixed Value: Severity (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: ConditionDiagnosisSeverity (preferred)
..... 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:laterality SΣC 0..1 BackboneElement Laterality: right, left, or bilateral
..... 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.
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: 272741003
....... display 1..1 string Representation defined by the system
Fixed Value: Laterality
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
..... 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:size SΣC 0..1 BackboneElement Size of finding in mm
..... 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.
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: 246115007
....... display 1..1 string Representation defined by the system
Fixed Value: Size (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 Quantity Actual component result
...... 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
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code ΣC 0..1 code Coded form of the unit
Required Pattern: mm
..... 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:density SΣC 0..1 BackboneElement Density: cystic, solid, complex
..... 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.
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: 28328005
....... display 1..1 string Representation defined by the system
Fixed Value: Abnormal radiologic density
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: FindingDensityVS (0.0.1) (extensible)
..... 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:multiplicity SΣC 0..1 BackboneElement Component results
..... 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.
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: 246454002
....... display 1..1 string Representation defined by the system
Fixed Value: Occurrence (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: FindingMultiplicityVS (0.0.1) (extensible)
..... 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:quantity SΣC 0..1 BackboneElement Quantity: small, medium, or large (e.g. pleural fluid, pericardial effusion)
..... 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.
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: 246205007
....... display 1..1 string Representation defined by the system
Fixed Value: Quantity (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: FindingQuantityVS (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:lymphNodeLocation SΣC 0..* BackboneElement Location of lymphadenopathy
..... 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.
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: 439985001
....... display 1..1 string Representation defined by the system
Fixed Value: Area of body region by imaging measurement
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: LymphNodeLocationVS (0.0.1) (extensible)
..... 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:consolidationInterpretation SΣC 0..1 BackboneElement Consolidation interpretation: inflammation or neoplasm (ADP 1.2.2.1 item 9)
..... 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.
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: 363714003
....... display 1..1 string Representation defined by the system
Fixed Value: Interprets (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 CodeableConcept Actual component result
Binding: ConsolidationInterpretationVS (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:largestDimension SΣC 0..1 BackboneElement Largest dimension in the axial plane (mm)
..... 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.
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: 396361002
....... display 1..1 string Representation defined by the system
Fixed Value: Lesion size, largest dimension (observable entity)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 Quantity Actual component result
...... 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
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code ΣC 0..1 code Coded form of the unit
Required Pattern: mm
..... 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:changedDensity SΣC 0..1 BackboneElement Whether the mass shows changed (abnormal) density
..... 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.
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: 28328005
....... display 1..1 string Representation defined by the system
Fixed Value: Abnormal radiologic density (finding)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 boolean Actual component result
..... 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:calcification SΣC 0..1 BackboneElement Whether calcification is present in the mass
..... 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.
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: 129748009
....... display 1..1 string Representation defined by the system
Fixed Value: Radiographic calcification finding (finding)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 0..1 boolean Actual component result
..... 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.value[x] Base extensible Incidental Finding 📍0.0.1 This IG
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:severity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:severity.​value[x] Base preferred Condition/Diagnosis Severity 📍5.0.0 FHIR Std.
Observation.component:severity.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:severity.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:laterality.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:laterality.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:laterality.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:size.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:size.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:size.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:size.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:density.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:density.​value[x] Base extensible Finding Density 📍0.0.1 This IG
Observation.component:density.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:density.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:multiplicity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:multiplicity.​value[x] Base extensible Finding Multiplicity 📍0.0.1 This IG
Observation.component:multiplicity.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:multiplicity.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:quantity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:quantity.​value[x] Base required Finding Quantity 📍0.0.1 This IG
Observation.component:quantity.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:quantity.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:lymphNodeLocation.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:lymphNodeLocation.​value[x] Base extensible Lymph Node Location 📍0.0.1 This IG
Observation.component:lymphNodeLocation.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:lymphNodeLocation.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:consolidationInterpretation.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:consolidationInterpretation.​value[x] Base required Consolidation Interpretation 📍0.0.1 This IG
Observation.component:consolidationInterpretation.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:consolidationInterpretation.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:largestDimension.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:largestDimension.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:largestDimension.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:largestDimension.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:changedDensity.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:changedDensity.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:changedDensity.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:calcification.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:calcification.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:calcification.​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:severity, Observation.component:severity.extension, Observation.component:severity.modifierExtension, Observation.component:severity.code, Observation.component:severity.value[x], Observation.component:severity.dataAbsentReason, Observation.component:severity.interpretation, Observation.component:severity.referenceRange, Observation.component:laterality, Observation.component:laterality.extension, Observation.component:laterality.modifierExtension, Observation.component:laterality.code, Observation.component:laterality.value[x], Observation.component:laterality.dataAbsentReason, Observation.component:laterality.interpretation, Observation.component:laterality.referenceRange, Observation.component:size, Observation.component:size.extension, Observation.component:size.modifierExtension, Observation.component:size.code, Observation.component:size.value[x], Observation.component:size.value[x].extension, Observation.component:size.value[x].value, Observation.component:size.value[x].comparator, Observation.component:size.value[x].unit, Observation.component:size.value[x].system, Observation.component:size.value[x].code, Observation.component:size.dataAbsentReason, Observation.component:size.interpretation, Observation.component:size.referenceRange, Observation.component:density, Observation.component:density.extension, Observation.component:density.modifierExtension, Observation.component:density.code, Observation.component:density.value[x], Observation.component:density.dataAbsentReason, Observation.component:density.interpretation, Observation.component:density.referenceRange, Observation.component:multiplicity, Observation.component:multiplicity.extension, Observation.component:multiplicity.modifierExtension, Observation.component:multiplicity.code, Observation.component:multiplicity.value[x], Observation.component:multiplicity.dataAbsentReason, Observation.component:multiplicity.interpretation, Observation.component:multiplicity.referenceRange, Observation.component:quantity, Observation.component:quantity.extension, Observation.component:quantity.modifierExtension, Observation.component:quantity.code, Observation.component:quantity.value[x], Observation.component:quantity.dataAbsentReason, Observation.component:quantity.interpretation, Observation.component:quantity.referenceRange, Observation.component:lymphNodeLocation, Observation.component:lymphNodeLocation.extension, Observation.component:lymphNodeLocation.modifierExtension, Observation.component:lymphNodeLocation.code, Observation.component:lymphNodeLocation.value[x], Observation.component:lymphNodeLocation.dataAbsentReason, Observation.component:lymphNodeLocation.interpretation, Observation.component:lymphNodeLocation.referenceRange, Observation.component:consolidationInterpretation, Observation.component:consolidationInterpretation.extension, Observation.component:consolidationInterpretation.modifierExtension, Observation.component:consolidationInterpretation.code, Observation.component:consolidationInterpretation.value[x], Observation.component:consolidationInterpretation.dataAbsentReason, Observation.component:consolidationInterpretation.interpretation, Observation.component:consolidationInterpretation.referenceRange, Observation.component:largestDimension, Observation.component:largestDimension.extension, Observation.component:largestDimension.modifierExtension, Observation.component:largestDimension.code, Observation.component:largestDimension.value[x], Observation.component:largestDimension.value[x].extension, Observation.component:largestDimension.value[x].value, Observation.component:largestDimension.value[x].comparator, Observation.component:largestDimension.value[x].unit, Observation.component:largestDimension.value[x].system, Observation.component:largestDimension.value[x].code, Observation.component:largestDimension.dataAbsentReason, Observation.component:largestDimension.interpretation, Observation.component:largestDimension.referenceRange, Observation.component:changedDensity, Observation.component:changedDensity.extension, Observation.component:changedDensity.modifierExtension, Observation.component:changedDensity.code, Observation.component:changedDensity.value[x], Observation.component:changedDensity.dataAbsentReason, Observation.component:changedDensity.interpretation, Observation.component:changedDensity.referenceRange, Observation.component:calcification, Observation.component:calcification.extension, Observation.component:calcification.modifierExtension, Observation.component:calcification.code, Observation.component:calcification.value[x], Observation.component:calcification.dataAbsentReason, Observation.component:calcification.interpretation, Observation.component:calcification.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:severity.extension, Observation.component:severity.modifierExtension, Observation.component:laterality.extension, Observation.component:laterality.modifierExtension, Observation.component:size.extension, Observation.component:size.modifierExtension, Observation.component:size.value[x].extension, Observation.component:density.extension, Observation.component:density.modifierExtension, Observation.component:multiplicity.extension, Observation.component:multiplicity.modifierExtension, Observation.component:quantity.extension, Observation.component:quantity.modifierExtension, Observation.component:lymphNodeLocation.extension, Observation.component:lymphNodeLocation.modifierExtension, Observation.component:consolidationInterpretation.extension, Observation.component:consolidationInterpretation.modifierExtension, Observation.component:largestDimension.extension, Observation.component:largestDimension.modifierExtension, Observation.component:largestDimension.value[x].extension, Observation.component:changedDensity.extension, Observation.component:changedDensity.modifierExtension, Observation.component:calcification.extension, Observation.component:calcification.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)

Summary

 

Kitos profilio reprezentacijos: CSV, Excel, Schematron