Lithuanian Prostate Diagnostics Implementation Guide
0.0.1 - ci-build Lithuania flag

Lithuanian Prostate Diagnostics 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-prostate/ and changes regularly. See the Directory of published versions

Resource Profile: Observation: MRI Sequence Score

Official URL: https://hl7.lt/fhir/prostate/StructureDefinition/sequence-score-lt-prostate Version: 0.0.1
Computable Name: SequenceScoreLtProstate

Observation representing a numeric (1–5) assessment score for a specific prostate MRI sequence (T2-weighted, DWI, ADC or DCE), evaluated for a defined prostate lesion. These sequence-level scores represent the individual imaging components used to derive the overall PI-RADS assessment, but do not themselves constitute a final diagnostic conclusion. Anatomical localization is provided via the referenced prostate lesion.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationLt(0.3.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(ObservationLt(0.3.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
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: ProstateSequenceTypeVS (0.0.1) (required)
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who and/or what the observation is about
... focus SΣ 1..1 Reference(BodyStructure: Prostate Lesion(0.0.1)) 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) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0)) Who is responsible for the observation
... value[x] SΣC 1..1 integer Actual result
Constraints: prostate-score-min-1, prostate-score-max-5
... 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
... component SΣC 0..* 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.
.... 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)

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 required Prostate - mpMRI Sequence Type 📍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.

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] 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 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)
prostate-score-max-5 error Observation.value[x] Score must be at most 5. $this <= 5
prostate-score-min-1 error Observation.value[x] Score must be at least 1. $this >= 1

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* ObservationLt(0.3.0) Measurements and simple assertions
... status 1..1 code registered | preliminary | final | amended +
Required Pattern: final
... code 1..1 CodeableConcept Type of observation (code / type)
Binding: ProstateSequenceTypeVS (0.0.1) (required)
... subject 1..1 Reference(PatientLt(0.3.0)) Who and/or what the observation is about
... encounter 0..1 Reference(EncounterLt(0.3.0)) Healthcare event during which this observation is made
... effective[x] 1..1 dateTime Clinically relevant time/time-period for observation
... value[x] C 1..1 integer Actual result

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required Prostate - mpMRI Sequence Type 📍0.0.1 This IG

Constraints

Id Grade Path(s) Description Expression
prostate-score-max-5 error Observation.value[x] Score must be at most 5. $this <= 5
prostate-score-min-1 error Observation.value[x] Score must be at least 1. $this >= 1
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationLt(0.3.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(ObservationLt(0.3.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
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: ProstateSequenceTypeVS (0.0.1) (required)
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who and/or what the observation is about
... focus SΣ 1..1 Reference(BodyStructure: Prostate Lesion(0.0.1)) 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) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0)) Who is responsible for the observation
... value[x] SΣC 1..1 integer Actual result
Constraints: prostate-score-min-1, prostate-score-max-5
... 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
... component SΣC 0..* 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.
.... 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

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 required Prostate - mpMRI Sequence Type 📍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.

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 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 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)
prostate-score-max-5 error Observation.value[x] Score must be at most 5. $this <= 5
prostate-score-min-1 error Observation.value[x] Score must be at least 1. $this >= 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationLt(0.3.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(ObservationLt(0.3.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
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: ProstateSequenceTypeVS (0.0.1) (required)
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who and/or what the observation is about
... focus SΣ 1..1 Reference(BodyStructure: Prostate Lesion(0.0.1)) 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) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0)) Who is responsible for the observation
... value[x] SΣC 1..1 integer Actual result
Constraints: prostate-score-min-1, prostate-score-max-5
... 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
... component SΣC 0..* 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.
.... 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)

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 required Prostate - mpMRI Sequence Type 📍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.

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] 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 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)
prostate-score-max-5 error Observation.value[x] Score must be at most 5. $this <= 5
prostate-score-min-1 error Observation.value[x] Score must be at least 1. $this >= 1

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* ObservationLt(0.3.0) Measurements and simple assertions
... status 1..1 code registered | preliminary | final | amended +
Required Pattern: final
... code 1..1 CodeableConcept Type of observation (code / type)
Binding: ProstateSequenceTypeVS (0.0.1) (required)
... subject 1..1 Reference(PatientLt(0.3.0)) Who and/or what the observation is about
... encounter 0..1 Reference(EncounterLt(0.3.0)) Healthcare event during which this observation is made
... effective[x] 1..1 dateTime Clinically relevant time/time-period for observation
... value[x] C 1..1 integer Actual result

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required Prostate - mpMRI Sequence Type 📍0.0.1 This IG

Constraints

Id Grade Path(s) Description Expression
prostate-score-max-5 error Observation.value[x] Score must be at most 5. $this <= 5
prostate-score-min-1 error Observation.value[x] Score must be at least 1. $this >= 1

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationLt(0.3.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(ObservationLt(0.3.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
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: ProstateSequenceTypeVS (0.0.1) (required)
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who and/or what the observation is about
... focus SΣ 1..1 Reference(BodyStructure: Prostate Lesion(0.0.1)) 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) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0)) Who is responsible for the observation
... value[x] SΣC 1..1 integer Actual result
Constraints: prostate-score-min-1, prostate-score-max-5
... 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
... component SΣC 0..* 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.
.... 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

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 required Prostate - mpMRI Sequence Type 📍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.

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 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 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)
prostate-score-max-5 error Observation.value[x] Score must be at most 5. $this <= 5
prostate-score-min-1 error Observation.value[x] Score must be at least 1. $this >= 1

 

Other representations of profile: CSV, Excel, Schematron