NHDR Implementation Guide Release 1.0, published by NHDR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/PROJ-PHILHEALTH-EA-NHDR/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions
Resource Profile: PH Observation
| Official URL: https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation | Version: 0.1.0 | |||
| Standards status: Draft | Computable Name: PH_Observation | |||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |
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Measurements and simple assertions made about a patient, device or other subject.
Usages:
- Refer to this Profile: PH DiagnosticReport, PH Immunization and PH MedicationAdministration
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7 |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:address |
0..* | PH_Address | Address (Extension) URL: https://nhdr.gov.ph/fhir/StructureDefinition/ExtAddress | |
  status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
 code |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
 subject |
Σ | 0..1 | Reference(PH Patient) | Who and/or what the observation is about |
| encounter |
Σ | 0..1 | Reference(PH Encounter) | Healthcare event during which this observation is made |
| effective[x] |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation |
| performer |
Σ | 0..* | Reference(PH Practitioner) | Who is responsible for the observation |
 value[x] |
ΣC | 0..1 | Actual result Binding: Observation Value (required) | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRatio |
Ratio | |||
 valueDateTime |
dateTime | |||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethod (required) | |
| specimen |
0..1 | Reference(PH Specimen) | Specimen used for this observation | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1From the FHIR Standard | |
| Observation.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|4.0.1From the FHIR Standard | |
| Observation.value[x] | required | ObservationValueVS(a valid code from Observation Value)https://nhdr.gov.ph/fhir/ValueSet/ObservationValueVSFrom this IG | |
| Observation.method | required | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
| Observation.component.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|4.0.1From the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | Observation | Measurements and simple assertions | |
 meta |
||||
  Slices for extension |
Content/Rules for all slices | |||
 extension:recordedDate |
0..* | dateTime | Date recorded URL: https://nhdr.gov.ph/fhir/StructureDefinition/RecordedDate | |
| implicitRules |
0..0 | |||
| language |
0..0 | |||
| text |
0..0 | |||
| contained |
0..0 | |||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:address |
0..* | PH_Address | Address (Extension) URL: https://nhdr.gov.ph/fhir/StructureDefinition/ExtAddress | |
 modifierExtension |
0..0 | |||
| basedOn |
0..0 | |||
| partOf |
0..0 | |||
| subject |
0..1 | Reference(PH Patient) | Who and/or what the observation is about | |
| focus |
0..0 | |||
| encounter |
0..1 | Reference(PH Encounter) | Healthcare event during which this observation is made | |
| effective[x] |
0..1 | dateTime | Clinically relevant time/time-period for observation | |
| issued |
0..0 | |||
| performer |
0..* | Reference(PH Practitioner) | Who is responsible for the observation | |
| value[x] |
0..1 | Actual result Binding: Observation Value (required) | ||
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRatio |
Ratio | |||
| valueDateTime |
dateTime | |||
| dataAbsentReason |
0..0 | |||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethod (required) | |
| specimen |
0..1 | Reference(PH Specimen) | Specimen used for this observation | |
| device |
0..0 | |||
| referenceRange |
0..0 | |||
| hasMember |
0..0 | |||
| derivedFrom |
0..0 | |||
| component |
0..0 | |||
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| Observation.value[x] | required | ObservationValueVS(a valid code from Observation Value)https://nhdr.gov.ph/fhir/ValueSet/ObservationValueVSFrom this IG | |
| Observation.method | required | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod |
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7 |
| id |
Σ | 0..1 | id | Logical id of this artifact |
| meta |
Σ | 0..1 | Meta | Metadata about the resource |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| extension:recordedDate |
0..* | dateTime | Date recorded URL: https://nhdr.gov.ph/fhir/StructureDefinition/RecordedDate | |
| versionId |
Σ | 0..1 | id | Version specific identifier |
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed |
| source |
Σ | 0..1 | uri | Identifies where the resource comes from |
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:address |
0..* | PH_Address | Address (Extension) URL: https://nhdr.gov.ph/fhir/StructureDefinition/ExtAddress | |
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation |
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| category |
0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
| code |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| subject |
Σ | 0..1 | Reference(PH Patient) | Who and/or what the observation is about |
| encounter |
Σ | 0..1 | Reference(PH Encounter) | Healthcare event during which this observation is made |
| effective[x] |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation |
| performer |
Σ | 0..* | Reference(PH Practitioner) | Who is responsible for the observation |
| value[x] |
ΣC | 0..1 | Actual result Binding: Observation Value (required) | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRatio |
Ratio | |||
| valueDateTime |
dateTime | |||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |
| note |
0..* | Annotation | Comments about the observation | |
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethod (required) | |
| specimen |
0..1 | Reference(PH Specimen) | Specimen used for this observation | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| Observation.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels|4.0.1From the FHIR Standard | |
| Observation.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags|4.0.1From the FHIR Standard | |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1From the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category|4.0.1From the FHIR Standard | |
| Observation.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|4.0.1From the FHIR Standard | |
| Observation.value[x] | required | ObservationValueVS(a valid code from Observation Value)https://nhdr.gov.ph/fhir/ValueSet/ObservationValueVSFrom this IG | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1From the FHIR Standard | |
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site|4.0.1From the FHIR Standard | |
| Observation.method | required | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning|4.0.1From the FHIR Standard | |
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto|4.0.1From the FHIR Standard | |
| Observation.component.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|4.0.1From the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1From the FHIR Standard | |
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1From the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from Observation
Summary
Prohibited: 15 elements
Structures
This structure refers to these other structures:
- PH Patient (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient)
- PH Encounter (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter)
- PH Practitioner (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Practitioner)
- PH Specimen (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Specimen)
Extensions
This structure refers to these extensions:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7 |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:address |
0..* | PH_Address | Address (Extension) URL: https://nhdr.gov.ph/fhir/StructureDefinition/ExtAddress | |
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| subject |
Σ | 0..1 | Reference(PH Patient) | Who and/or what the observation is about |
| encounter |
Σ | 0..1 | Reference(PH Encounter) | Healthcare event during which this observation is made |
| effective[x] |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation |
| performer |
Σ | 0..* | Reference(PH Practitioner) | Who is responsible for the observation |
| value[x] |
ΣC | 0..1 | Actual result Binding: Observation Value (required) | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRatio |
Ratio | |||
| valueDateTime |
dateTime | |||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethod (required) | |
| specimen |
0..1 | Reference(PH Specimen) | Specimen used for this observation | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1From the FHIR Standard | |
| Observation.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|4.0.1From the FHIR Standard | |
| Observation.value[x] | required | ObservationValueVS(a valid code from Observation Value)https://nhdr.gov.ph/fhir/ValueSet/ObservationValueVSFrom this IG | |
| Observation.method | required | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
| Observation.component.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|4.0.1From the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | Observation | Measurements and simple assertions | |
| meta |
||||
| Slices for extension |
Content/Rules for all slices | |||
| extension:recordedDate |
0..* | dateTime | Date recorded URL: https://nhdr.gov.ph/fhir/StructureDefinition/RecordedDate | |
| implicitRules |
0..0 | |||
| language |
0..0 | |||
| text |
0..0 | |||
| contained |
0..0 | |||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:address |
0..* | PH_Address | Address (Extension) URL: https://nhdr.gov.ph/fhir/StructureDefinition/ExtAddress | |
| modifierExtension |
0..0 | |||
| basedOn |
0..0 | |||
| partOf |
0..0 | |||
| subject |
0..1 | Reference(PH Patient) | Who and/or what the observation is about | |
| focus |
0..0 | |||
| encounter |
0..1 | Reference(PH Encounter) | Healthcare event during which this observation is made | |
| effective[x] |
0..1 | dateTime | Clinically relevant time/time-period for observation | |
| issued |
0..0 | |||
| performer |
0..* | Reference(PH Practitioner) | Who is responsible for the observation | |
| value[x] |
0..1 | Actual result Binding: Observation Value (required) | ||
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRatio |
Ratio | |||
| valueDateTime |
dateTime | |||
| dataAbsentReason |
0..0 | |||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethod (required) | |
| specimen |
0..1 | Reference(PH Specimen) | Specimen used for this observation | |
| device |
0..0 | |||
| referenceRange |
0..0 | |||
| hasMember |
0..0 | |||
| derivedFrom |
0..0 | |||
| component |
0..0 | |||
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| Observation.value[x] | required | ObservationValueVS(a valid code from Observation Value)https://nhdr.gov.ph/fhir/ValueSet/ObservationValueVSFrom this IG | |
| Observation.method | required | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7 |
| id |
Σ | 0..1 | id | Logical id of this artifact |
| meta |
Σ | 0..1 | Meta | Metadata about the resource |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| extension:recordedDate |
0..* | dateTime | Date recorded URL: https://nhdr.gov.ph/fhir/StructureDefinition/RecordedDate | |
| versionId |
Σ | 0..1 | id | Version specific identifier |
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed |
| source |
Σ | 0..1 | uri | Identifies where the resource comes from |
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:address |
0..* | PH_Address | Address (Extension) URL: https://nhdr.gov.ph/fhir/StructureDefinition/ExtAddress | |
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation |
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| category |
0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
| code |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| subject |
Σ | 0..1 | Reference(PH Patient) | Who and/or what the observation is about |
| encounter |
Σ | 0..1 | Reference(PH Encounter) | Healthcare event during which this observation is made |
| effective[x] |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation |
| performer |
Σ | 0..* | Reference(PH Practitioner) | Who is responsible for the observation |
| value[x] |
ΣC | 0..1 | Actual result Binding: Observation Value (required) | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRatio |
Ratio | |||
| valueDateTime |
dateTime | |||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |
| note |
0..* | Annotation | Comments about the observation | |
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethod (required) | |
| specimen |
0..1 | Reference(PH Specimen) | Specimen used for this observation | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| Observation.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels|4.0.1From the FHIR Standard | |
| Observation.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags|4.0.1From the FHIR Standard | |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1From the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category|4.0.1From the FHIR Standard | |
| Observation.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|4.0.1From the FHIR Standard | |
| Observation.value[x] | required | ObservationValueVS(a valid code from Observation Value)https://nhdr.gov.ph/fhir/ValueSet/ObservationValueVSFrom this IG | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1From the FHIR Standard | |
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site|4.0.1From the FHIR Standard | |
| Observation.method | required | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning|4.0.1From the FHIR Standard | |
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto|4.0.1From the FHIR Standard | |
| Observation.component.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes|4.0.1From the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1From the FHIR Standard | |
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1From the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from Observation
Summary
Prohibited: 15 elements
Structures
This structure refers to these other structures:
- PH Patient (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient)
- PH Encounter (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter)
- PH Practitioner (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Practitioner)
- PH Specimen (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Specimen)
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron