VRIS - Viljatusravi infosüsteem
0.1.0 - draft

VRIS - Viljatusravi infosüsteem, published by TEHIK. 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/TEHIK-EE/ig-ee-vris/ and changes regularly. See the Directory of published versions

## Resource Profile: Observation: EE VRIS Attempting to Concieve

Official URL: https://fhir.ee/vris/StructureDefinition/ee-vris-observation-attempting-to-concieve | Version: 0.1.0
Draft as of 2026-07-16 | Computable Name: EEVRISObservationAttemptingToConcieve

Observation profile for how long is woman attempting to concieve. (ee Rasestuda üritamine.)

Usages:

- This Profile is not used by any profiles in this Specification

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | 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
status | ?!Σ | 1..1 | code | Observation status. (ee See on kohustuslik!) Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Observation category Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ C | 1..1 | CodeableConcept | (ee Rasestuda üritamise aeg. Vaja LOENDIT või kasutame LOINC?) Binding: http://snomed.info/sct (preferred) 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: 169449001
display |  | 1..1 | string | Representation defined by the system Fixed Value: Trying to conceive
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) | (ee Patsient on AINULT viljatusravi saav naine)
effective[x] | Σ | 0..1 |  | (ee Anamneesi kogumise kuupäev)
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | (ee Süsteemi sisestamise kuupäev/kellaaeg)
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | (ee Kes salvestas info. Viide SPD-le siis kui teenus valmis)
value[x] | Σ C | 0..1 | integer | (ee Kuude arv, kui kaua on rasestuda üritatud. Kui pole teada või pole asjakohane, jäta tühjaks (ja kasuta dataAbsentReason?))
note |  | 0..* | Annotation | (ee Lisainfo / märkused)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
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 | preferred | http://snomed.info/sct | Not State | Unknown

#### 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 | **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.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()`

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Measurements and simple assertions
basedOn |  | 0..0 |  | Fulfills plan, proposal or order
partOf |  | 0..0 |  | Part of referenced event
status |  | 1..1 | code | Observation status. (ee See on kohustuslik!)
category |  | 0..* | CodeableConcept | Observation category
code |  | 1..1 | CodeableConcept | (ee Rasestuda üritamise aeg. Vaja LOENDIT või kasutame LOINC?) Binding: http://snomed.info/sct (preferred) 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: 169449001
display |  | 1..1 | string | Representation defined by the system Fixed Value: Trying to conceive
subject |  | 1..1 | Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) | (ee Patsient on AINULT viljatusravi saav naine)
focus |  | 0..0 |  | What the observation is about, when it is not about the subject of record
encounter |  | 0..0 |  | Healthcare event during which this observation is made
effective[x] |  | 0..1 | dateTime, Period, Timing, instant | (ee Anamneesi kogumise kuupäev)
issued |  | 0..1 | instant | (ee Süsteemi sisestamise kuupäev/kellaaeg)
performer |  | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | (ee Kes salvestas info. Viide SPD-le siis kui teenus valmis)
value[x] |  | 0..1 | integer | (ee Kuude arv, kui kaua on rasestuda üritatud. Kui pole teada või pole asjakohane, jäta tühjaks (ja kasuta dataAbsentReason?))
interpretation |  | 0..0 |  | High, low, normal, etc
note |  | 0..* | Annotation | (ee Lisainfo / märkused)
bodySite |  | 0..0 |  | Observed body part
bodyStructure |  | 0..0 |  | Observed body structure
method |  | 0..0 |  | How it was done
specimen |  | 0..0 |  | Specimen used for this observation
device |  | 0..0 |  | A reference to the device that generates the measurements or the device settings for the device
referenceRange |  | 0..0 |  | Provides guide for interpretation
hasMember |  | 0..0 |  | Related resource that belongs to the Observation group
derivedFrom |  | 0..0 |  | Related resource from which the observation is made
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.code | Base | preferred | http://snomed.info/sct | Not State | Unknown

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | 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 Bindings | Purpose
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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
instantiates[x] | Σ | 0..1 | canonical(ObservationDefinition), Reference(ObservationDefinition) | Instantiates FHIR ObservationDefinition
triggeredBy |  | 0..* | BackboneElement | Triggering observation(s)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
observation | Σ | 1..1 | Reference(Observation) | Triggering observation
type | Σ | 1..1 | code | reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
reason |  | 0..1 | string | Reason that the observation was triggered
status | ?!Σ | 1..1 | code | Observation status. (ee See on kohustuslik!) Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Observation category Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ C | 1..1 | CodeableConcept | (ee Rasestuda üritamise aeg. Vaja LOENDIT või kasutame LOINC?) Binding: http://snomed.info/sct (preferred) 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: 169449001
display |  | 1..1 | string | Representation defined by the system Fixed Value: Trying to conceive
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) | (ee Patsient on AINULT viljatusravi saav naine)
effective[x] | Σ | 0..1 |  | (ee Anamneesi kogumise kuupäev)
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | (ee Süsteemi sisestamise kuupäev/kellaaeg)
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | (ee Kes salvestas info. Viide SPD-le siis kui teenus valmis)
value[x] | Σ C | 0..1 | integer | (ee Kuude arv, kui kaua on rasestuda üritatud. Kui pole teada või pole asjakohane, jäta tühjaks (ja kasuta dataAbsentReason?))
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
note |  | 0..* | Annotation | (ee Lisainfo / märkused)
component | Σ C | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | Σ | 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
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 | preferred | http://snomed.info/sct | Not State | Unknown
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.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 | **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.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()`

This structure is derived from Observation

Summary

Mandatory: 1 element
Prohibited: 13 elements

Structures

This structure refers to these other structures:

- Patient: EE VRIS Recipient (https://fhir.ee/vris/StructureDefinition/ee-vris-recipient)
- EE MPI Patient Verified (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-verified)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | 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
status | ?!Σ | 1..1 | code | Observation status. (ee See on kohustuslik!) Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Observation category Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ C | 1..1 | CodeableConcept | (ee Rasestuda üritamise aeg. Vaja LOENDIT või kasutame LOINC?) Binding: http://snomed.info/sct (preferred) 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: 169449001
display |  | 1..1 | string | Representation defined by the system Fixed Value: Trying to conceive
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) | (ee Patsient on AINULT viljatusravi saav naine)
effective[x] | Σ | 0..1 |  | (ee Anamneesi kogumise kuupäev)
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | (ee Süsteemi sisestamise kuupäev/kellaaeg)
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | (ee Kes salvestas info. Viide SPD-le siis kui teenus valmis)
value[x] | Σ C | 0..1 | integer | (ee Kuude arv, kui kaua on rasestuda üritatud. Kui pole teada või pole asjakohane, jäta tühjaks (ja kasuta dataAbsentReason?))
note |  | 0..* | Annotation | (ee Lisainfo / märkused)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
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 | preferred | http://snomed.info/sct | Not State | Unknown

#### 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 | **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.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()`

Differential View

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Measurements and simple assertions
basedOn |  | 0..0 |  | Fulfills plan, proposal or order
partOf |  | 0..0 |  | Part of referenced event
status |  | 1..1 | code | Observation status. (ee See on kohustuslik!)
category |  | 0..* | CodeableConcept | Observation category
code |  | 1..1 | CodeableConcept | (ee Rasestuda üritamise aeg. Vaja LOENDIT või kasutame LOINC?) Binding: http://snomed.info/sct (preferred) 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: 169449001
display |  | 1..1 | string | Representation defined by the system Fixed Value: Trying to conceive
subject |  | 1..1 | Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) | (ee Patsient on AINULT viljatusravi saav naine)
focus |  | 0..0 |  | What the observation is about, when it is not about the subject of record
encounter |  | 0..0 |  | Healthcare event during which this observation is made
effective[x] |  | 0..1 | dateTime, Period, Timing, instant | (ee Anamneesi kogumise kuupäev)
issued |  | 0..1 | instant | (ee Süsteemi sisestamise kuupäev/kellaaeg)
performer |  | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | (ee Kes salvestas info. Viide SPD-le siis kui teenus valmis)
value[x] |  | 0..1 | integer | (ee Kuude arv, kui kaua on rasestuda üritatud. Kui pole teada või pole asjakohane, jäta tühjaks (ja kasuta dataAbsentReason?))
interpretation |  | 0..0 |  | High, low, normal, etc
note |  | 0..* | Annotation | (ee Lisainfo / märkused)
bodySite |  | 0..0 |  | Observed body part
bodyStructure |  | 0..0 |  | Observed body structure
method |  | 0..0 |  | How it was done
specimen |  | 0..0 |  | Specimen used for this observation
device |  | 0..0 |  | A reference to the device that generates the measurements or the device settings for the device
referenceRange |  | 0..0 |  | Provides guide for interpretation
hasMember |  | 0..0 |  | Related resource that belongs to the Observation group
derivedFrom |  | 0..0 |  | Related resource from which the observation is made
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.code | Base | preferred | http://snomed.info/sct | Not State | Unknown

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | 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 Bindings | Purpose
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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
instantiates[x] | Σ | 0..1 | canonical(ObservationDefinition), Reference(ObservationDefinition) | Instantiates FHIR ObservationDefinition
triggeredBy |  | 0..* | BackboneElement | Triggering observation(s)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
observation | Σ | 1..1 | Reference(Observation) | Triggering observation
type | Σ | 1..1 | code | reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
reason |  | 0..1 | string | Reason that the observation was triggered
status | ?!Σ | 1..1 | code | Observation status. (ee See on kohustuslik!) Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Observation category Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ C | 1..1 | CodeableConcept | (ee Rasestuda üritamise aeg. Vaja LOENDIT või kasutame LOINC?) Binding: http://snomed.info/sct (preferred) 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: 169449001
display |  | 1..1 | string | Representation defined by the system Fixed Value: Trying to conceive
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) | (ee Patsient on AINULT viljatusravi saav naine)
effective[x] | Σ | 0..1 |  | (ee Anamneesi kogumise kuupäev)
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | (ee Süsteemi sisestamise kuupäev/kellaaeg)
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | (ee Kes salvestas info. Viide SPD-le siis kui teenus valmis)
value[x] | Σ C | 0..1 | integer | (ee Kuude arv, kui kaua on rasestuda üritatud. Kui pole teada või pole asjakohane, jäta tühjaks (ja kasuta dataAbsentReason?))
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
note |  | 0..* | Annotation | (ee Lisainfo / märkused)
component | Σ C | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | Σ | 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
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 | preferred | http://snomed.info/sct | Not State | Unknown
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.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 | **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.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()`

This structure is derived from Observation

Summary

Mandatory: 1 element
Prohibited: 13 elements

Structures

This structure refers to these other structures:

- Patient: EE VRIS Recipient (https://fhir.ee/vris/StructureDefinition/ee-vris-recipient)
- EE MPI Patient Verified (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-verified)

Other representations of profile: CSV, Excel, Schematron