Virtually Healthcare HL7 FHIR R4 Implementation Guide
0.1.0-current - ci-build United Kingdom flag

Virtually Healthcare HL7 FHIR R4 Implementation Guide, published by Virtually Healthcare. This guide is not an authorized publication; it is the continuous build for version 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Virtually-Healthcare/HL7-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions

Resource Profile: Observation

Official URL: https://fhir.virtually.healthcare/StructureDefinition/Observation Version: 0.1.0-current
Draft as of 2024-12-02 Computable Name: Observation

Extension of HL7 IPA Observation to include elements of UKCore-Observation

​See Observation Definitions for clinical coding and units to be used with Observation.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from IPAObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* IPAObservation Measurements and simple assertions
... contained 0..0
... identifier S 1..* CommonResourceIdentifiers An identifier intended for computation
... code
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:SNOMED S 0..* Coding Code defined by a terminology system
Binding: VH Observation Code (required)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:LOINC 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (extensible)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
... subject
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 0..1 NHSNumbers An identifier intended for computation
... effective[x] 1..1 dateTime Clinically relevant time/time-period for observation
... performer S 1..* Reference(Practitioner | Patient) Who is responsible for the observation
.... identifier 0..1 ProfessionalLicense, NHSNumbers, StaffEnterpriseNumber An identifier intended for computation
... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
Slice: Unordered, Open by type:$this
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual result
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
...... coding:SNOMED S 0..* Coding Code defined by a terminology system
Binding: VH Observation Value Code (required)
....... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... coding:LOINC 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (required)
....... system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
... component
.... code
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
...... coding:SNOMED S 0..* Coding Code defined by a terminology system
Binding: VH Observation Code (required)
....... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... coding:LOINC 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (extensible)
....... system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.code.coding:SNOMEDrequiredVHObservationCode
https://fhir.virtually.healthcare/ValueSet/VHObservationCode
from this IG
Observation.code.coding:LOINCextensibleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:SNOMEDrequiredVHObservationValueCode
https://fhir.virtually.healthcare/ValueSet/VHObservationValueCode
from this IG
Observation.value[x]:valueCodeableConcept.coding:LOINCrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.code.coding:SNOMEDrequiredVHObservationCode
https://fhir.virtually.healthcare/ValueSet/VHObservationCode
from this IG
Observation.component.code.coding:LOINCextensibleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* IPAObservation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
ipa-obs-1: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 1..* CommonResourceIdentifiers An identifier intended for computation
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:SNOMED SΣ 0..* Coding Code defined by a terminology system
Binding: VH Observation Code (required)
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (extensible)
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
... subject SΣ 1..1 Reference(IPA-Patient) Who and/or what the observation is about
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 0..1 NHSNumbers An identifier intended for computation
... effective[x] SΣ 1..1 dateTime Clinically relevant time/time-period for observation
... performer SΣ 1..* Reference(Practitioner | Patient) Who is responsible for the observation
.... identifier 0..1 ProfessionalLicense, NHSNumbers, StaffEnterpriseNumber An identifier intended for computation
... Slices for value[x] SΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
...... coding:SNOMED SΣ 0..* Coding Code defined by a terminology system
Binding: VH Observation Value Code (required)
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (required)
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... component Σ 0..* BackboneElement Component results
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
...... coding:SNOMED SΣ 0..* Coding Code defined by a terminology system
Binding: VH Observation Code (required)
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (extensible)
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.code.coding:SNOMEDrequiredVHObservationCode
https://fhir.virtually.healthcare/ValueSet/VHObservationCode
from this IG
Observation.code.coding:LOINCextensibleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:SNOMEDrequiredVHObservationValueCode
https://fhir.virtually.healthcare/ValueSet/VHObservationValueCode
from this IG
Observation.value[x]:valueCodeableConcept.coding:LOINCrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.code.coding:SNOMEDrequiredVHObservationCode
https://fhir.virtually.healthcare/ValueSet/VHObservationCode
from this IG
Observation.component.code.coding:LOINCextensibleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* IPAObservation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
ipa-obs-1: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
... 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 1..* CommonResourceIdentifiers An identifier intended for computation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:SNOMED SΣ 0..* Coding Code defined by a terminology system
Binding: VH Observation Code (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(IPA-Patient) Who and/or what the observation is about
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier 0..1 NHSNumbers An identifier intended for computation
.... display Σ 0..1 string Text alternative for the resource
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 dateTime Clinically relevant time/time-period for observation
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 1..* Reference(Practitioner | Patient) Who is responsible for the observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier 0..1 ProfessionalLicense, NHSNumbers, StaffEnterpriseNumber An identifier intended for computation
.... display Σ 0..1 string Text alternative for the resource
... Slices for value[x] SΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
...... coding:SNOMED SΣ 0..* Coding Code defined by a terminology system
Binding: VH Observation Value Code (required)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (required)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... 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 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: ObservationMethods (example): Methods for simple observations.

... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... 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
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... 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 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 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 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
...... coding:SNOMED SΣ 0..* Coding Code defined by a terminology system
Binding: VH Observation Code (required)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (extensible)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... 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
.... dataAbsentReason C 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

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.code.coding:SNOMEDrequiredVHObservationCode
https://fhir.virtually.healthcare/ValueSet/VHObservationCode
from this IG
Observation.code.coding:LOINCextensibleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:SNOMEDrequiredVHObservationValueCode
https://fhir.virtually.healthcare/ValueSet/VHObservationValueCode
from this IG
Observation.value[x]:valueCodeableConcept.coding:LOINCrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.code.coding:SNOMEDrequiredVHObservationCode
https://fhir.virtually.healthcare/ValueSet/VHObservationCode
from this IG
Observation.component.code.coding:LOINCextensibleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

This structure is derived from IPAObservation

Summary

Mandatory: 4 elements(6 nested mandatory elements)
Must-Support: 6 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.code.coding (Closed)
  • The element 1 is sliced based on the value of Observation.value[x]
  • The element 1 is sliced based on the value of Observation.value[x].coding (Closed)
  • The element 1 is sliced based on the value of Observation.component.code.coding (Closed)

Differential View

This structure is derived from IPAObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* IPAObservation Measurements and simple assertions
... contained 0..0
... identifier S 1..* CommonResourceIdentifiers An identifier intended for computation
... code
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:SNOMED S 0..* Coding Code defined by a terminology system
Binding: VH Observation Code (required)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:LOINC 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (extensible)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
... subject
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 0..1 NHSNumbers An identifier intended for computation
... effective[x] 1..1 dateTime Clinically relevant time/time-period for observation
... performer S 1..* Reference(Practitioner | Patient) Who is responsible for the observation
.... identifier 0..1 ProfessionalLicense, NHSNumbers, StaffEnterpriseNumber An identifier intended for computation
... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
Slice: Unordered, Open by type:$this
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual result
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
...... coding:SNOMED S 0..* Coding Code defined by a terminology system
Binding: VH Observation Value Code (required)
....... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... coding:LOINC 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (required)
....... system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
... component
.... code
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
...... coding:SNOMED S 0..* Coding Code defined by a terminology system
Binding: VH Observation Code (required)
....... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... coding:LOINC 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (extensible)
....... system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.code.coding:SNOMEDrequiredVHObservationCode
https://fhir.virtually.healthcare/ValueSet/VHObservationCode
from this IG
Observation.code.coding:LOINCextensibleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:SNOMEDrequiredVHObservationValueCode
https://fhir.virtually.healthcare/ValueSet/VHObservationValueCode
from this IG
Observation.value[x]:valueCodeableConcept.coding:LOINCrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.code.coding:SNOMEDrequiredVHObservationCode
https://fhir.virtually.healthcare/ValueSet/VHObservationCode
from this IG
Observation.component.code.coding:LOINCextensibleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* IPAObservation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
ipa-obs-1: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 1..* CommonResourceIdentifiers An identifier intended for computation
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:SNOMED SΣ 0..* Coding Code defined by a terminology system
Binding: VH Observation Code (required)
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (extensible)
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
... subject SΣ 1..1 Reference(IPA-Patient) Who and/or what the observation is about
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 0..1 NHSNumbers An identifier intended for computation
... effective[x] SΣ 1..1 dateTime Clinically relevant time/time-period for observation
... performer SΣ 1..* Reference(Practitioner | Patient) Who is responsible for the observation
.... identifier 0..1 ProfessionalLicense, NHSNumbers, StaffEnterpriseNumber An identifier intended for computation
... Slices for value[x] SΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
...... coding:SNOMED SΣ 0..* Coding Code defined by a terminology system
Binding: VH Observation Value Code (required)
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (required)
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... component Σ 0..* BackboneElement Component results
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
...... coding:SNOMED SΣ 0..* Coding Code defined by a terminology system
Binding: VH Observation Code (required)
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (extensible)
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.code.coding:SNOMEDrequiredVHObservationCode
https://fhir.virtually.healthcare/ValueSet/VHObservationCode
from this IG
Observation.code.coding:LOINCextensibleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:SNOMEDrequiredVHObservationValueCode
https://fhir.virtually.healthcare/ValueSet/VHObservationValueCode
from this IG
Observation.value[x]:valueCodeableConcept.coding:LOINCrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.code.coding:SNOMEDrequiredVHObservationCode
https://fhir.virtually.healthcare/ValueSet/VHObservationCode
from this IG
Observation.component.code.coding:LOINCextensibleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* IPAObservation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
ipa-obs-1: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
... 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 1..* CommonResourceIdentifiers An identifier intended for computation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:SNOMED SΣ 0..* Coding Code defined by a terminology system
Binding: VH Observation Code (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(IPA-Patient) Who and/or what the observation is about
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier 0..1 NHSNumbers An identifier intended for computation
.... display Σ 0..1 string Text alternative for the resource
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 dateTime Clinically relevant time/time-period for observation
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 1..* Reference(Practitioner | Patient) Who is responsible for the observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier 0..1 ProfessionalLicense, NHSNumbers, StaffEnterpriseNumber An identifier intended for computation
.... display Σ 0..1 string Text alternative for the resource
... Slices for value[x] SΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
...... coding:SNOMED SΣ 0..* Coding Code defined by a terminology system
Binding: VH Observation Value Code (required)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (required)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... 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 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: ObservationMethods (example): Methods for simple observations.

... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... 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
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... 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 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 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 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
...... coding:SNOMED SΣ 0..* Coding Code defined by a terminology system
Binding: VH Observation Code (required)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:LOINC Σ 0..* Coding Code defined by a terminology system
Binding: LOINCCodes (extensible)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... 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
.... dataAbsentReason C 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

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.code.coding:SNOMEDrequiredVHObservationCode
https://fhir.virtually.healthcare/ValueSet/VHObservationCode
from this IG
Observation.code.coding:LOINCextensibleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.value[x]:valueCodeableConcept.coding:SNOMEDrequiredVHObservationValueCode
https://fhir.virtually.healthcare/ValueSet/VHObservationValueCode
from this IG
Observation.value[x]:valueCodeableConcept.coding:LOINCrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.code.coding:SNOMEDrequiredVHObservationCode
https://fhir.virtually.healthcare/ValueSet/VHObservationCode
from this IG
Observation.component.code.coding:LOINCextensibleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

This structure is derived from IPAObservation

Summary

Mandatory: 4 elements(6 nested mandatory elements)
Must-Support: 6 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.code.coding (Closed)
  • The element 1 is sliced based on the value of Observation.value[x]
  • The element 1 is sliced based on the value of Observation.value[x].coding (Closed)
  • The element 1 is sliced based on the value of Observation.component.code.coding (Closed)

 

Other representations of profile: CSV, Excel, Schematron