臺灣核心實作指引(TW Core IG), published by 衛生福利部. This guide is not an authorized publication; it is the continuous build for version 0.3.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cctwFHIRterm/MOHW_TWCoreIG_Build/ and changes regularly. See the Directory of published versions
Official URL: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-bloodPressure-twcore | Version: 0.3.1 | |||
Active as of 2024-11-07 | Computable Name: TWCoreObservationBloodPressure |
此臺灣核心-血壓(TW Core Observation Blood Pressure) Profile說明本IG如何進一步定義臺灣核心-生命體徵(TW Core Observation Vital Signs) Profile以呈現血壓資料。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from observation-bp
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | 0..* | observation-bp | FHIR Blood Pressure Profile | |
code | 1..1 | CodeableConceptTW | 血壓 | |
coding | 1..1 | Coding | Code defined by a terminology system | |
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (extensible) | |
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (extensible) | |
Slices for component | Content/Rules for all slices | |||
component:SystolicBP | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. | |
code | 1..1 | CodeableConcept | 收縮壓代碼 | |
coding | 1..* | Coding | Systolic Blood Pressure | |
component:DiastolicBP | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. | |
code | 1..1 | CodeableConcept | 舒張壓代碼 | |
coding | 1..* | Coding | Diastolic Blood Pressure | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Observation.method | extensible | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | observation-bp | FHIR Blood Pressure Profile 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 vs-2: 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 |
status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) |
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
coding | SΣ | 1..* | Coding | Code defined by a terminology system |
system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs |
code | S | 1..1 | CodeableConceptTW | 血壓 Binding: VitalSigns (extensible): This identifies the vital sign result type. |
Slices for coding | Σ | 1..1 | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system |
coding:BPCode | Σ | 1..1 | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 |
subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
effective[x] | SΣC | 1..1 | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
Slices for value[x] | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this |
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (extensible) | |
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (extensible) | |
Slices for component | SΣC | 2..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system vs-3: If there is no a value a data absent reason must be present |
component:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. |
value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
valueQuantity | Quantity | |||
valueCodeableConcept | CodeableConcept | |||
valueString | string | |||
valueBoolean | boolean | |||
valueInteger | integer | |||
valueRange | Range | |||
valueRatio | Ratio | |||
valueSampledData | SampledData | |||
valueTime | time | |||
valueDateTime | dateTime | |||
valuePeriod | Period | |||
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
component:SystolicBP | SΣC | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | SΣ | 1..1 | CodeableConcept | 收縮壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type. |
Slices for coding | Σ | 1..* | Coding | Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system |
coding:SBPCode | Σ | 1..1 | Coding | Systolic Blood Pressure |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 |
value[x] | SΣC | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. |
value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
unit | SΣ | 1..1 | string | Unit representation |
system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
code | SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] |
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
component:DiastolicBP | SΣC | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | SΣ | 1..1 | CodeableConcept | 舒張壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type. |
Slices for coding | Σ | 1..* | Coding | Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system |
coding:DBPCode | Σ | 1..1 | Coding | Diastolic Blood Pressure |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 |
value[x] | SΣC | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. |
value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
unit | SΣ | 1..1 | string | Unit representation |
system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
code | SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] |
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | |
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | |
Observation.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Observation.method | extensible | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | |
Observation.component.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | |
Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard | |
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | |
Observation.component:SystolicBP.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | |
Observation.component:SystolicBP.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard | |
Observation.component:SystolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | |
Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | |
Observation.component:DiastolicBP.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | |
Observation.component:DiastolicBP.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard | |
Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | |
Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard |
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() | |
vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
vs-3 | error | Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | observation-bp | FHIR Blood Pressure Profile 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 vs-2: 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.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
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) | ||||
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 1..* | Coding | Code defined by a terminology system | ||||
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 | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
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 | ||||
code | S | 1..1 | CodeableConceptTW | 血壓 Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
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 | 1..1 | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system | ||||
coding:BPCode | Σ | 1..1 | Coding | Code defined by a terminology system | ||||
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 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | ||||
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(Patient) | Who and/or what the observation is about | ||||
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] | SΣC | 1..1 | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
Slices for value[x] | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this | ||||
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 (extensible) | |||||
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (extensible) | |||||
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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
Slices for component | SΣC | 2..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system vs-3: If there is no a value a data absent reason must be present | ||||
component:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:SystolicBP | SΣC | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present | ||||
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 | SΣ | 1..1 | CodeableConcept | 收縮壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
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 | 1..* | Coding | Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system | ||||
coding:SBPCode | Σ | 1..1 | Coding | Systolic Blood Pressure | ||||
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 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | ||||
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] | SΣC | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
unit | SΣ | 1..1 | string | Unit representation | ||||
system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
code | SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] | ||||
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:DiastolicBP | SΣC | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present | ||||
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 | SΣ | 1..1 | CodeableConcept | 舒張壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
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 | 1..* | Coding | Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system | ||||
coding:DBPCode | Σ | 1..1 | Coding | Diastolic Blood Pressure | ||||
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 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | ||||
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] | SΣC | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
unit | SΣ | 1..1 | string | Unit representation | ||||
system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
code | SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] | ||||
dataAbsentReason | SC | 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 |
Path | Conformance | ValueSet | URI | |||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | extensible | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | ||||
Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:SystolicBP.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | ||||
Observation.component:SystolicBP.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard | ||||
Observation.component:SystolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||
Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:SystolicBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.component:DiastolicBP.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | ||||
Observation.component:DiastolicBP.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard | ||||
Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||
Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component:DiastolicBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
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-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.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() | |
vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
vs-3 | error | Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
This structure is derived from observation-bp
Differential View
This structure is derived from observation-bp
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | 0..* | observation-bp | FHIR Blood Pressure Profile | |
code | 1..1 | CodeableConceptTW | 血壓 | |
coding | 1..1 | Coding | Code defined by a terminology system | |
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (extensible) | |
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (extensible) | |
Slices for component | Content/Rules for all slices | |||
component:SystolicBP | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. | |
code | 1..1 | CodeableConcept | 收縮壓代碼 | |
coding | 1..* | Coding | Systolic Blood Pressure | |
component:DiastolicBP | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. | |
code | 1..1 | CodeableConcept | 舒張壓代碼 | |
coding | 1..* | Coding | Diastolic Blood Pressure | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Observation.method | extensible | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | observation-bp | FHIR Blood Pressure Profile 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 vs-2: 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 |
status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) |
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
coding | SΣ | 1..* | Coding | Code defined by a terminology system |
system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs |
code | S | 1..1 | CodeableConceptTW | 血壓 Binding: VitalSigns (extensible): This identifies the vital sign result type. |
Slices for coding | Σ | 1..1 | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system |
coding:BPCode | Σ | 1..1 | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 |
subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
effective[x] | SΣC | 1..1 | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
Slices for value[x] | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this |
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (extensible) | |
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (extensible) | |
Slices for component | SΣC | 2..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system vs-3: If there is no a value a data absent reason must be present |
component:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. |
value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
valueQuantity | Quantity | |||
valueCodeableConcept | CodeableConcept | |||
valueString | string | |||
valueBoolean | boolean | |||
valueInteger | integer | |||
valueRange | Range | |||
valueRatio | Ratio | |||
valueSampledData | SampledData | |||
valueTime | time | |||
valueDateTime | dateTime | |||
valuePeriod | Period | |||
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
component:SystolicBP | SΣC | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | SΣ | 1..1 | CodeableConcept | 收縮壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type. |
Slices for coding | Σ | 1..* | Coding | Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system |
coding:SBPCode | Σ | 1..1 | Coding | Systolic Blood Pressure |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 |
value[x] | SΣC | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. |
value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
unit | SΣ | 1..1 | string | Unit representation |
system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
code | SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] |
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
component:DiastolicBP | SΣC | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | SΣ | 1..1 | CodeableConcept | 舒張壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type. |
Slices for coding | Σ | 1..* | Coding | Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system |
coding:DBPCode | Σ | 1..1 | Coding | Diastolic Blood Pressure |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 |
value[x] | SΣC | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. |
value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
unit | SΣ | 1..1 | string | Unit representation |
system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
code | SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] |
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | |
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | |
Observation.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Observation.method | extensible | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | |
Observation.component.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | |
Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard | |
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | |
Observation.component:SystolicBP.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | |
Observation.component:SystolicBP.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard | |
Observation.component:SystolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | |
Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | |
Observation.component:DiastolicBP.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | |
Observation.component:DiastolicBP.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard | |
Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | |
Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard |
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() | |
vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
vs-3 | error | Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | observation-bp | FHIR Blood Pressure Profile 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 vs-2: 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.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
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) | ||||
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 1..* | Coding | Code defined by a terminology system | ||||
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 | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
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 | ||||
code | S | 1..1 | CodeableConceptTW | 血壓 Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
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 | 1..1 | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system | ||||
coding:BPCode | Σ | 1..1 | Coding | Code defined by a terminology system | ||||
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 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | ||||
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(Patient) | Who and/or what the observation is about | ||||
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] | SΣC | 1..1 | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
Slices for value[x] | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this | ||||
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 (extensible) | |||||
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (extensible) | |||||
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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
Slices for component | SΣC | 2..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system vs-3: If there is no a value a data absent reason must be present | ||||
component:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
component:SystolicBP | SΣC | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present | ||||
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 | SΣ | 1..1 | CodeableConcept | 收縮壓代碼 Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
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 | 1..* | Coding | Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system | ||||
coding:SBPCode | Σ | 1..1 | Coding | Systolic Blood Pressure | ||||
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 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code |