EHDS refined base model for Observation information

Common header for all patient-related data

Patient/subject information

Business identifier for the object

Resource authoring details

Author(s) by whom the resource was/were authored. Multiple authors could be provided.

Date and time of authoring/issuing

Date and time of the last update to the resource (may be used for technical corrections).

Status of the resource or document

Reason for the current status of the resource.

Language in which the resource is written. Language is expressed by the IETF language tag.

BCP 47

Clinically relevant time or time period for the observation

Code representing the observation using the agreed code systems.

LOINC, NPU, SNOMED CT

Comments and narrative representation of the observation result and findings.

Result of the observation including text, numeric and coded results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.

Observation result value according to the type of observation

UCUM for units, SNOMED CT for coded results

Anatomic location and laterality where the observation was performed.

Specimen information

Observation method (measurement principle) to obtain the result.

SNOMED CT

Performer of the observation. Some test could be performed by the patient himself or by a care giver. Those are in the scope of this deliverable under specified conditions.

Reference range, multiple reference ranges of different types culd by provided. Provides guide for interpretation of result.

Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.

Information about reference intervals and result interpretation.

SNOMED CT, HL7 ObservationInterpretation

Component in case the observation consists of multiple sub-observations (e.g. blood pressure).

Code representing the observation using the agreed code systems.

LOINC, NPU, SNOMED CT

Result of the observation including text, numeric and coded results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.

Observation result value according to the type of observation

Measurement uncertainty type and interval if needed.

Reference range, multiple reference ranges of different types culd by provided. Provides guide for interpretation of result.

Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.

Information about reference intervals and result interpretation.

SNOMED CT, HL7 ObservationInterpretation

EHDS refined base model for Observation information

Clinically relevant time or time period for the observation

Code representing the observation using the agreed code systems.

LOINC, NPU, SNOMED CT

Comments and narrative representation of the observation result and findings.

Result of the observation including text, numeric and coded results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.

Observation result value according to the type of observation

UCUM for units, SNOMED CT for coded results

Anatomic location and laterality where the observation was performed.

Specimen information

Observation method (measurement principle) to obtain the result.

SNOMED CT

Performer of the observation. Some test could be performed by the patient himself or by a care giver. Those are in the scope of this deliverable under specified conditions.

Reference range, multiple reference ranges of different types culd by provided. Provides guide for interpretation of result.

Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.

Information about reference intervals and result interpretation.

SNOMED CT, HL7 ObservationInterpretation

Component in case the observation consists of multiple sub-observations (e.g. blood pressure).

Code representing the observation using the agreed code systems.

LOINC, NPU, SNOMED CT

Result of the observation including text, numeric and coded results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.

Observation result value according to the type of observation

Measurement uncertainty type and interval if needed.

Reference range, multiple reference ranges of different types culd by provided. Provides guide for interpretation of result.

Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.

Information about reference intervals and result interpretation.

SNOMED CT, HL7 ObservationInterpretation

EHDS refined base model for Observation information

Common header for all patient-related data

Patient/subject information

Business identifier for the object

Resource authoring details

Author(s) by whom the resource was/were authored. Multiple authors could be provided.

Date and time of authoring/issuing

Date and time of the last update to the resource (may be used for technical corrections).

Status of the resource or document

Reason for the current status of the resource.

Language in which the resource is written. Language is expressed by the IETF language tag.

BCP 47

Clinically relevant time or time period for the observation

Code representing the observation using the agreed code systems.

LOINC, NPU, SNOMED CT

Comments and narrative representation of the observation result and findings.

Result of the observation including text, numeric and coded results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.

Observation result value according to the type of observation

UCUM for units, SNOMED CT for coded results

Anatomic location and laterality where the observation was performed.

Specimen information

Observation method (measurement principle) to obtain the result.

SNOMED CT

Performer of the observation. Some test could be performed by the patient himself or by a care giver. Those are in the scope of this deliverable under specified conditions.

Reference range, multiple reference ranges of different types culd by provided. Provides guide for interpretation of result.

Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.

Information about reference intervals and result interpretation.

SNOMED CT, HL7 ObservationInterpretation

Component in case the observation consists of multiple sub-observations (e.g. blood pressure).

Code representing the observation using the agreed code systems.

LOINC, NPU, SNOMED CT

Result of the observation including text, numeric and coded results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.

Observation result value according to the type of observation

Measurement uncertainty type and interval if needed.

Reference range, multiple reference ranges of different types culd by provided. Provides guide for interpretation of result.

Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.

Information about reference intervals and result interpretation.

SNOMED CT, HL7 ObservationInterpretation