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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Resource Profile: SEMD Observation (Наблюдение СЭМД)

Профиль Observation для структурированных электронных медицинских документов

Usages:

• Derived from this Profile: PLI SEMD Observation (Наблюдение ПЛИ) and VitalParam SEMD Observation (Витальные параметры СЭМД)
• Refer to this Profile: SEMD DiagnosticReport (Диагностический отчет СЭМД)
• Examples for this Profile: Observation/observation-basophils-total, Observation/observation-basophils, Observation/observation-eosinophils-total, Observation/observation-eosinophils... Show 21 more, Observation/observation-erythrocytes-volume-deviation, Observation/observation-erythrocytes-volume, Observation/observation-erythrocytes, Observation/observation-hematocrit, Observation/observation-hemoglobin-in-erithrocyte-quantity, Observation/observation-hemoglobin-per-erithrocyte, Observation/observation-hemoglobin, Observation/observation-leukocytes, Observation/observation-lymphocytes-total, Observation/observation-lymphocytes, Observation/observation-monocytes-total, Observation/observation-monocytes, Observation/observation-neutrophils-palochko-total, Observation/observation-neutrophils-palochko, Observation/observation-neutrophils-segmento-total, Observation/observation-neutrophils-segmento, Observation/observation-neutrophils-total, Observation/observation-neutrophils, Observation/observation-thrombocyte-volume, Observation/observation-thrombocytes and Observation/observation-vital-sign-diuresis

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, obs-8
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	ΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for value[x]	ΣC	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
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
value[x]:valueQuantity	SΣC	0..1	Quantity	Количественное значение
comparator	?!Σ	0..1	code	< | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Единица измерения Binding: Единицы измерения (required)
system	ΣC	0..1	uri	Система единиц измерения Binding: Единицы измерения (required)
code	ΣC	0..1	code	Код единицы измерения Binding: Единицы измерения (required)
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity	Нижняя граница референсного диапазона
unit	Σ	0..1	string	Unit representation Binding: Единицы измерения (required)
system	ΣC	0..1	uri	System that defines coded unit form Binding: Единицы измерения (required)
code	ΣC	0..1	code	Coded form of the unit Binding: Единицы измерения (required)
high	SC	0..1	SimpleQuantity	Верхняя граница референсного диапазона
unit	Σ	0..1	string	Unit representation Binding: Единицы измерения (required)
system	ΣC	0..1	uri	System that defines coded unit form Binding: Единицы измерения (required)
code	ΣC	0..1	code	Coded form of the unit Binding: Единицы измерения (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|5.0.0 From the FHIR Standard
Observation.value[x]:valueQuantity.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.value[x]:valueQuantity.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.value[x]:valueQuantity.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8	error	Observation	bodyStructure SHALL only be present if Observation.bodySite is not present : bodySite.exists() implies bodyStructure.empty()

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			Observation
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence)	Actual result Slice: Unordered, Open by type:$this
value[x]:valueQuantity	S	0..1	Quantity	Количественное значение
unit		0..1	string	Единица измерения Binding: Единицы измерения (required)
system		0..1	uri	Система единиц измерения Binding: Единицы измерения (required)
code		0..1	code	Код единицы измерения Binding: Единицы измерения (required)
referenceRange
low	S	0..1	SimpleQuantity	Нижняя граница референсного диапазона
unit		0..1	string	Unit representation Binding: Единицы измерения (required)
system		0..1	uri	System that defines coded unit form Binding: Единицы измерения (required)
code		0..1	code	Coded form of the unit Binding: Единицы измерения (required)
high	S	0..1	SimpleQuantity	Верхняя граница референсного диапазона
unit		0..1	string	Unit representation Binding: Единицы измерения (required)
system		0..1	uri	System that defines coded unit form Binding: Единицы измерения (required)
code		0..1	code	Coded form of the unit Binding: Единицы измерения (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.value[x]:valueQuantity.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.value[x]:valueQuantity.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.value[x]:valueQuantity.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, obs-8
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
instantiates[x]	Σ	0..1	canonical(ObservationDefinition), Reference(ObservationDefinition)	Instantiates FHIR ObservationDefinition
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
triggeredBy		0..*	BackboneElement	Triggering observation(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
observation	Σ	1..1	Reference(Observation)	Triggering observation
type	Σ	1..1	code	reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
reason		0..1	string	Reason that the observation was triggered
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy)	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	ΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
subject	Σ	0..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct)	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]	Σ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
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]	ΣC	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
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
value[x]:valueQuantity	SΣC	0..1	Quantity	Количественное значение
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Единица измерения Binding: Единицы измерения (required)
system	ΣC	0..1	uri	Система единиц измерения Binding: Единицы измерения (required)
code	ΣC	0..1	code	Код единицы измерения Binding: Единицы измерения (required)
dataAbsentReason	C	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	C	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
bodyStructure	C	0..1	Reference(BodyStructure)	Observed body structure
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	C	0..1	Reference(Specimen | Group)	Specimen used for this observation Constraints: obs-9
device		0..1	Reference(Device | DeviceMetric)	A reference to the device that generates the measurements or the device settings for the device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
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	SC	0..1	SimpleQuantity	Нижняя граница референсного диапазона
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation Binding: Единицы измерения (required)
system	ΣC	0..1	uri	System that defines coded unit form Binding: Единицы измерения (required)
code	ΣC	0..1	code	Coded form of the unit Binding: Единицы измерения (required)
high	SC	0..1	SimpleQuantity	Верхняя граница референсного диапазона
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation Binding: Единицы измерения (required)
system	ΣC	0..1	uri	System that defines coded unit form Binding: Единицы измерения (required)
code	ΣC	0..1	code	Coded form of the unit Binding: Единицы измерения (required)
normalValue		0..1	CodeableConcept	Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
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	C	0..1	markdown	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 | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy)	Related resource from which the observation is made
component	ΣC	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	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
dataAbsentReason		0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Observation.triggeredBy.type	required	TriggeredBytype http://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0 From the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|5.0.0 From the FHIR Standard
Observation.value[x]:valueQuantity.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.value[x]:valueQuantity.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.value[x]:valueQuantity.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.referenceRange.low.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.normalValue	extensible	ObservationReferenceRangeNormalValueCodes http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalue From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8	error	Observation	bodyStructure SHALL only be present if Observation.bodySite is not present : bodySite.exists() implies bodyStructure.empty()
obs-9	error	Observation.specimen	If Observation.specimen is a reference to Group, the group can only have specimens : (reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)

This structure is derived from Observation

Summary

Must-Support: 3 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.value[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, obs-8
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	ΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for value[x]	ΣC	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
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
value[x]:valueQuantity	SΣC	0..1	Quantity	Количественное значение
comparator	?!Σ	0..1	code	< | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Единица измерения Binding: Единицы измерения (required)
system	ΣC	0..1	uri	Система единиц измерения Binding: Единицы измерения (required)
code	ΣC	0..1	code	Код единицы измерения Binding: Единицы измерения (required)
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity	Нижняя граница референсного диапазона
unit	Σ	0..1	string	Unit representation Binding: Единицы измерения (required)
system	ΣC	0..1	uri	System that defines coded unit form Binding: Единицы измерения (required)
code	ΣC	0..1	code	Coded form of the unit Binding: Единицы измерения (required)
high	SC	0..1	SimpleQuantity	Верхняя граница референсного диапазона
unit	Σ	0..1	string	Unit representation Binding: Единицы измерения (required)
system	ΣC	0..1	uri	System that defines coded unit form Binding: Единицы измерения (required)
code	ΣC	0..1	code	Coded form of the unit Binding: Единицы измерения (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|5.0.0 From the FHIR Standard
Observation.value[x]:valueQuantity.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.value[x]:valueQuantity.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.value[x]:valueQuantity.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8	error	Observation	bodyStructure SHALL only be present if Observation.bodySite is not present : bodySite.exists() implies bodyStructure.empty()

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			Observation
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence)	Actual result Slice: Unordered, Open by type:$this
value[x]:valueQuantity	S	0..1	Quantity	Количественное значение
unit		0..1	string	Единица измерения Binding: Единицы измерения (required)
system		0..1	uri	Система единиц измерения Binding: Единицы измерения (required)
code		0..1	code	Код единицы измерения Binding: Единицы измерения (required)
referenceRange
low	S	0..1	SimpleQuantity	Нижняя граница референсного диапазона
unit		0..1	string	Unit representation Binding: Единицы измерения (required)
system		0..1	uri	System that defines coded unit form Binding: Единицы измерения (required)
code		0..1	code	Coded form of the unit Binding: Единицы измерения (required)
high	S	0..1	SimpleQuantity	Верхняя граница референсного диапазона
unit		0..1	string	Unit representation Binding: Единицы измерения (required)
system		0..1	uri	System that defines coded unit form Binding: Единицы измерения (required)
code		0..1	code	Coded form of the unit Binding: Единицы измерения (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.value[x]:valueQuantity.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.value[x]:valueQuantity.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.value[x]:valueQuantity.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, obs-8
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
instantiates[x]	Σ	0..1	canonical(ObservationDefinition), Reference(ObservationDefinition)	Instantiates FHIR ObservationDefinition
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
triggeredBy		0..*	BackboneElement	Triggering observation(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
observation	Σ	1..1	Reference(Observation)	Triggering observation
type	Σ	1..1	code	reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
reason		0..1	string	Reason that the observation was triggered
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy)	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	ΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
subject	Σ	0..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct)	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]	Σ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
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]	ΣC	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
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
value[x]:valueQuantity	SΣC	0..1	Quantity	Количественное значение
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Единица измерения Binding: Единицы измерения (required)
system	ΣC	0..1	uri	Система единиц измерения Binding: Единицы измерения (required)
code	ΣC	0..1	code	Код единицы измерения Binding: Единицы измерения (required)
dataAbsentReason	C	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	C	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
bodyStructure	C	0..1	Reference(BodyStructure)	Observed body structure
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	C	0..1	Reference(Specimen | Group)	Specimen used for this observation Constraints: obs-9
device		0..1	Reference(Device | DeviceMetric)	A reference to the device that generates the measurements or the device settings for the device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
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	SC	0..1	SimpleQuantity	Нижняя граница референсного диапазона
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation Binding: Единицы измерения (required)
system	ΣC	0..1	uri	System that defines coded unit form Binding: Единицы измерения (required)
code	ΣC	0..1	code	Coded form of the unit Binding: Единицы измерения (required)
high	SC	0..1	SimpleQuantity	Верхняя граница референсного диапазона
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation Binding: Единицы измерения (required)
system	ΣC	0..1	uri	System that defines coded unit form Binding: Единицы измерения (required)
code	ΣC	0..1	code	Coded form of the unit Binding: Единицы измерения (required)
normalValue		0..1	CodeableConcept	Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
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	C	0..1	markdown	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 | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy)	Related resource from which the observation is made
component	ΣC	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	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
dataAbsentReason		0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Observation.triggeredBy.type	required	TriggeredBytype http://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0 From the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|5.0.0 From the FHIR Standard
Observation.value[x]:valueQuantity.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.value[x]:valueQuantity.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.value[x]:valueQuantity.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.referenceRange.low.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.low.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.unit	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.system	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.high.code	required	Core_Vs_Nsi_Units_Of_Measurement(a valid code from Core CodeSystem NSI Units Of Measurement (Единицы измерения)) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-units-of-measurement From this IG
Observation.referenceRange.normalValue	extensible	ObservationReferenceRangeNormalValueCodes http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalue From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8	error	Observation	bodyStructure SHALL only be present if Observation.bodySite is not present : bodySite.exists() implies bodyStructure.empty()
obs-9	error	Observation.specimen	If Observation.specimen is a reference to Group, the group can only have specimens : (reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)

This structure is derived from Observation

Summary

Must-Support: 3 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.value[x]

Other representations of profile: CSV, Excel, Schematron