HL7 FHIR Implementation Guide: Transversal Clinical Core
1.0.1 - STU1 Belgium flag

HL7 FHIR Implementation Guide: Transversal Clinical Core, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/core-clinical/ and changes regularly. See the Directory of published versions

Logical Model: BeModelObservation

Official URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/BeModelObservation Version: 1.0.1
Active as of 2024-02-13 Computable Name: BeModelObservation

Logical model for the Observation careset

Usage:

  • This Logical Model Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. BeModelObservation 0..*BaseBeModelObservation
Instances of this logical model are not marked to be the target of a Reference
... identifier 1..*IdentifierUnique identifier of the observation. Identifier value. (https://docs.google.com/document/d/13qamEPfdQ2HgUiXmjwHQNchpEU3LsQHF5MN9jKufX2g/edit?usp=sharing).
... recordedDate 1..1dateTimedate of last modification of the information by the Recorder. Not part of the identifier (no versioning).
... recorder 1..1Identifieris the unique identifier of the healthcare professional who encodes the information. The unique identifier must be the National Professional Register Number (NISS) but in certain cases, another unique identifier can be authorized (see business rules)
... patient 1..1Identifieris the unique patient identifier. The unique identifier must be the patient's national register number (NISS) but in certain cases, another unique identifier can be authorized (such as biss number or surname, first name(s), date of birth)
... carePlan 0..1Reference(CarePlan)Reference to the patient's care plan
... serviceRequest 0..1Identifier(on which the analysis is based) Reference of the service request on which the analysis was based (e.g. UniqueIdentifier of the Referral Prescription)
... medicalAct 0..1Identifier(at the origin of the observation) Reference to the technical act (surgical operation, imaging, blood test, etc.) at the origin of this observation, i.e. executed to obtain this observation or having given rise to this observation. (e.g. UniqueIdentifier of Procedure)
... medication 0..1Identifier(at the origin of the observation) Reference to the medication administered at the origin of this observation; it may be an administered medication (line of medication, prescription) or a substance in the case of self-medication. This is an observation of a medication, not an allergy or intolerance or non-allergic hypersensitivity.
... sampleAnalyzed 0..1Identifier(at the origin of the observation) Any type of reference to the “material” analyzed (blood sample, tissues, fecal matter, etc.).
... implantProsthesis 0..1Identifier(at the origin of the observation)the contextual reference to an implanted device (Device)
... otherPatientConcerned 0..1Identifieranother patient concomitantly concerned (e.g., in the case of maternity wards or transplants)
... measuringDevice 0..1Identifier(at the origin of the observation) The device that takes the measurements of the observation (e.g. Continuous Glucose Sensor)
... category 1..1CodeableConceptCategory of observations.
... code 1..1CodeableConceptLOINC or SNOMED CT coding of the observation. Please note there are cases, such as observations at birth which constitute an exception because it is a 2-level coding and it is the SNOMED coding which is used).
... datePeriodOfObservation[x] 1..1Date or period of observation
.... datePeriodOfObservationDateTimedateTime
.... datePeriodOfObservationPeriodPeriod
... value 0..1ElementThe result of the observation. When the observation relates to a single code (typically a simple measurement of vital signs, a measurement of height, etc.), the value is used to quantify the measurement. The value includes a trio (value, unit of measurement, unit of measurement code) which quantifies the code. As an example, (75, Milligram per deciliter, Mg/dl). Units are defined by the unitsofmeasure.org standard (see appendix, Units of measurement)
... component 0..*ElementIn certain cases, the analysis is composed of several measurement analyzes or is based on two-level coding (see eBirth). In this case, we use the “Observation.component” which includes several “component.code” accompanied by their “component.value[x]”. Only in the case of correlated measurements (e.g. blood pressure, lipid profile, etc.)
... status 0..1CodeableConceptindicates the status of the observation
... conclusion 0..1CodeableConceptindicates the code according to which the measurement must be interpreted (better, worse, ...) according to the HL7 standard
... bodyLocalisation 0..1CodeableConceptindicates the location of the patient's body where the disease is active if this precision is not contained in the code
... bodyLaterality 0..1CodeableConceptspecifies the laterality of the body where the disease is active if this precision is not contained in the code (right, left, both)
... note 0..*Annotationnote

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. BeModelObservation 0..*BaseBeModelObservation
Instances of this logical model are not marked to be the target of a Reference
... identifier 1..*IdentifierUnique identifier of the observation. Identifier value. (https://docs.google.com/document/d/13qamEPfdQ2HgUiXmjwHQNchpEU3LsQHF5MN9jKufX2g/edit?usp=sharing).
... recordedDate 1..1dateTimedate of last modification of the information by the Recorder. Not part of the identifier (no versioning).
... recorder 1..1Identifieris the unique identifier of the healthcare professional who encodes the information. The unique identifier must be the National Professional Register Number (NISS) but in certain cases, another unique identifier can be authorized (see business rules)
... patient 1..1Identifieris the unique patient identifier. The unique identifier must be the patient's national register number (NISS) but in certain cases, another unique identifier can be authorized (such as biss number or surname, first name(s), date of birth)
... carePlan 0..1Reference(CarePlan)Reference to the patient's care plan
... serviceRequest 0..1Identifier(on which the analysis is based) Reference of the service request on which the analysis was based (e.g. UniqueIdentifier of the Referral Prescription)
... medicalAct 0..1Identifier(at the origin of the observation) Reference to the technical act (surgical operation, imaging, blood test, etc.) at the origin of this observation, i.e. executed to obtain this observation or having given rise to this observation. (e.g. UniqueIdentifier of Procedure)
... medication 0..1Identifier(at the origin of the observation) Reference to the medication administered at the origin of this observation; it may be an administered medication (line of medication, prescription) or a substance in the case of self-medication. This is an observation of a medication, not an allergy or intolerance or non-allergic hypersensitivity.
... sampleAnalyzed 0..1Identifier(at the origin of the observation) Any type of reference to the “material” analyzed (blood sample, tissues, fecal matter, etc.).
... implantProsthesis 0..1Identifier(at the origin of the observation)the contextual reference to an implanted device (Device)
... otherPatientConcerned 0..1Identifieranother patient concomitantly concerned (e.g., in the case of maternity wards or transplants)
... measuringDevice 0..1Identifier(at the origin of the observation) The device that takes the measurements of the observation (e.g. Continuous Glucose Sensor)
... category 1..1CodeableConceptCategory of observations.
... code 1..1CodeableConceptLOINC or SNOMED CT coding of the observation. Please note there are cases, such as observations at birth which constitute an exception because it is a 2-level coding and it is the SNOMED coding which is used).
... datePeriodOfObservation[x] 1..1Date or period of observation
.... datePeriodOfObservationDateTimedateTime
.... datePeriodOfObservationPeriodPeriod
... value 0..1ElementThe result of the observation. When the observation relates to a single code (typically a simple measurement of vital signs, a measurement of height, etc.), the value is used to quantify the measurement. The value includes a trio (value, unit of measurement, unit of measurement code) which quantifies the code. As an example, (75, Milligram per deciliter, Mg/dl). Units are defined by the unitsofmeasure.org standard (see appendix, Units of measurement)
... component 0..*ElementIn certain cases, the analysis is composed of several measurement analyzes or is based on two-level coding (see eBirth). In this case, we use the “Observation.component” which includes several “component.code” accompanied by their “component.value[x]”. Only in the case of correlated measurements (e.g. blood pressure, lipid profile, etc.)
... status 0..1CodeableConceptindicates the status of the observation
... conclusion 0..1CodeableConceptindicates the code according to which the measurement must be interpreted (better, worse, ...) according to the HL7 standard
... bodyLocalisation 0..1CodeableConceptindicates the location of the patient's body where the disease is active if this precision is not contained in the code
... bodyLaterality 0..1CodeableConceptspecifies the laterality of the body where the disease is active if this precision is not contained in the code (right, left, both)
... note 0..*Annotationnote

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. BeModelObservation 0..*BaseBeModelObservation
Instances of this logical model are not marked to be the target of a Reference
... identifier 1..*IdentifierUnique identifier of the observation. Identifier value. (https://docs.google.com/document/d/13qamEPfdQ2HgUiXmjwHQNchpEU3LsQHF5MN9jKufX2g/edit?usp=sharing).
... recordedDate 1..1dateTimedate of last modification of the information by the Recorder. Not part of the identifier (no versioning).
... recorder 1..1Identifieris the unique identifier of the healthcare professional who encodes the information. The unique identifier must be the National Professional Register Number (NISS) but in certain cases, another unique identifier can be authorized (see business rules)
... patient 1..1Identifieris the unique patient identifier. The unique identifier must be the patient's national register number (NISS) but in certain cases, another unique identifier can be authorized (such as biss number or surname, first name(s), date of birth)
... carePlan 0..1Reference(CarePlan)Reference to the patient's care plan
... serviceRequest 0..1Identifier(on which the analysis is based) Reference of the service request on which the analysis was based (e.g. UniqueIdentifier of the Referral Prescription)
... medicalAct 0..1Identifier(at the origin of the observation) Reference to the technical act (surgical operation, imaging, blood test, etc.) at the origin of this observation, i.e. executed to obtain this observation or having given rise to this observation. (e.g. UniqueIdentifier of Procedure)
... medication 0..1Identifier(at the origin of the observation) Reference to the medication administered at the origin of this observation; it may be an administered medication (line of medication, prescription) or a substance in the case of self-medication. This is an observation of a medication, not an allergy or intolerance or non-allergic hypersensitivity.
... sampleAnalyzed 0..1Identifier(at the origin of the observation) Any type of reference to the “material” analyzed (blood sample, tissues, fecal matter, etc.).
... implantProsthesis 0..1Identifier(at the origin of the observation)the contextual reference to an implanted device (Device)
... otherPatientConcerned 0..1Identifieranother patient concomitantly concerned (e.g., in the case of maternity wards or transplants)
... measuringDevice 0..1Identifier(at the origin of the observation) The device that takes the measurements of the observation (e.g. Continuous Glucose Sensor)
... category 1..1CodeableConceptCategory of observations.
... code 1..1CodeableConceptLOINC or SNOMED CT coding of the observation. Please note there are cases, such as observations at birth which constitute an exception because it is a 2-level coding and it is the SNOMED coding which is used).
... datePeriodOfObservation[x] 1..1Date or period of observation
.... datePeriodOfObservationDateTimedateTime
.... datePeriodOfObservationPeriodPeriod
... value 0..1ElementThe result of the observation. When the observation relates to a single code (typically a simple measurement of vital signs, a measurement of height, etc.), the value is used to quantify the measurement. The value includes a trio (value, unit of measurement, unit of measurement code) which quantifies the code. As an example, (75, Milligram per deciliter, Mg/dl). Units are defined by the unitsofmeasure.org standard (see appendix, Units of measurement)
... component 0..*ElementIn certain cases, the analysis is composed of several measurement analyzes or is based on two-level coding (see eBirth). In this case, we use the “Observation.component” which includes several “component.code” accompanied by their “component.value[x]”. Only in the case of correlated measurements (e.g. blood pressure, lipid profile, etc.)
... status 0..1CodeableConceptindicates the status of the observation
... conclusion 0..1CodeableConceptindicates the code according to which the measurement must be interpreted (better, worse, ...) according to the HL7 standard
... bodyLocalisation 0..1CodeableConceptindicates the location of the patient's body where the disease is active if this precision is not contained in the code
... bodyLaterality 0..1CodeableConceptspecifies the laterality of the body where the disease is active if this precision is not contained in the code (right, left, both)
... note 0..*Annotationnote

doco Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element (8 nested mandatory elements)

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. BeModelObservation 0..*BaseBeModelObservation
Instances of this logical model are not marked to be the target of a Reference
... identifier 1..*IdentifierUnique identifier of the observation. Identifier value. (https://docs.google.com/document/d/13qamEPfdQ2HgUiXmjwHQNchpEU3LsQHF5MN9jKufX2g/edit?usp=sharing).
... recordedDate 1..1dateTimedate of last modification of the information by the Recorder. Not part of the identifier (no versioning).
... recorder 1..1Identifieris the unique identifier of the healthcare professional who encodes the information. The unique identifier must be the National Professional Register Number (NISS) but in certain cases, another unique identifier can be authorized (see business rules)
... patient 1..1Identifieris the unique patient identifier. The unique identifier must be the patient's national register number (NISS) but in certain cases, another unique identifier can be authorized (such as biss number or surname, first name(s), date of birth)
... carePlan 0..1Reference(CarePlan)Reference to the patient's care plan
... serviceRequest 0..1Identifier(on which the analysis is based) Reference of the service request on which the analysis was based (e.g. UniqueIdentifier of the Referral Prescription)
... medicalAct 0..1Identifier(at the origin of the observation) Reference to the technical act (surgical operation, imaging, blood test, etc.) at the origin of this observation, i.e. executed to obtain this observation or having given rise to this observation. (e.g. UniqueIdentifier of Procedure)
... medication 0..1Identifier(at the origin of the observation) Reference to the medication administered at the origin of this observation; it may be an administered medication (line of medication, prescription) or a substance in the case of self-medication. This is an observation of a medication, not an allergy or intolerance or non-allergic hypersensitivity.
... sampleAnalyzed 0..1Identifier(at the origin of the observation) Any type of reference to the “material” analyzed (blood sample, tissues, fecal matter, etc.).
... implantProsthesis 0..1Identifier(at the origin of the observation)the contextual reference to an implanted device (Device)
... otherPatientConcerned 0..1Identifieranother patient concomitantly concerned (e.g., in the case of maternity wards or transplants)
... measuringDevice 0..1Identifier(at the origin of the observation) The device that takes the measurements of the observation (e.g. Continuous Glucose Sensor)
... category 1..1CodeableConceptCategory of observations.
... code 1..1CodeableConceptLOINC or SNOMED CT coding of the observation. Please note there are cases, such as observations at birth which constitute an exception because it is a 2-level coding and it is the SNOMED coding which is used).
... datePeriodOfObservation[x] 1..1Date or period of observation
.... datePeriodOfObservationDateTimedateTime
.... datePeriodOfObservationPeriodPeriod
... value 0..1ElementThe result of the observation. When the observation relates to a single code (typically a simple measurement of vital signs, a measurement of height, etc.), the value is used to quantify the measurement. The value includes a trio (value, unit of measurement, unit of measurement code) which quantifies the code. As an example, (75, Milligram per deciliter, Mg/dl). Units are defined by the unitsofmeasure.org standard (see appendix, Units of measurement)
... component 0..*ElementIn certain cases, the analysis is composed of several measurement analyzes or is based on two-level coding (see eBirth). In this case, we use the “Observation.component” which includes several “component.code” accompanied by their “component.value[x]”. Only in the case of correlated measurements (e.g. blood pressure, lipid profile, etc.)
... status 0..1CodeableConceptindicates the status of the observation
... conclusion 0..1CodeableConceptindicates the code according to which the measurement must be interpreted (better, worse, ...) according to the HL7 standard
... bodyLocalisation 0..1CodeableConceptindicates the location of the patient's body where the disease is active if this precision is not contained in the code
... bodyLaterality 0..1CodeableConceptspecifies the laterality of the body where the disease is active if this precision is not contained in the code (right, left, both)
... note 0..*Annotationnote

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. BeModelObservation 0..*BaseBeModelObservation
Instances of this logical model are not marked to be the target of a Reference
... identifier 1..*IdentifierUnique identifier of the observation. Identifier value. (https://docs.google.com/document/d/13qamEPfdQ2HgUiXmjwHQNchpEU3LsQHF5MN9jKufX2g/edit?usp=sharing).
... recordedDate 1..1dateTimedate of last modification of the information by the Recorder. Not part of the identifier (no versioning).
... recorder 1..1Identifieris the unique identifier of the healthcare professional who encodes the information. The unique identifier must be the National Professional Register Number (NISS) but in certain cases, another unique identifier can be authorized (see business rules)
... patient 1..1Identifieris the unique patient identifier. The unique identifier must be the patient's national register number (NISS) but in certain cases, another unique identifier can be authorized (such as biss number or surname, first name(s), date of birth)
... carePlan 0..1Reference(CarePlan)Reference to the patient's care plan
... serviceRequest 0..1Identifier(on which the analysis is based) Reference of the service request on which the analysis was based (e.g. UniqueIdentifier of the Referral Prescription)
... medicalAct 0..1Identifier(at the origin of the observation) Reference to the technical act (surgical operation, imaging, blood test, etc.) at the origin of this observation, i.e. executed to obtain this observation or having given rise to this observation. (e.g. UniqueIdentifier of Procedure)
... medication 0..1Identifier(at the origin of the observation) Reference to the medication administered at the origin of this observation; it may be an administered medication (line of medication, prescription) or a substance in the case of self-medication. This is an observation of a medication, not an allergy or intolerance or non-allergic hypersensitivity.
... sampleAnalyzed 0..1Identifier(at the origin of the observation) Any type of reference to the “material” analyzed (blood sample, tissues, fecal matter, etc.).
... implantProsthesis 0..1Identifier(at the origin of the observation)the contextual reference to an implanted device (Device)
... otherPatientConcerned 0..1Identifieranother patient concomitantly concerned (e.g., in the case of maternity wards or transplants)
... measuringDevice 0..1Identifier(at the origin of the observation) The device that takes the measurements of the observation (e.g. Continuous Glucose Sensor)
... category 1..1CodeableConceptCategory of observations.
... code 1..1CodeableConceptLOINC or SNOMED CT coding of the observation. Please note there are cases, such as observations at birth which constitute an exception because it is a 2-level coding and it is the SNOMED coding which is used).
... datePeriodOfObservation[x] 1..1Date or period of observation
.... datePeriodOfObservationDateTimedateTime
.... datePeriodOfObservationPeriodPeriod
... value 0..1ElementThe result of the observation. When the observation relates to a single code (typically a simple measurement of vital signs, a measurement of height, etc.), the value is used to quantify the measurement. The value includes a trio (value, unit of measurement, unit of measurement code) which quantifies the code. As an example, (75, Milligram per deciliter, Mg/dl). Units are defined by the unitsofmeasure.org standard (see appendix, Units of measurement)
... component 0..*ElementIn certain cases, the analysis is composed of several measurement analyzes or is based on two-level coding (see eBirth). In this case, we use the “Observation.component” which includes several “component.code” accompanied by their “component.value[x]”. Only in the case of correlated measurements (e.g. blood pressure, lipid profile, etc.)
... status 0..1CodeableConceptindicates the status of the observation
... conclusion 0..1CodeableConceptindicates the code according to which the measurement must be interpreted (better, worse, ...) according to the HL7 standard
... bodyLocalisation 0..1CodeableConceptindicates the location of the patient's body where the disease is active if this precision is not contained in the code
... bodyLaterality 0..1CodeableConceptspecifies the laterality of the body where the disease is active if this precision is not contained in the code (right, left, both)
... note 0..*Annotationnote

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. BeModelObservation 0..*BaseBeModelObservation
Instances of this logical model are not marked to be the target of a Reference
... identifier 1..*IdentifierUnique identifier of the observation. Identifier value. (https://docs.google.com/document/d/13qamEPfdQ2HgUiXmjwHQNchpEU3LsQHF5MN9jKufX2g/edit?usp=sharing).
... recordedDate 1..1dateTimedate of last modification of the information by the Recorder. Not part of the identifier (no versioning).
... recorder 1..1Identifieris the unique identifier of the healthcare professional who encodes the information. The unique identifier must be the National Professional Register Number (NISS) but in certain cases, another unique identifier can be authorized (see business rules)
... patient 1..1Identifieris the unique patient identifier. The unique identifier must be the patient's national register number (NISS) but in certain cases, another unique identifier can be authorized (such as biss number or surname, first name(s), date of birth)
... carePlan 0..1Reference(CarePlan)Reference to the patient's care plan
... serviceRequest 0..1Identifier(on which the analysis is based) Reference of the service request on which the analysis was based (e.g. UniqueIdentifier of the Referral Prescription)
... medicalAct 0..1Identifier(at the origin of the observation) Reference to the technical act (surgical operation, imaging, blood test, etc.) at the origin of this observation, i.e. executed to obtain this observation or having given rise to this observation. (e.g. UniqueIdentifier of Procedure)
... medication 0..1Identifier(at the origin of the observation) Reference to the medication administered at the origin of this observation; it may be an administered medication (line of medication, prescription) or a substance in the case of self-medication. This is an observation of a medication, not an allergy or intolerance or non-allergic hypersensitivity.
... sampleAnalyzed 0..1Identifier(at the origin of the observation) Any type of reference to the “material” analyzed (blood sample, tissues, fecal matter, etc.).
... implantProsthesis 0..1Identifier(at the origin of the observation)the contextual reference to an implanted device (Device)
... otherPatientConcerned 0..1Identifieranother patient concomitantly concerned (e.g., in the case of maternity wards or transplants)
... measuringDevice 0..1Identifier(at the origin of the observation) The device that takes the measurements of the observation (e.g. Continuous Glucose Sensor)
... category 1..1CodeableConceptCategory of observations.
... code 1..1CodeableConceptLOINC or SNOMED CT coding of the observation. Please note there are cases, such as observations at birth which constitute an exception because it is a 2-level coding and it is the SNOMED coding which is used).
... datePeriodOfObservation[x] 1..1Date or period of observation
.... datePeriodOfObservationDateTimedateTime
.... datePeriodOfObservationPeriodPeriod
... value 0..1ElementThe result of the observation. When the observation relates to a single code (typically a simple measurement of vital signs, a measurement of height, etc.), the value is used to quantify the measurement. The value includes a trio (value, unit of measurement, unit of measurement code) which quantifies the code. As an example, (75, Milligram per deciliter, Mg/dl). Units are defined by the unitsofmeasure.org standard (see appendix, Units of measurement)
... component 0..*ElementIn certain cases, the analysis is composed of several measurement analyzes or is based on two-level coding (see eBirth). In this case, we use the “Observation.component” which includes several “component.code” accompanied by their “component.value[x]”. Only in the case of correlated measurements (e.g. blood pressure, lipid profile, etc.)
... status 0..1CodeableConceptindicates the status of the observation
... conclusion 0..1CodeableConceptindicates the code according to which the measurement must be interpreted (better, worse, ...) according to the HL7 standard
... bodyLocalisation 0..1CodeableConceptindicates the location of the patient's body where the disease is active if this precision is not contained in the code
... bodyLaterality 0..1CodeableConceptspecifies the laterality of the body where the disease is active if this precision is not contained in the code (right, left, both)
... note 0..*Annotationnote

doco Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element (8 nested mandatory elements)

 

Other representations of profile: CSV, Excel