Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	BeObservation	Measurements and simple assertions
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
recorded-date	S	0..1	dateTime	BeExtRecordedDate URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
recorder	S	1..1	Reference(BePatient | BePractitioner | BeOrganization | BePractitionerRole)	BeExtRecorder URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
Slices for identifier		1..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:system
identifier:UUID	S	1..1	Identifier	Business Identifier for observation
system		1..1	uri	The namespace for the identifier value Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes
status	S	1..1	code	registered | preliminary | final | amended + Binding: BeVSDiabetesObservationStatus (required)
category	S	1..*	CodeableConcept	Classification of type of observation Binding: BeVSDiabetesObservationCategory (required)
code		1..1	BeObservationCodeableConcept	Concept - reference to a terminology or just text Binding: BeVSDiabetesObservationCode (required)
subject	S	1..1	Reference(BePatient)	Who and/or what the observation is about
effective[x]	S	0..1	Period	Clinically relevant time/time-period for observation
start	S	1..1	dateTime	Starting time with inclusive boundary
end	S	1..1	dateTime	End time with inclusive boundary, if not ongoing
value[x]	S	1..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result
referenceRange	S	0..*	BackboneElement	Provides guide for interpretation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	BeVSDiabetesObservationStatus https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-status from this IG
Observation.category	required	BeVSDiabetesObservationCategory https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-category from this IG
Observation.code	required	BeVSDiabetesObservationCode https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-code from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	BeObservation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
recorded-date	S	0..1	dateTime	BeExtRecordedDate URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
recorder	S	1..1	Reference(BePatient | BePractitioner | BeOrganization | BePractitionerRole)	BeExtRecorder URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:system
identifier:UUID	SΣ	1..1	Identifier	Business Identifier for observation
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: BeVSDiabetesObservationStatus (required)
category	S	1..*	CodeableConcept	Classification of type of observation Binding: BeVSDiabetesObservationCategory (required)
code	S	1..1	BeObservationCodeableConcept	Concept - reference to a terminology or just text Binding: BeVSDiabetesObservationCode (required)
subject	SΣ	1..1	Reference(BePatient)	Who and/or what the observation is about
effective[x]	SΣ	0..1	Period	Clinically relevant time/time-period for observation
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | BePatient | BeOrganization | BePractitionerRole | BePractitioner)	Who is responsible for the observation
value[x]	SΣC	1..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.identifier:UUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.status	required	BeVSDiabetesObservationStatus https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-status from this IG
Observation.category	required	BeVSDiabetesObservationCategory https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-category from this IG
Observation.code	required	BeVSDiabetesObservationCode https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-code 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().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()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	BeObservation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
recorded-date	S	0..1	dateTime	BeExtRecordedDate URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
recorder	S	1..1	Reference(BePatient | BePractitioner | BeOrganization | BePractitionerRole)	BeExtRecorder URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:system
identifier:UUID	SΣ	1..1	Identifier	Business Identifier for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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: BeVSDiabetesObservationStatus (required)
category	S	1..*	CodeableConcept	Classification of type of observation Binding: BeVSDiabetesObservationCategory (required)
code	S	1..1	BeObservationCodeableConcept	Concept - reference to a terminology or just text Binding: BeVSDiabetesObservationCode (required)
subject	SΣ	1..1	Reference(BePatient)	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]	SΣ	0..1	Period	Clinically relevant time/time-period for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | BePatient | BeOrganization | BePractitionerRole | BePractitioner)	Who is responsible for the observation
value[x]	SΣC	1..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.identifier:UUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.identifier:UUID.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.status	required	BeVSDiabetesObservationStatus https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-status from this IG
Observation.category	required	BeVSDiabetesObservationCategory https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-category from this IG
Observation.code	required	BeVSDiabetesObservationCode https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-code 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.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().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()

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
• https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.identifier

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	BeObservation	Measurements and simple assertions
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
recorded-date	S	0..1	dateTime	BeExtRecordedDate URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
recorder	S	1..1	Reference(BePatient | BePractitioner | BeOrganization | BePractitionerRole)	BeExtRecorder URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
Slices for identifier		1..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:system
identifier:UUID	S	1..1	Identifier	Business Identifier for observation
system		1..1	uri	The namespace for the identifier value Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes
status	S	1..1	code	registered | preliminary | final | amended + Binding: BeVSDiabetesObservationStatus (required)
category	S	1..*	CodeableConcept	Classification of type of observation Binding: BeVSDiabetesObservationCategory (required)
code		1..1	BeObservationCodeableConcept	Concept - reference to a terminology or just text Binding: BeVSDiabetesObservationCode (required)
subject	S	1..1	Reference(BePatient)	Who and/or what the observation is about
effective[x]	S	0..1	Period	Clinically relevant time/time-period for observation
start	S	1..1	dateTime	Starting time with inclusive boundary
end	S	1..1	dateTime	End time with inclusive boundary, if not ongoing
value[x]	S	1..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result
referenceRange	S	0..*	BackboneElement	Provides guide for interpretation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	BeVSDiabetesObservationStatus https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-status from this IG
Observation.category	required	BeVSDiabetesObservationCategory https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-category from this IG
Observation.code	required	BeVSDiabetesObservationCode https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-code from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	BeObservation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
recorded-date	S	0..1	dateTime	BeExtRecordedDate URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
recorder	S	1..1	Reference(BePatient | BePractitioner | BeOrganization | BePractitionerRole)	BeExtRecorder URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:system
identifier:UUID	SΣ	1..1	Identifier	Business Identifier for observation
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: BeVSDiabetesObservationStatus (required)
category	S	1..*	CodeableConcept	Classification of type of observation Binding: BeVSDiabetesObservationCategory (required)
code	S	1..1	BeObservationCodeableConcept	Concept - reference to a terminology or just text Binding: BeVSDiabetesObservationCode (required)
subject	SΣ	1..1	Reference(BePatient)	Who and/or what the observation is about
effective[x]	SΣ	0..1	Period	Clinically relevant time/time-period for observation
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | BePatient | BeOrganization | BePractitionerRole | BePractitioner)	Who is responsible for the observation
value[x]	SΣC	1..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.identifier:UUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.status	required	BeVSDiabetesObservationStatus https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-status from this IG
Observation.category	required	BeVSDiabetesObservationCategory https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-category from this IG
Observation.code	required	BeVSDiabetesObservationCode https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-code 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().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()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	BeObservation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
recorded-date	S	0..1	dateTime	BeExtRecordedDate URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
recorder	S	1..1	Reference(BePatient | BePractitioner | BeOrganization | BePractitionerRole)	BeExtRecorder URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:system
identifier:UUID	SΣ	1..1	Identifier	Business Identifier for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-observation-diabetes
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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: BeVSDiabetesObservationStatus (required)
category	S	1..*	CodeableConcept	Classification of type of observation Binding: BeVSDiabetesObservationCategory (required)
code	S	1..1	BeObservationCodeableConcept	Concept - reference to a terminology or just text Binding: BeVSDiabetesObservationCode (required)
subject	SΣ	1..1	Reference(BePatient)	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]	SΣ	0..1	Period	Clinically relevant time/time-period for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | BePatient | BeOrganization | BePractitionerRole | BePractitioner)	Who is responsible for the observation
value[x]	SΣC	1..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.identifier:UUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.identifier:UUID.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.status	required	BeVSDiabetesObservationStatus https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-status from this IG
Observation.category	required	BeVSDiabetesObservationCategory https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-category from this IG
Observation.code	required	BeVSDiabetesObservationCode https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-observation-code 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.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().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()

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
• https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.identifier