HL7 Europe Patient Summary
1.0.0-ci-build - ci-build 150

HL7 Europe Patient Summary, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/eps/ and changes regularly. See the Directory of published versions

Resource Profile: Observation: Pregnancy - Outcome (EPS)

Official URL: http://hl7.eu/fhir/eps/StructureDefinition/observation-pregnancy-outcome-eu-eps Version: 1.0.0-ci-build
Standards status: Draft Maturity Level: 1 Computable Name: ObservationPregnancyOutcomeEuEps

Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile constrains the Observation resource to represent the summarized history of pregnancy outcomes in the scope of the European Patient Summary.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
This profile also imposes the profile Observation Pregnancy - Outcome (IPS)
Constraints: obs-6, obs-7
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.code This element has obligations. This element is included in summaries. 1..1 CodeableConceptIPS Type of observation (code / type)
Binding: Pregnancy Outcome - IPS (required)
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.subject This element has obligations. This element is included in summaries. 1..1 Reference(Patient (EPS)) Who and/or what the observation is about
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.subject.reference This element has obligations. This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
Observation.effective[x] This element has obligations. This element is included in summaries. 1..1 dateTime Clinically relevant time/time-period for observation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.Slices for value[x] This element is included in summaries. C 0..1 Actual result
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].valueQuantity Quantity
Observation.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for value[x].valueString string
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element has obligations. This element is included in summaries. C 0..1 Quantity Actual result
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base required Pregnancy Outcome - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation Observation This profile also imposes the profile Observation Pregnancy - Outcome (IPS)
Observation.code This element has obligations. 1..1 CodeableConceptIPS Type of observation (code / type)
Binding: Pregnancy Outcome - IPS (required)
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.subject This element has obligations. 1..1 Reference(Patient (EPS)) Who and/or what the observation is about
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.subject.reference This element has obligations. 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
Observation.effective[x] This element has obligations. 1..1 dateTime Clinically relevant time/time-period for observation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.Slices for value[x].value[x]:valueQuantity This element has obligations. 0..1 Quantity Actual result
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.bodySite 0..0 Observed body part
Observation.specimen 0..0 Specimen used for this observation
Observation.device 0..0 (Measurement) Device
Observation.referenceRange 0..0 Provides guide for interpretation
Observation.component 0..0 Component results

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required Pregnancy Outcome - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
This profile also imposes the profile Observation Pregnancy - Outcome (IPS)
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.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
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code This element has obligations. This element is included in summaries. 1..1 CodeableConceptIPS Type of observation (code / type)
Binding: Pregnancy Outcome - IPS (required)
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.subject This element has obligations. This element is included in summaries. 1..1 Reference(Patient (EPS)) Who and/or what the observation is about
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.subject.id 0..1 string Unique id for inter-element referencing
Observation.subject.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.subject.reference This element has obligations. This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
Observation.subject.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Observation.subject.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
Observation.subject.display This element is included in summaries. 0..1 string Text alternative for the resource
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element has obligations. This element is included in summaries. 1..1 dateTime Clinically relevant time/time-period for observation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.Slices for value[x] This element is included in summaries. C 0..1 Actual result
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].valueQuantity Quantity
Observation.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for value[x].valueString string
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element has obligations. This element is included in summaries. C 0..1 Quantity Actual result
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base required Pregnancy Outcome - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
Observation.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from Observation

Summary

Mandatory: 3 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
This profile also imposes the profile Observation Pregnancy - Outcome (IPS)
Constraints: obs-6, obs-7
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.code This element has obligations. This element is included in summaries. 1..1 CodeableConceptIPS Type of observation (code / type)
Binding: Pregnancy Outcome - IPS (required)
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.subject This element has obligations. This element is included in summaries. 1..1 Reference(Patient (EPS)) Who and/or what the observation is about
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.subject.reference This element has obligations. This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
Observation.effective[x] This element has obligations. This element is included in summaries. 1..1 dateTime Clinically relevant time/time-period for observation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.Slices for value[x] This element is included in summaries. C 0..1 Actual result
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].valueQuantity Quantity
Observation.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for value[x].valueString string
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element has obligations. This element is included in summaries. C 0..1 Quantity Actual result
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base required Pregnancy Outcome - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation Observation This profile also imposes the profile Observation Pregnancy - Outcome (IPS)
Observation.code This element has obligations. 1..1 CodeableConceptIPS Type of observation (code / type)
Binding: Pregnancy Outcome - IPS (required)
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.subject This element has obligations. 1..1 Reference(Patient (EPS)) Who and/or what the observation is about
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.subject.reference This element has obligations. 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
Observation.effective[x] This element has obligations. 1..1 dateTime Clinically relevant time/time-period for observation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].value[x]:valueQuantity This element has obligations. 0..1 Quantity Actual result
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.bodySite 0..0 Observed body part
Observation.specimen 0..0 Specimen used for this observation
Observation.device 0..0 (Measurement) Device
Observation.referenceRange 0..0 Provides guide for interpretation
Observation.component 0..0 Component results

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required Pregnancy Outcome - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
This profile also imposes the profile Observation Pregnancy - Outcome (IPS)
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.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
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code This element has obligations. This element is included in summaries. 1..1 CodeableConceptIPS Type of observation (code / type)
Binding: Pregnancy Outcome - IPS (required)
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.subject This element has obligations. This element is included in summaries. 1..1 Reference(Patient (EPS)) Who and/or what the observation is about
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.subject.id 0..1 string Unique id for inter-element referencing
Observation.subject.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.subject.reference This element has obligations. This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
Observation.subject.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Observation.subject.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
Observation.subject.display This element is included in summaries. 0..1 string Text alternative for the resource
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element has obligations. This element is included in summaries. 1..1 dateTime Clinically relevant time/time-period for observation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.Slices for value[x] This element is included in summaries. C 0..1 Actual result
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].valueQuantity Quantity
Observation.Slices for value[x].valueCodeableConcept CodeableConcept
Observation.Slices for value[x].valueString string
Observation.Slices for value[x].valueBoolean boolean
Observation.Slices for value[x].valueInteger integer
Observation.Slices for value[x].valueRange Range
Observation.Slices for value[x].valueRatio Ratio
Observation.Slices for value[x].valueSampledData SampledData
Observation.Slices for value[x].valueTime time
Observation.Slices for value[x].valueDateTime dateTime
Observation.Slices for value[x].valuePeriod Period
Observation.Slices for value[x].value[x]:valueQuantity This element has obligations. This element is included in summaries. C 0..1 Quantity Actual result
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base required Pregnancy Outcome - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
Observation.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from Observation

Summary

Mandatory: 3 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron