PanCareSurPass Project HL7 FHIR Implementation Guide
0.2.0 - CI Build 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

Resource Profile: Observation: Chemotherapy Cumulative Dose

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-cumulativeDoseChemo-eu-pcsp Version: 0.2.0
Draft as of 2024-09-11 Computable Name: CumulativeDoseChemoObsPcsp

This profile defines how to represent Chemotherapy Cumulative Dose in FHIR for the purpose of the PanCareSurPass project.

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation Observation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusReason 0..1 CodeableConcept Reason for current status
URL: http://hl7.org/fhir/StructureDefinition/event-statusReason
Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of an event.

... status S 1..1 code Completion status
... category S 0..* CodeableConcept Classification of type of observation
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: procedure
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cumulativeDose
... subject S 1..1 Reference(Patient: PCSP) Who and/or what the observation is about
... Slices for value[x] S 1..1 Actual result
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... value[x]:valueQuantity S 0..1 Quantity Chemotherapy Cumulative Dose
..... value S 1..1 decimal Numerical value (with implicit precision)
..... unit S 0..1 string Unit representation
..... system S 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code S 1..1 code Coded form of the unit
Binding: Chemotherapy cumulative dose units (required)
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual result
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: unknown
...... display 1..1 string Representation defined by the system
Fixed Value: Unknown
... dataAbsentReason 0..1 CodeableConcept Not calculated or not known dose
Binding: Not Performed|Unknown (required)
... method 0..1 CodeableConcept How it was done
Binding: Calculated|Estimated (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.value[x]:valueQuantity.coderequiredChemoUnitsVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/ChemoUnitsVs
from this IG
Observation.dataAbsentReasonrequiredNotPerformedUnknownVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-npunk-eu-pcsp
from this IG
Observation.methodrequiredCalculatedEstimatedVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-calcest-eu-pcsp
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusReason 0..1 CodeableConcept Reason for current status
URL: http://hl7.org/fhir/StructureDefinition/event-statusReason
Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of an event.


... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: procedure
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cumulativeDose
... subject SΣ 1..1 Reference(Patient: PCSP) Who and/or what the observation is about
... Slices for value[x] SΣC 1..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... value[x]:valueQuantity SΣC 0..1 Quantity Chemotherapy Cumulative Dose
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
Binding: Chemotherapy cumulative dose units (required)
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: unknown
...... display 1..1 string Representation defined by the system
Fixed Value: Unknown
... dataAbsentReason C 0..1 CodeableConcept Not calculated or not known dose
Binding: Not Performed|Unknown (required)
... method 0..1 CodeableConcept How it was done
Binding: Calculated|Estimated (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredPattern: procedure
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexamplePattern: cumulativeDose
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.value[x]:valueQuantity.coderequiredChemoUnitsVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/ChemoUnitsVs
from this IG
Observation.dataAbsentReasonrequiredNotPerformedUnknownVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-npunk-eu-pcsp
from this IG
Observation.methodrequiredCalculatedEstimatedVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-calcest-eu-pcsp
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusReason 0..1 CodeableConcept Reason for current status
URL: http://hl7.org/fhir/StructureDefinition/event-statusReason
Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of an event.


... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... 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 Completion status
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: procedure
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cumulativeDose
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient: PCSP) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... Slices for value[x] SΣC 1..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... value[x]:valueQuantity SΣC 0..1 Quantity Chemotherapy Cumulative Dose
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
Binding: Chemotherapy cumulative dose units (required)
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: unknown
...... display 1..1 string Representation defined by the system
Fixed Value: Unknown
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... dataAbsentReason C 0..1 CodeableConcept Not calculated or not known dose
Binding: Not Performed|Unknown (required)
... 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: Calculated|Estimated (required)
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredPattern: procedure
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexamplePattern: cumulativeDose
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.value[x]:valueQuantity.coderequiredChemoUnitsVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/ChemoUnitsVs
from this IG
Observation.dataAbsentReasonrequiredNotPerformedUnknownVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-npunk-eu-pcsp
from this IG
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodrequiredCalculatedEstimatedVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-calcest-eu-pcsp
from this IG
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation Observation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusReason 0..1 CodeableConcept Reason for current status
URL: http://hl7.org/fhir/StructureDefinition/event-statusReason
Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of an event.

... status S 1..1 code Completion status
... category S 0..* CodeableConcept Classification of type of observation
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: procedure
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cumulativeDose
... subject S 1..1 Reference(Patient: PCSP) Who and/or what the observation is about
... Slices for value[x] S 1..1 Actual result
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... value[x]:valueQuantity S 0..1 Quantity Chemotherapy Cumulative Dose
..... value S 1..1 decimal Numerical value (with implicit precision)
..... unit S 0..1 string Unit representation
..... system S 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code S 1..1 code Coded form of the unit
Binding: Chemotherapy cumulative dose units (required)
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual result
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: unknown
...... display 1..1 string Representation defined by the system
Fixed Value: Unknown
... dataAbsentReason 0..1 CodeableConcept Not calculated or not known dose
Binding: Not Performed|Unknown (required)
... method 0..1 CodeableConcept How it was done
Binding: Calculated|Estimated (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.value[x]:valueQuantity.coderequiredChemoUnitsVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/ChemoUnitsVs
from this IG
Observation.dataAbsentReasonrequiredNotPerformedUnknownVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-npunk-eu-pcsp
from this IG
Observation.methodrequiredCalculatedEstimatedVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-calcest-eu-pcsp
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusReason 0..1 CodeableConcept Reason for current status
URL: http://hl7.org/fhir/StructureDefinition/event-statusReason
Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of an event.


... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: procedure
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cumulativeDose
... subject SΣ 1..1 Reference(Patient: PCSP) Who and/or what the observation is about
... Slices for value[x] SΣC 1..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... value[x]:valueQuantity SΣC 0..1 Quantity Chemotherapy Cumulative Dose
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
Binding: Chemotherapy cumulative dose units (required)
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: unknown
...... display 1..1 string Representation defined by the system
Fixed Value: Unknown
... dataAbsentReason C 0..1 CodeableConcept Not calculated or not known dose
Binding: Not Performed|Unknown (required)
... method 0..1 CodeableConcept How it was done
Binding: Calculated|Estimated (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredPattern: procedure
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexamplePattern: cumulativeDose
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.value[x]:valueQuantity.coderequiredChemoUnitsVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/ChemoUnitsVs
from this IG
Observation.dataAbsentReasonrequiredNotPerformedUnknownVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-npunk-eu-pcsp
from this IG
Observation.methodrequiredCalculatedEstimatedVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-calcest-eu-pcsp
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusReason 0..1 CodeableConcept Reason for current status
URL: http://hl7.org/fhir/StructureDefinition/event-statusReason
Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of an event.


... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... 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 Completion status
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: procedure
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: cumulativeDose
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient: PCSP) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... Slices for value[x] SΣC 1..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... value[x]:valueQuantity SΣC 0..1 Quantity Chemotherapy Cumulative Dose
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
Binding: Chemotherapy cumulative dose units (required)
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: unknown
...... display 1..1 string Representation defined by the system
Fixed Value: Unknown
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... dataAbsentReason C 0..1 CodeableConcept Not calculated or not known dose
Binding: Not Performed|Unknown (required)
... 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: Calculated|Estimated (required)
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredPattern: procedure
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexamplePattern: cumulativeDose
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.value[x]:valueQuantity.coderequiredChemoUnitsVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/ChemoUnitsVs
from this IG
Observation.dataAbsentReasonrequiredNotPerformedUnknownVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-npunk-eu-pcsp
from this IG
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodrequiredCalculatedEstimatedVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-calcest-eu-pcsp
from this IG
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron