Bản hướng dẫn thực thi (IG) dành cho các hệ thống thông tin Y tế tại Việt Nam
1.0.0 - CI Build
Bản hướng dẫn thực thi (IG) dành cho các hệ thống thông tin Y tế tại Việt Nam, published by Cục Công nghệ thông tin - Bộ Y tế. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7vn/vn-core-ig/ and changes regularly. See the Directory of published versions
Thông tin lý do vào viện
Đường dẫn URL chính thức của Profile này:
http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-observation-chiefcomplaint-reasonforvisit
Profile này được dựa trên Resource Observation
Summary
Mandatory: 4 elements
Must-Support: 4 elements
Fixed: 3 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Profile này được dựa trên Resource Observation
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Observation | Measurements and simple assertions | |
![]() ![]() ![]() |
S | 0..* | Identifier | Business Identifier for observation |
![]() ![]() ![]() |
S | 1..1 | code | registered | preliminary | final | amended + Fixed Value: final |
![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of type of observation Fixed Value: As shown | |
![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: survey | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Survey | |
![]() ![]() ![]() |
1..1 | CodeableConcept | Type of observation (code / type) Fixed Value: As shown | |
![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46239-0 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Chief complaint+Reason for visit Narrative | |
![]() ![]() ![]() |
1..1 | Reference(Patient Profile - VN Core R4 | Patient | Group | Device | Location) | Who and/or what the observation is about | |
![]() ![]() ![]() |
1..1 | Reference(Encounter Profile - VN Core R4 | Encounter) | Healthcare event during which this observation is made | |
![]() ![]() ![]() |
S | 0..1 | instant | Date/Time this version was made available |
![]() ![]() ![]() |
0..* | Reference(Practitioner Profile - VN Core R4) | Who is responsible for the observation | |
![]() ![]() ![]() |
S | 1..1 | string | Actual result |
![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() |
0..0 | |||
![]() |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
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 | ||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
SΣ | 0..* | Identifier | Business Identifier for observation | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
![]() ![]() ![]() |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||
![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Fixed Value: As shown | |||||
![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: survey | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Survey | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown | ||||
![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46239-0 | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Chief complaint+Reason for visit Narrative | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient Profile - VN Core R4 | Patient | Group | Device | Location) | Who and/or what the observation is about | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Encounter Profile - VN Core R4 | Encounter) | Healthcare event during which this observation is made | ||||
![]() ![]() ![]() |
Σ | 0..1 | Clinically relevant time/time-period for observation | |||||
![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
Timing | |||||||
![]() ![]() ![]() ![]() |
instant | |||||||
![]() ![]() ![]() |
SΣ | 0..1 | instant | Date/Time this version was made available | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Practitioner Profile - VN Core R4) | Who is responsible for the observation | ||||
![]() ![]() ![]() |
SΣC | 1..1 | string | Actual result | ||||
![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() |
0..* | Annotation | Comments about the observation | |||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
![]() ![]() ![]() |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
![]() ![]() ![]() |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
![]() ![]() ![]() |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
![]() ![]() ![]() |
Σ | 0..* | BackboneElement | Component results | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Actual component result | |||||
![]() ![]() ![]() ![]() ![]() |
Quantity | |||||||
![]() ![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() ![]() |
boolean | |||||||
![]() ![]() ![]() ![]() ![]() |
integer | |||||||
![]() ![]() ![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() ![]() ![]() |
Ratio | |||||||
![]() ![]() ![]() ![]() ![]() |
SampledData | |||||||
![]() ![]() ![]() ![]() ![]() |
time | |||||||
![]() ![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
![]() |
Profile này được dựa trên Resource Observation
Summary
Mandatory: 4 elements
Must-Support: 4 elements
Fixed: 3 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Differential View
Profile này được dựa trên Resource Observation
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Observation | Measurements and simple assertions | |
![]() ![]() ![]() |
S | 0..* | Identifier | Business Identifier for observation |
![]() ![]() ![]() |
S | 1..1 | code | registered | preliminary | final | amended + Fixed Value: final |
![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of type of observation Fixed Value: As shown | |
![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: survey | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Survey | |
![]() ![]() ![]() |
1..1 | CodeableConcept | Type of observation (code / type) Fixed Value: As shown | |
![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46239-0 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Chief complaint+Reason for visit Narrative | |
![]() ![]() ![]() |
1..1 | Reference(Patient Profile - VN Core R4 | Patient | Group | Device | Location) | Who and/or what the observation is about | |
![]() ![]() ![]() |
1..1 | Reference(Encounter Profile - VN Core R4 | Encounter) | Healthcare event during which this observation is made | |
![]() ![]() ![]() |
S | 0..1 | instant | Date/Time this version was made available |
![]() ![]() ![]() |
0..* | Reference(Practitioner Profile - VN Core R4) | Who is responsible for the observation | |
![]() ![]() ![]() |
S | 1..1 | string | Actual result |
![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() |
0..0 | |||
![]() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
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 | ||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
SΣ | 0..* | Identifier | Business Identifier for observation | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
![]() ![]() ![]() |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||
![]() ![]() ![]() |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Fixed Value: As shown | |||||
![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: survey | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Survey | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown | ||||
![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46239-0 | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Chief complaint+Reason for visit Narrative | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient Profile - VN Core R4 | Patient | Group | Device | Location) | Who and/or what the observation is about | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Encounter Profile - VN Core R4 | Encounter) | Healthcare event during which this observation is made | ||||
![]() ![]() ![]() |
Σ | 0..1 | Clinically relevant time/time-period for observation | |||||
![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
Timing | |||||||
![]() ![]() ![]() ![]() |
instant | |||||||
![]() ![]() ![]() |
SΣ | 0..1 | instant | Date/Time this version was made available | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Practitioner Profile - VN Core R4) | Who is responsible for the observation | ||||
![]() ![]() ![]() |
SΣC | 1..1 | string | Actual result | ||||
![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() |
0..* | Annotation | Comments about the observation | |||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
![]() ![]() ![]() |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
![]() ![]() ![]() |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
![]() ![]() ![]() |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
![]() ![]() ![]() |
Σ | 0..* | BackboneElement | Component results | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Actual component result | |||||
![]() ![]() ![]() ![]() ![]() |
Quantity | |||||||
![]() ![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() ![]() |
boolean | |||||||
![]() ![]() ![]() ![]() ![]() |
integer | |||||||
![]() ![]() ![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() ![]() ![]() |
Ratio | |||||||
![]() ![]() ![]() ![]() ![]() |
SampledData | |||||||
![]() ![]() ![]() ![]() ![]() |
time | |||||||
![]() ![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
![]() ![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
![]() |
Hình thức mô tả khác: Schematron
Path | Conformance | ValueSet / Code | URI | |||
Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | Fixed Value: survey("Survey")http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.code | example | Fixed Value: LOINC Code 46239-0("Chief complaint+Reason for visit Narrative")http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://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 | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
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-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() |