HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/oijauregui/ehdsimaging/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/Report-EuObservation | Version: 0.1.0-build | |||
| Draft as of 2025-09-05 | Computable Name: Report_EuObservation | |||
| Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License | ||||
Report obligations for EuObservation
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|   Observation | C | 0..* | ObservationEu | Measurements and simple assertions Constraints: obs-6, obs-7, obs-8 | ||||||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
|    language | O | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language 
 
 | ||||||||
|    text | O | 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 
 | ||||||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||||||
|    Slices for extension | Content/Rules for all slices | |||||||||||
|     extension:status-reason | O | 0..1 | (Complex) | Why was the status changed? URL: http://hl7.org/fhir/StructureDefinition/workflow-statusReason 
 | ||||||||
|      extension | 0..0 | |||||||||||
|      url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-statusReason" | |||||||||
|      value[x] | 1..1 | CodeableConcept | Value of extension Binding: StatusReasonValueSet (example) | |||||||||
|       text | OΣ | 0..1 | string | Plain text representation of the concept 
 | ||||||||
|    modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||||||
|    identifier | OΣ | 0..* | Identifier | Business Identifier for observation 
 | ||||||||
|    basedOn | OΣ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order 
 | ||||||||
|    status | ?!OΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. 
 | ||||||||
|    code | OΣC | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 
 | ||||||||
|    subject | OΣ | 0..1 | Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct) | Who and/or what the observation is about 
 | ||||||||
|    focus | OΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record 
 | ||||||||
|    Slices for effective[x] | Σ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||||||
|     effectiveDateTime | dateTime | |||||||||||
|     effectivePeriod | Period | |||||||||||
|     effectiveTiming | Timing | |||||||||||
|     effectiveInstant | instant | |||||||||||
|     effective[x]:effectiveDateTime | OΣ | 0..1 | dateTime | Clinically relevant time/time-period for observation 
 | ||||||||
|     effective[x]:effectivePeriod | OΣ | 0..1 | Period | Clinically relevant time/time-period for observation 
 | ||||||||
|    issued | OΣ | 0..1 | instant | Date/Time this version was made available 
 | ||||||||
|    performer | OΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation 
 | ||||||||
|     Slices for extension | Content/Rules for all slices | |||||||||||
|      extension:performerFunction | O | 0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: PerformerFunctionCodes (extensible) 
 | ||||||||
|     reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
|    Slices for value[x] | ΣC | 1..1 | Actual result Slice: Unordered, Open by type:$this | |||||||||
|     value[x]:All Slices | Content/Rules for all slices | |||||||||||
|      value[x]All Types | Content/Rules for all Types | |||||||||||
|       Slices for extension | Content/Rules for all slices | |||||||||||
|        extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     valueQuantity | Quantity(QuantityEu) | |||||||||||
|     valueCodeableConcept | CodeableConcept | |||||||||||
|     valueString | string | |||||||||||
|     valueInteger | integer | |||||||||||
|     valueRange | Range(RangeEu) | |||||||||||
|     valueRatio | Ratio | |||||||||||
|     valueSampledData | SampledData | |||||||||||
|     valueTime | time | |||||||||||
|     valueDateTime | dateTime | |||||||||||
|     valuePeriod | Period | |||||||||||
|     valueAttachment | Attachment | |||||||||||
|     valueReference | Reference(MolecularSequence) | |||||||||||
|     value[x]:valueString | OΣC | 0..1 | string | Actual result 
 | ||||||||
|      Slices for extension | Content/Rules for all slices | |||||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     value[x]:valueQuantity | OΣC | 0..1 | QuantityEu | Actual result 
 | ||||||||
|      Slices for extension | Content/Rules for all slices | |||||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     value[x]:valueRange | OΣC | 0..1 | RangeEu | Actual result 
 | ||||||||
|      Slices for extension | Content/Rules for all slices | |||||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     value[x]:valueCodeableConcept | OΣC | 0..1 | CodeableConcept | Actual result 
 | ||||||||
|      Slices for extension | Content/Rules for all slices | |||||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|    interpretation | O | 0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. 
 | ||||||||
|    note | O | 0..* | Annotation | Comments about the observation 
 | ||||||||
|    bodySite | OC | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts 
 | ||||||||
|    method | O | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. 
 | ||||||||
|    referenceRange | OC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 
 | ||||||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|    hasMember | OΣ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group 
 | ||||||||
|    derivedFrom | OΣ | 0..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made 
 | ||||||||
|    component | OΣC | 0..* | BackboneElement | Component results 
 | ||||||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|     code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||
|     value[x] | Σ | 1..1 | Actual component result | |||||||||
|      value[x]All Types | Content/Rules for all Types | |||||||||||
|       Slices for extension | Content/Rules for all slices | |||||||||||
|        extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|      valueQuantity | Quantity(QuantityEu) | |||||||||||
|      valueCodeableConcept | CodeableConcept | |||||||||||
|      valueString | string | |||||||||||
|      valueInteger | integer | |||||||||||
|      valueRange | Range(RangeEu) | |||||||||||
|      valueRatio | Ratio | |||||||||||
|      valueSampledData | SampledData | |||||||||||
|      valueTime | time | |||||||||||
|      valueDateTime | dateTime | |||||||||||
|      valuePeriod | Period | |||||||||||
|      valueAttachment | Attachment | |||||||||||
|      valueReference | Reference(MolecularSequence) | |||||||||||
|     interpretation | O | 0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. 
 | ||||||||
|     referenceRange | O | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result 
 | ||||||||
|  Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet | URI | 
| Observation.language | required | AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| Observation.extension:status-reason.value[x] | example | StatusReasonValueSet http://hl7.org/fhir/ValueSet/status-reason | |
| Observation.status | required | ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0From the FHIR Standard | |
| Observation.code | example | LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretationFrom the FHIR Standard | |
| Observation.bodySite | example | SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | |
| Observation.method | example | ObservationMethods http://hl7.org/fhir/ValueSet/observation-methodsFrom the FHIR Standard | |
| Observation.component.code | example | LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | |
| Observation.component.interpretation | extensible | ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretationFrom 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
| obs-8 | error | Observation | bodyStructure SHALL only be present if Observation.bodySite is not present : bodySite.exists() implies bodyStructure.empty() | 
This structure is derived from ObservationEu
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|   Observation | C | 0..* | ObservationEu | Measurements and simple assertions Constraints: obs-6, obs-7, obs-8 | ||||||||
|    id | Σ | 0..1 | id | Logical id of this artifact | ||||||||
|    meta | Σ | 0..1 | Meta | Metadata about the resource | ||||||||
|     id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|     extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|     versionId | OΣ | 0..1 | id | Version specific identifier 
 | ||||||||
|     lastUpdated | OΣ | 0..1 | instant | When the resource version last changed 
 | ||||||||
|     source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||||||
|     profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||||||
|     security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||||||
|     tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
|    language | O | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language 
 
 | ||||||||
|    text | O | 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 
 | ||||||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||||||
|    Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
|     extension:status-reason | O | 0..1 | (Complex) | Why was the status changed? URL: http://hl7.org/fhir/StructureDefinition/workflow-statusReason 
 | ||||||||
|      id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|      extension | 0..0 | |||||||||||
|      url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-statusReason" | |||||||||
|      value[x] | 1..1 | CodeableConcept | Value of extension Binding: StatusReasonValueSet (example) | |||||||||
|       id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|       extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|       coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||||||
|       text | OΣ | 0..1 | string | Plain text representation of the concept 
 | ||||||||
|    modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||||||
|    identifier | OΣ | 0..* | Identifier | Business Identifier for observation 
 | ||||||||
|    instantiates[x] | Σ | 0..1 | canonical(ObservationDefinition), Reference(ObservationDefinition) | Instantiates FHIR ObservationDefinition | ||||||||
|    basedOn | OΣ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order 
 | ||||||||
|    triggeredBy | 0..* | BackboneElement | Triggering observation(s) | |||||||||
|     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 | ||||||||
|     observation | OΣ | 1..1 | Reference(Observation) | Triggering observation 
 | ||||||||
|     type | OΣ | 1..1 | code | reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation. 
 | ||||||||
|     reason | 0..1 | string | Reason that the observation was triggered | |||||||||
|    partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) | Part of referenced event | ||||||||
|    status | ?!OΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. 
 | ||||||||
|    category | 0..* | CodeableConcept | Classification of  type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
|    code | OΣC | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 
 | ||||||||
|    subject | OΣ | 0..1 | Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct) | Who and/or what the observation is about 
 | ||||||||
|    focus | OΣTU | 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 | ||||||||
|    Slices for effective[x] | Σ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||||||
|     effectiveDateTime | dateTime | |||||||||||
|     effectivePeriod | Period | |||||||||||
|     effectiveTiming | Timing | |||||||||||
|     effectiveInstant | instant | |||||||||||
|     effective[x]:effectiveDateTime | OΣ | 0..1 | dateTime | Clinically relevant time/time-period for observation 
 | ||||||||
|     effective[x]:effectivePeriod | OΣ | 0..1 | Period | Clinically relevant time/time-period for observation 
 | ||||||||
|    issued | OΣ | 0..1 | instant | Date/Time this version was made available 
 | ||||||||
|    performer | OΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation 
 | ||||||||
|     id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|     Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|      extension:performerFunction | O | 0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: PerformerFunctionCodes (extensible) 
 | ||||||||
|     reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
|     type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
|     identifier | ΣC | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
|     display | ΣC | 0..1 | string | Text alternative for the resource | ||||||||
|    Slices for value[x] | ΣC | 1..1 | Actual result Slice: Unordered, Open by type:$this | |||||||||
|     value[x]:All Slices | Content/Rules for all slices | |||||||||||
|      value[x]All Types | Content/Rules for all Types | |||||||||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|       Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|        extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     valueQuantity | Quantity(QuantityEu) | |||||||||||
|     valueCodeableConcept | CodeableConcept | |||||||||||
|     valueString | string | |||||||||||
|     valueInteger | integer | |||||||||||
|     valueRange | Range(RangeEu) | |||||||||||
|     valueRatio | Ratio | |||||||||||
|     valueSampledData | SampledData | |||||||||||
|     valueTime | time | |||||||||||
|     valueDateTime | dateTime | |||||||||||
|     valuePeriod | Period | |||||||||||
|     valueAttachment | Attachment | |||||||||||
|     valueReference | Reference(MolecularSequence) | |||||||||||
|     value[x]:valueString | OΣC | 0..1 | string | Actual result 
 | ||||||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|      Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     value[x]:valueQuantity | OΣC | 0..1 | QuantityEu | Actual result 
 | ||||||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|      Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     value[x]:valueRange | OΣC | 0..1 | RangeEu | Actual result 
 | ||||||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|      Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     value[x]:valueCodeableConcept | OΣC | 0..1 | CodeableConcept | Actual result 
 | ||||||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|      Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|    dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
|    interpretation | O | 0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. 
 | ||||||||
|    note | O | 0..* | Annotation | Comments about the observation 
 | ||||||||
|    bodySite | OC | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts 
 | ||||||||
|    bodyStructure | C | 0..1 | Reference(BodyStructure) | Observed body structure | ||||||||
|    method | O | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. 
 | ||||||||
|    specimen | C | 0..1 | Reference(Specimen | Group) | Specimen used for this observation Constraints: obs-9 | ||||||||
|    device | 0..1 | Reference(Device | DeviceMetric) | A reference to the device that generates the measurements or the device settings for the device | |||||||||
|    referenceRange | OC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 
 | ||||||||
|     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 | ||||||||
|     normalValue | 0..1 | CodeableConcept | Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation. | |||||||||
|     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 | C | 0..1 | markdown | Text based reference range in an observation | ||||||||
|    hasMember | OΣ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group 
 | ||||||||
|    derivedFrom | OΣ | 0..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made 
 | ||||||||
|    component | OΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||
|     value[x] | Σ | 1..1 | Actual component result | |||||||||
|      value[x]All Types | Content/Rules for all Types | |||||||||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|       Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|        extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|      valueQuantity | Quantity(QuantityEu) | |||||||||||
|      valueCodeableConcept | CodeableConcept | |||||||||||
|      valueString | string | |||||||||||
|      valueInteger | integer | |||||||||||
|      valueRange | Range(RangeEu) | |||||||||||
|      valueRatio | Ratio | |||||||||||
|      valueSampledData | SampledData | |||||||||||
|      valueTime | time | |||||||||||
|      valueDateTime | dateTime | |||||||||||
|      valuePeriod | Period | |||||||||||
|      valueAttachment | Attachment | |||||||||||
|      valueReference | Reference(MolecularSequence) | |||||||||||
|     dataAbsentReason | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | |||||||||
|     interpretation | O | 0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. 
 | ||||||||
|     referenceRange | O | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result 
 | ||||||||
|  Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet | URI | 
| Observation.meta.security | extensible | AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labelsFrom the FHIR Standard | |
| Observation.meta.tag | example | CommonTags http://hl7.org/fhir/ValueSet/common-tagsFrom the FHIR Standard | |
| Observation.language | required | AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| Observation.extension:status-reason.value[x] | example | StatusReasonValueSet http://hl7.org/fhir/ValueSet/status-reason | |
| Observation.triggeredBy.type | required | TriggeredBytype http://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0From the FHIR Standard | |
| Observation.status | required | ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0From the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-categoryFrom the FHIR Standard | |
| Observation.code | example | LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | |
| Observation.performer.type | extensible | ResourceType http://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | |
| Observation.dataAbsentReason | extensible | DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretationFrom the FHIR Standard | |
| Observation.bodySite | example | SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | |
| Observation.method | example | ObservationMethods http://hl7.org/fhir/ValueSet/observation-methodsFrom the FHIR Standard | |
| Observation.referenceRange.normalValue | extensible | ObservationReferenceRangeNormalValueCodes http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalueFrom the FHIR Standard | |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaningFrom the FHIR Standard | |
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliestoFrom the FHIR Standard | |
| Observation.component.code | example | LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | |
| Observation.component.interpretation | extensible | ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretationFrom 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
| obs-8 | error | Observation | bodyStructure SHALL only be present if Observation.bodySite is not present : bodySite.exists() implies bodyStructure.empty() | |
| obs-9 | error | Observation.specimen | If Observation.specimen is a reference to Group, the group can only have specimens : (reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen) | 
This structure is derived from ObservationEu
Summary
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|   Observation | C | 0..* | ObservationEu | Measurements and simple assertions Constraints: obs-6, obs-7, obs-8 | ||||||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
|    language | O | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language 
 
 | ||||||||
|    text | O | 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 
 | ||||||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||||||
|    Slices for extension | Content/Rules for all slices | |||||||||||
|     extension:status-reason | O | 0..1 | (Complex) | Why was the status changed? URL: http://hl7.org/fhir/StructureDefinition/workflow-statusReason 
 | ||||||||
|      extension | 0..0 | |||||||||||
|      url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-statusReason" | |||||||||
|      value[x] | 1..1 | CodeableConcept | Value of extension Binding: StatusReasonValueSet (example) | |||||||||
|       text | OΣ | 0..1 | string | Plain text representation of the concept 
 | ||||||||
|    modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||||||
|    identifier | OΣ | 0..* | Identifier | Business Identifier for observation 
 | ||||||||
|    basedOn | OΣ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order 
 | ||||||||
|    status | ?!OΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. 
 | ||||||||
|    code | OΣC | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 
 | ||||||||
|    subject | OΣ | 0..1 | Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct) | Who and/or what the observation is about 
 | ||||||||
|    focus | OΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record 
 | ||||||||
|    Slices for effective[x] | Σ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||||||
|     effectiveDateTime | dateTime | |||||||||||
|     effectivePeriod | Period | |||||||||||
|     effectiveTiming | Timing | |||||||||||
|     effectiveInstant | instant | |||||||||||
|     effective[x]:effectiveDateTime | OΣ | 0..1 | dateTime | Clinically relevant time/time-period for observation 
 | ||||||||
|     effective[x]:effectivePeriod | OΣ | 0..1 | Period | Clinically relevant time/time-period for observation 
 | ||||||||
|    issued | OΣ | 0..1 | instant | Date/Time this version was made available 
 | ||||||||
|    performer | OΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation 
 | ||||||||
|     Slices for extension | Content/Rules for all slices | |||||||||||
|      extension:performerFunction | O | 0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: PerformerFunctionCodes (extensible) 
 | ||||||||
|     reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
|    Slices for value[x] | ΣC | 1..1 | Actual result Slice: Unordered, Open by type:$this | |||||||||
|     value[x]:All Slices | Content/Rules for all slices | |||||||||||
|      value[x]All Types | Content/Rules for all Types | |||||||||||
|       Slices for extension | Content/Rules for all slices | |||||||||||
|        extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     valueQuantity | Quantity(QuantityEu) | |||||||||||
|     valueCodeableConcept | CodeableConcept | |||||||||||
|     valueString | string | |||||||||||
|     valueInteger | integer | |||||||||||
|     valueRange | Range(RangeEu) | |||||||||||
|     valueRatio | Ratio | |||||||||||
|     valueSampledData | SampledData | |||||||||||
|     valueTime | time | |||||||||||
|     valueDateTime | dateTime | |||||||||||
|     valuePeriod | Period | |||||||||||
|     valueAttachment | Attachment | |||||||||||
|     valueReference | Reference(MolecularSequence) | |||||||||||
|     value[x]:valueString | OΣC | 0..1 | string | Actual result 
 | ||||||||
|      Slices for extension | Content/Rules for all slices | |||||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     value[x]:valueQuantity | OΣC | 0..1 | QuantityEu | Actual result 
 | ||||||||
|      Slices for extension | Content/Rules for all slices | |||||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     value[x]:valueRange | OΣC | 0..1 | RangeEu | Actual result 
 | ||||||||
|      Slices for extension | Content/Rules for all slices | |||||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     value[x]:valueCodeableConcept | OΣC | 0..1 | CodeableConcept | Actual result 
 | ||||||||
|      Slices for extension | Content/Rules for all slices | |||||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|    interpretation | O | 0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. 
 | ||||||||
|    note | O | 0..* | Annotation | Comments about the observation 
 | ||||||||
|    bodySite | OC | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts 
 | ||||||||
|    method | O | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. 
 | ||||||||
|    referenceRange | OC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 
 | ||||||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|    hasMember | OΣ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group 
 | ||||||||
|    derivedFrom | OΣ | 0..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made 
 | ||||||||
|    component | OΣC | 0..* | BackboneElement | Component results 
 | ||||||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
|     code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||
|     value[x] | Σ | 1..1 | Actual component result | |||||||||
|      value[x]All Types | Content/Rules for all Types | |||||||||||
|       Slices for extension | Content/Rules for all slices | |||||||||||
|        extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|      valueQuantity | Quantity(QuantityEu) | |||||||||||
|      valueCodeableConcept | CodeableConcept | |||||||||||
|      valueString | string | |||||||||||
|      valueInteger | integer | |||||||||||
|      valueRange | Range(RangeEu) | |||||||||||
|      valueRatio | Ratio | |||||||||||
|      valueSampledData | SampledData | |||||||||||
|      valueTime | time | |||||||||||
|      valueDateTime | dateTime | |||||||||||
|      valuePeriod | Period | |||||||||||
|      valueAttachment | Attachment | |||||||||||
|      valueReference | Reference(MolecularSequence) | |||||||||||
|     interpretation | O | 0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. 
 | ||||||||
|     referenceRange | O | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result 
 | ||||||||
|  Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet | URI | 
| Observation.language | required | AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| Observation.extension:status-reason.value[x] | example | StatusReasonValueSet http://hl7.org/fhir/ValueSet/status-reason | |
| Observation.status | required | ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0From the FHIR Standard | |
| Observation.code | example | LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretationFrom the FHIR Standard | |
| Observation.bodySite | example | SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | |
| Observation.method | example | ObservationMethods http://hl7.org/fhir/ValueSet/observation-methodsFrom the FHIR Standard | |
| Observation.component.code | example | LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | |
| Observation.component.interpretation | extensible | ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretationFrom 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
| obs-8 | error | Observation | bodyStructure SHALL only be present if Observation.bodySite is not present : bodySite.exists() implies bodyStructure.empty() | 
Differential View
This structure is derived from ObservationEu
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
|   Observation | 0..* | ObservationEu | Measurements and simple assertions | |||||
|    meta | ||||||||
|     versionId | O | 0..1 | id | Version specific identifier 
 | ||||
|     lastUpdated | O | 0..1 | instant | When the resource version last changed 
 | ||||
|    language | O | 0..1 | code | Language of the resource content 
 | ||||
|    text | O | 0..1 | Narrative | Text summary of the resource, for human interpretation 
 | ||||
|    Slices for extension | Content/Rules for all slices | |||||||
|     extension:status-reason | O | 0..1 | WorkflowStatusReason | Why was the status changed? 
 | ||||
|      value[x] | ||||||||
|       text | O | 0..1 | string | Plain text representation of the concept 
 | ||||
|    identifier | O | 0..* | Identifier | Business Identifier for observation 
 | ||||
|    basedOn | O | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order 
 | ||||
|    triggeredBy | ||||||||
|     observation | O | 1..1 | Reference(Observation) | Triggering observation 
 | ||||
|     type | O | 1..1 | code | reflex | repeat | re-run 
 | ||||
|    status | O | 1..1 | code | registered | preliminary | final | amended + 
 | ||||
|    code | O | 1..1 | CodeableConcept | Type of observation (code / type) 
 | ||||
|    subject | O | 0..1 | Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct) | Who and/or what the observation is about 
 | ||||
|    focus | OTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record 
 | ||||
|    Slices for effective[x] | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||
|     effective[x]:effectiveDateTime | O | 0..1 | dateTime | Clinically relevant time/time-period for observation 
 | ||||
|     effective[x]:effectivePeriod | O | 0..1 | Period | Clinically relevant time/time-period for observation 
 | ||||
|    issued | O | 0..1 | instant | Date/Time this version was made available 
 | ||||
|    performer | O | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation 
 | ||||
|     Slices for extension | Content/Rules for all slices | |||||||
|      extension:performerFunction | O | 0..1 | PerformerFunction(5.3.0-ballot) | Type of performance 
 | ||||
|    Slices for value[x] | 1..1 | QuantityEu, CodeableConcept, string, integer, RangeEu, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence) | Actual result Slice: Unordered, Open by type:$this | |||||
|     value[x]:valueString | O | 0..1 | string | Actual result 
 | ||||
|     value[x]:valueQuantity | O | 0..1 | QuantityEu | Actual result 
 | ||||
|     value[x]:valueRange | O | 0..1 | RangeEu | Actual result 
 | ||||
|     value[x]:valueCodeableConcept | O | 0..1 | CodeableConcept | Actual result 
 | ||||
|    interpretation | O | 0..* | CodeableConcept | High, low, normal, etc 
 | ||||
|    note | O | 0..* | Annotation | Comments about the observation 
 | ||||
|    bodySite | O | 0..1 | CodeableConcept | Observed body part 
 | ||||
|    method | O | 0..1 | CodeableConcept | How it was done 
 | ||||
|    referenceRange | O | 0..* | BackboneElement | Provides guide for interpretation 
 | ||||
|    hasMember | O | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group 
 | ||||
|    derivedFrom | O | 0..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made 
 | ||||
|    component | O | 0..* | BackboneElement | Component results 
 | ||||
|     interpretation | O | 0..* | CodeableConcept | High, low, normal, etc 
 | ||||
|     referenceRange | O | 0..* | Provides guide for interpretation of component result 
 | |||||
|  Documentation for this format | ||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|   Observation | C | 0..* | ObservationEu | Measurements and simple assertions Constraints: obs-6, obs-7, obs-8 | ||||||||
|    id | Σ | 0..1 | id | Logical id of this artifact | ||||||||
|    meta | Σ | 0..1 | Meta | Metadata about the resource | ||||||||
|     id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|     extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|     versionId | OΣ | 0..1 | id | Version specific identifier 
 | ||||||||
|     lastUpdated | OΣ | 0..1 | instant | When the resource version last changed 
 | ||||||||
|     source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||||||
|     profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||||||
|     security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||||||
|     tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
|    language | O | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language 
 
 | ||||||||
|    text | O | 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 
 | ||||||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||||||
|    Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
|     extension:status-reason | O | 0..1 | (Complex) | Why was the status changed? URL: http://hl7.org/fhir/StructureDefinition/workflow-statusReason 
 | ||||||||
|      id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|      extension | 0..0 | |||||||||||
|      url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-statusReason" | |||||||||
|      value[x] | 1..1 | CodeableConcept | Value of extension Binding: StatusReasonValueSet (example) | |||||||||
|       id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|       extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|       coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||||||
|       text | OΣ | 0..1 | string | Plain text representation of the concept 
 | ||||||||
|    modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||||||
|    identifier | OΣ | 0..* | Identifier | Business Identifier for observation 
 | ||||||||
|    instantiates[x] | Σ | 0..1 | canonical(ObservationDefinition), Reference(ObservationDefinition) | Instantiates FHIR ObservationDefinition | ||||||||
|    basedOn | OΣ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order 
 | ||||||||
|    triggeredBy | 0..* | BackboneElement | Triggering observation(s) | |||||||||
|     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 | ||||||||
|     observation | OΣ | 1..1 | Reference(Observation) | Triggering observation 
 | ||||||||
|     type | OΣ | 1..1 | code | reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation. 
 | ||||||||
|     reason | 0..1 | string | Reason that the observation was triggered | |||||||||
|    partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) | Part of referenced event | ||||||||
|    status | ?!OΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. 
 | ||||||||
|    category | 0..* | CodeableConcept | Classification of  type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||||||
|    code | OΣC | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. 
 | ||||||||
|    subject | OΣ | 0..1 | Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct) | Who and/or what the observation is about 
 | ||||||||
|    focus | OΣTU | 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 | ||||||||
|    Slices for effective[x] | Σ | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||||||
|     effectiveDateTime | dateTime | |||||||||||
|     effectivePeriod | Period | |||||||||||
|     effectiveTiming | Timing | |||||||||||
|     effectiveInstant | instant | |||||||||||
|     effective[x]:effectiveDateTime | OΣ | 0..1 | dateTime | Clinically relevant time/time-period for observation 
 | ||||||||
|     effective[x]:effectivePeriod | OΣ | 0..1 | Period | Clinically relevant time/time-period for observation 
 | ||||||||
|    issued | OΣ | 0..1 | instant | Date/Time this version was made available 
 | ||||||||
|    performer | OΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation 
 | ||||||||
|     id | 0..1 | id | Unique id for inter-element referencing | |||||||||
|     Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|      extension:performerFunction | O | 0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: PerformerFunctionCodes (extensible) 
 | ||||||||
|     reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
|     type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
|     identifier | ΣC | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
|     display | ΣC | 0..1 | string | Text alternative for the resource | ||||||||
|    Slices for value[x] | ΣC | 1..1 | Actual result Slice: Unordered, Open by type:$this | |||||||||
|     value[x]:All Slices | Content/Rules for all slices | |||||||||||
|      value[x]All Types | Content/Rules for all Types | |||||||||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|       Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|        extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     valueQuantity | Quantity(QuantityEu) | |||||||||||
|     valueCodeableConcept | CodeableConcept | |||||||||||
|     valueString | string | |||||||||||
|     valueInteger | integer | |||||||||||
|     valueRange | Range(RangeEu) | |||||||||||
|     valueRatio | Ratio | |||||||||||
|     valueSampledData | SampledData | |||||||||||
|     valueTime | time | |||||||||||
|     valueDateTime | dateTime | |||||||||||
|     valuePeriod | Period | |||||||||||
|     valueAttachment | Attachment | |||||||||||
|     valueReference | Reference(MolecularSequence) | |||||||||||
|     value[x]:valueString | OΣC | 0..1 | string | Actual result 
 | ||||||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|      Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     value[x]:valueQuantity | OΣC | 0..1 | QuantityEu | Actual result 
 | ||||||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|      Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     value[x]:valueRange | OΣC | 0..1 | RangeEu | Actual result 
 | ||||||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|      Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|     value[x]:valueCodeableConcept | OΣC | 0..1 | CodeableConcept | Actual result 
 | ||||||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|      Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|       extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|    dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||
|    interpretation | O | 0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. 
 | ||||||||
|    note | O | 0..* | Annotation | Comments about the observation 
 | ||||||||
|    bodySite | OC | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts 
 | ||||||||
|    bodyStructure | C | 0..1 | Reference(BodyStructure) | Observed body structure | ||||||||
|    method | O | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. 
 | ||||||||
|    specimen | C | 0..1 | Reference(Specimen | Group) | Specimen used for this observation Constraints: obs-9 | ||||||||
|    device | 0..1 | Reference(Device | DeviceMetric) | A reference to the device that generates the measurements or the device settings for the device | |||||||||
|    referenceRange | OC | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 
 | ||||||||
|     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 | ||||||||
|     normalValue | 0..1 | CodeableConcept | Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation. | |||||||||
|     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 | C | 0..1 | markdown | Text based reference range in an observation | ||||||||
|    hasMember | OΣ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group 
 | ||||||||
|    derivedFrom | OΣ | 0..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made 
 | ||||||||
|    component | OΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||||||
|     value[x] | Σ | 1..1 | Actual component result | |||||||||
|      value[x]All Types | Content/Rules for all Types | |||||||||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||||||
|       Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
|        extension:dataAbsentReason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||||||
|      valueQuantity | Quantity(QuantityEu) | |||||||||||
|      valueCodeableConcept | CodeableConcept | |||||||||||
|      valueString | string | |||||||||||
|      valueInteger | integer | |||||||||||
|      valueRange | Range(RangeEu) | |||||||||||
|      valueRatio | Ratio | |||||||||||
|      valueSampledData | SampledData | |||||||||||
|      valueTime | time | |||||||||||
|      valueDateTime | dateTime | |||||||||||
|      valuePeriod | Period | |||||||||||
|      valueAttachment | Attachment | |||||||||||
|      valueReference | Reference(MolecularSequence) | |||||||||||
|     dataAbsentReason | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | |||||||||
|     interpretation | O | 0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. 
 | ||||||||
|     referenceRange | O | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result 
 | ||||||||
|  Documentation for this format | ||||||||||||
| Path | Conformance | ValueSet | URI | 
| Observation.meta.security | extensible | AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labelsFrom the FHIR Standard | |
| Observation.meta.tag | example | CommonTags http://hl7.org/fhir/ValueSet/common-tagsFrom the FHIR Standard | |
| Observation.language | required | AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| Observation.extension:status-reason.value[x] | example | StatusReasonValueSet http://hl7.org/fhir/ValueSet/status-reason | |
| Observation.triggeredBy.type | required | TriggeredBytype http://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0From the FHIR Standard | |
| Observation.status | required | ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0From the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-categoryFrom the FHIR Standard | |
| Observation.code | example | LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | |
| Observation.performer.type | extensible | ResourceType http://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | |
| Observation.dataAbsentReason | extensible | DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretationFrom the FHIR Standard | |
| Observation.bodySite | example | SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | |
| Observation.method | example | ObservationMethods http://hl7.org/fhir/ValueSet/observation-methodsFrom the FHIR Standard | |
| Observation.referenceRange.normalValue | extensible | ObservationReferenceRangeNormalValueCodes http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalueFrom the FHIR Standard | |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaningFrom the FHIR Standard | |
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliestoFrom the FHIR Standard | |
| Observation.component.code | example | LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | |
| Observation.component.interpretation | extensible | ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretationFrom 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
| obs-8 | error | Observation | bodyStructure SHALL only be present if Observation.bodySite is not present : bodySite.exists() implies bodyStructure.empty() | |
| obs-9 | error | Observation.specimen | If Observation.specimen is a reference to Group, the group can only have specimens : (reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen) | 
This structure is derived from ObservationEu
Summary
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron