| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments |
|---|
  Observation | C | 0..* | USCoreObservationClinicalResultProfile | 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
us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
| C | 0..* | Observation | Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
| |
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |
 meta | SΣ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | - Elements differ in definition for mustSupport: 'true' vs 'false'
|
 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
| | | | | |
| versionId | Σ | 0..1 | id | Version specific identifier | | | | | |
| lastUpdated | SΣ | 0..1 | instant | When the resource 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: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
| | | | | |
 tag | Σ | 0..* | Coding | Tags applied to this resource
Binding: ?? (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 | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |
| language | | 0..1 | code | Language of the resource content
Binding: ?? (preferred): A human language.
| | 0..1 | code | Language of the resource content
Binding: ?? (preferred): A human language.
| |
| text | | 0..1 | Narrative | Text summary of the resource, for human interpretation | | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | | 0..* | Resource | Contained, inline Resources
| | 0..* | Resource | Contained, inline Resources
| |
| extension | | 0..* | Extension | Additional content defined by implementations
| | 0..* | Extension | Additional content defined by implementations
| |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
| ?! | 0..* | Extension | Extensions that cannot be ignored
| |
| identifier | Σ | 0..* | Identifier | Business Identifier for observation
| Σ | 0..* | Identifier | Business Identifier for observation
| |
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| |
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
| Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
| |
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended +
Binding: ?? (required): Codes providing the status of an observation.
| ?!Σ | 1..1 | code | registered | preliminary | final | amended +
Binding: ?? (required): Codes providing the status of an observation.
| - Elements differ in definition for mustSupport: 'true' vs 'false'
|
| Slices for category | S | 1..* | CodeableConcept | Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ?? (preferred): Codes for high level observation categories.
| | 0..* | CodeableConcept | Classification of type of observation
Binding: ?? (preferred): Codes for high level observation categories.
| - Elements differ in definition for mustSupport: 'true' vs 'false'
- Element minimum cardinalities differ: '1' vs '0'
|
| code | SΣ | 1..1 | CodeableConcept | Laboratory Test Name
Binding: ?? (extensible): Laboratory LOINC Codes
| Σ | 1..1 | CodeableConcept | Type of observation (code / type)
Binding: ?? (example): Codes identifying names of simple observations.
Required Pattern: {"coding":[{"system":"http://snomed.info/sct","code":"386454002"}]} | - Elements differ in definition for mustSupport: 'true' vs 'false'
|
| subject | SΣ | 1..1 | Reference(US Core Patient Profile S | Group | Device | US Core Location Profile) | Who and/or what the observation is about | Σ | 0..1 | Reference(Patient | Group | Device | Location) | Who and/or what the observation is about | - Elements differ in definition for mustSupport: 'true' vs 'false'
- Element minimum cardinalities differ: '1' vs '0'
|
| focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
| Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
| |
| encounter | SΣ | 0..1 | Reference(US Core Encounter Profile) | Encounter associated with Observation | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | - Elements differ in definition for mustSupport: 'true' vs 'false'
|
| effective[x] | SΣC | 0..1 | dateTime S, Period, Timing, instant | Clinically relevant time/time-period for observation
us-core-1: Datetime must be at least to day. | Σ | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation | - Elements differ in definition for mustSupport: 'true' vs 'false'
|
| issued | Σ | 0..1 | instant | Date/Time this version was made available | Σ | 0..1 | instant | Date/Time this version was made available | |
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
| Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
| |
| value[x] | SΣC | 0..1 | Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Result Value
us-core-3: SHALL use UCUM for coded quantity units.
us-core-4: SHOULD use Snomed CT for coded Results | ΣC | 0..1 | CodeableConcept | Actual result
Binding: ?? (required) | - Elements differ in definition for mustSupport: 'true' vs 'false'
|
| 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
| |
| coding | | | | | Σ | 0..* | Coding | Code defined by a terminology system
| |
| text | | | | | SΣ | 0..1 | string | Indicar valor cuando el concepto del valueset utilizado es other value | |
| dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing
Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| C | 0..1 | CodeableConcept | Why the result is missing
Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| - Elements differ in definition for mustSupport: 'true' vs 'false'
|
| interpretation | S | 0..* | CodeableConcept | Result interpretation
Binding: ?? (extensible): Observation Interpretation Codes
| | 0..* | CodeableConcept | High, low, normal, etc.
Binding: ?? (extensible): Codes identifying interpretations of observations.
| - Elements differ in definition for mustSupport: 'true' vs 'false'
|
| note | | 0..* | Annotation | Comments about the observation
| | 0..* | Annotation | Comments about the observation
| |
| bodySite | | 0..1 | CodeableConcept | Observed body part
Binding: ?? (example): Codes describing anatomical locations. May include laterality.
| | 0..1 | CodeableConcept | Observed body part
Binding: ?? (example): Codes describing anatomical locations. May include laterality.
| |
| method | | 0..1 | CodeableConcept | How it was done
Binding: ?? (example): Methods for simple observations.
| | 0..1 | CodeableConcept | How it was done
Binding: ?? (example): Methods for simple observations.
| |
| specimen | S | 0..1 | Reference(US Core Specimen Profile) | Specimen used for this observation | | 0..1 | Reference(Specimen) | Specimen used for this observation | - Elements differ in definition for mustSupport: 'true' vs 'false'
|
| device | | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |
| referenceRange | SC | 0..* | BackboneElement | Result reference range
obs-3: Must have at least a low or a high or text
us-core-22: SHALL use UCUM for coded quantity units.
| C | 0..* | BackboneElement | Provides guide for interpretation
obs-3: Must have at least a low or a high or text
| - Elements differ in definition for mustSupport: 'true' vs 'false'
|
| id | | 0..1 | string | Unique id for inter-element referencing | | 0..1 | string | Unique id for inter-element referencing | |
| extension | | 0..* | Extension | Additional content defined by implementations
| | 0..* | Extension | Additional content defined by implementations
| |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
| ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
| |
| low | C | 0..1 | ?? | Low Range, if relevant | C | 0..1 | ?? | Low Range, if relevant | |
| high | C | 0..1 | ?? | High Range, if relevant | C | 0..1 | ?? | High Range, if relevant | |
| type | | 0..1 | CodeableConcept | Reference range qualifier
Binding: ?? (preferred): Code for the meaning of a reference range.
| | 0..1 | CodeableConcept | Reference range qualifier
Binding: ?? (preferred): Code for the meaning of a reference range.
| |
| appliesTo | | 0..* | CodeableConcept | Reference range population
Binding: ?? (example): Codes identifying the population the reference range applies to.
| | 0..* | CodeableConcept | Reference range population
Binding: ?? (example): Codes identifying the population the reference range applies to.
| |
| age | | 0..1 | Range | Applicable age range, if relevant | | 0..1 | Range | Applicable age range, if relevant | |
| text | | 0..1 | string | Text based reference range in an observation | | 0..1 | string | Text based reference range in an observation | |
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
| Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
| |
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
| Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
| |
 component | Σ | 0..* | BackboneElement | Component results
| Σ | 0..* | BackboneElement | Component results
| |
 id | | 0..1 | string | Unique id for inter-element referencing | | 0..1 | string | Unique id for inter-element referencing | |
| extension | | 0..* | Extension | Additional content defined by implementations
| | 0..* | Extension | Additional content defined by implementations
| |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
| ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
| |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type)
Binding: ?? (example): Codes identifying names of simple observations.
| Σ | 1..1 | CodeableConcept | Type of component observation (code / type)
Binding: ?? (example): Codes identifying names of simple observations.
| |
| value[x] | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | |
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing
Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| C | 0..1 | CodeableConcept | Why the component result is missing
Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| |
| interpretation | | 0..* | CodeableConcept | High, low, normal, etc.
Binding: ?? (extensible): Codes identifying interpretations of observations.
| | 0..* | CodeableConcept | High, low, normal, etc.
Binding: ?? (extensible): Codes identifying interpretations of observations.
| |
 referenceRange | | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
| | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
| |
Documentation for this format |