Uzbekistan Digital Health Platform
0.11.1 - ci-build Uzbekistan flag

Uzbekistan Digital Health Platform, published by Ministry of Health of the Republic of Uzbekistan. This guide is not an authorized publication; it is the continuous build for version 0.11.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/uzinfocom-org/digital-health-ig/ and changes regularly. See the Directory of published versions

Resource Profile: UZ Core Laboratory ObservationDefinition - Detailed Descriptions

Active as of 2026-10-26

Definitions for the uz-core-laboratory-observation-definition resource profile

See the documentation on how to interpret the contents of this table

0. ObservationDefinition
Definition

Set of definitional characteristics for a kind of observation or measurement produced or consumed by an orderable health care service.

ShortDefinition of an observation
Comments

An instance of this resource informs the consumer of a health-related service (such as a lab diagnostic test or panel) about how the observations used or produced by this service will look like.

Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantscnl-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$'))
obd-0: If permittedUnit exists, then permittedDataType=Quantity must exist. (permittedUnit.exists() implies (permittedDataType = 'Quantity').exists())
cnl-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$'))
obd-0: If permittedUnit exists, then permittedDataType=Quantity must exist. (permittedUnit.exists() implies (permittedDataType = 'Quantity').exists())
2. ObservationDefinition.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. ObservationDefinition.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
6. ObservationDefinition.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. ObservationDefinition.url
Definition

An absolute URL that is used to identify this ObservationDefinition when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this ObservationDefinition is (or will be) published. The URL SHOULD include the major version of the ObservationDefinition. For more information see Technical and Business Versions.

ShortLogical canonical URL to reference this ObservationDefinition (globally unique)
Comments

Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred. This is the URI that will be used when making canonical references to this resource.

Control0..1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Allows the ObservationDefinition to be referenced by a single globally unique identifier.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. ObservationDefinition.identifier
Definition

Business identifiers assigned to this ObservationDefinition. by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server.

ShortIdentifier of the ObservationDefinitionBusiness identifier of the ObservationDefinition
Comments

This is a business identifier, not a resource identifier. It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Allows identification of the ObservationDefinition as it is known by various participating systems and in a way that remains consistent across servers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. ObservationDefinition.name
Definition

A natural language name identifying the ObservationDefinition. This name should be usable as an identifier for the module by machine processing applications such as code generation.

ShortName for this ObservationDefinition (computer friendly)
Comments

The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

Control0..1
This element is affected by the following invariants: cnl-0
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Support human navigation and code generation.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. ObservationDefinition.title
Definition

A short, descriptive, user-friendly title for the ObservationDefinition.

ShortObservation definition title (in Uzbek language)Name for this ObservationDefinition (human friendly)
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. ObservationDefinition.title.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortObservation definition title (in Russian and Karakalpak languages)Additional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ObservationDefinition.title.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

    18. ObservationDefinition.title.extension:translation
    Slice Nametranslation
    Definition

    Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended.

    ShortLanguage Translation (Localization)
    Control0..*
    TypeExtension(Translation) (Complex Extension)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    20. ObservationDefinition.status
    Definition

    The current state of the ObservationDefinition.

    Shortdraft | active | retired | unknown
    Comments

    A nominal state-transition diagram can be found in the Definition pattern documentation Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

    See guidance around (not) making local changes to elements here.


    A nominal state-transition diagram can be found in the Definition pattern documentation Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

    See guidance around (not) making local changes to elements here.

    Control1..1
    BindingThe codes SHALL be taken from PublicationStatusVS (0.11.1)http://hl7.org/fhir/ValueSet/publication-status|5.0.0
    (required to https://terminology.dhp.uz/fhir/core/ValueSet/publication-status-vs|0.11.1)
    Typecode
    Is Modifiertrue because Not known why this is labelled a modifier
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. ObservationDefinition.date
    Definition

    The date (and optionally time) when the ObservationDefinition was last significantly changed. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the ObservationDefinition changes.

    ShortDate last changed
    Comments

    The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the ObservationDefinition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

    See guidance around (not) making local changes to elements here.


    The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the ObservationDefinition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

    See guidance around (not) making local changes to elements here.

    Control0..1
    TypedateTime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Alternate Namesrevision date
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. ObservationDefinition.description
    Definition

    A free text natural language description of the ObservationDefinition from the consumer's perspective.

    ShortNatural language description of the ObservationDefinition
    Comments

    This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.

    Control0..1
    Typemarkdown
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. ObservationDefinition.useContext
    Definition

    The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate ObservationDefinition instances.

    ShortContent intends to support these contexts
    Comments

    When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.

    Control10..*
    TypeUsageContext
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    Assist in searching for appropriate content.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on ObservationDefinition.useContext. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ code
    • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

      28. ObservationDefinition.useContext:laboratoryFocus
      Slice NamelaboratoryFocus
      Definition

      The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate ObservationDefinition instances.

      ShortMarks this ObservationDefinition as a laboratory definitionContent intends to support these contexts
      Comments

      When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.

      Control10..1*
      TypeUsageContext
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      Assist in searching for appropriate content.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. ObservationDefinition.useContext:laboratoryFocus.code
      Definition

      A code that identifies the type of context being specified by this usage context.

      ShortType of context being specified
      Control1..1
      BindingUnless not suitable, these codes SHALL be taken from UsageContextType (1.0.1)http://terminology.hl7.org/ValueSet/usage-context-type
      (extensible to http://terminology.hl7.org/ValueSet/usage-context-type|1.0.1)

      A code that specifies a type of context being specified by a usage context.

      TypeCoding
      Is Modifierfalse
      Summarytrue
      Pattern Value
      {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      }
      <code>
        <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
        <code value="focus"/>
      </code>
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. ObservationDefinition.useContext:laboratoryFocus.value[x]
      Definition

      A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.

      ShortValue that defines the context
      Control1..1
      BindingFor example codes, see ContextOfUseValueSethttp://hl7.org/fhir/ValueSet/use-context|5.0.0
      (example to http://hl7.org/fhir/ValueSet/use-context|5.0.0)

      A code that defines the specific value for the context being specified.

      TypeCodeableConcept, Reference(PlanDefinition, ResearchStudy, InsurancePlan, HealthcareService, Group, Location, Organization), Quantity, Range
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summarytrue
      Pattern Value
      {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "108252007",
            "display" : "Laboratory procedure"
          }
        ]
      }
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="108252007"/>
          <display value="Laboratory procedure"/>
        </coding>
      </valueCodeableConcept>
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. ObservationDefinition.subject
      Definition

      A code that describes the intended kind of subject of Observation instances conforming to this ObservationDefinition.

      ShortType of subject for the defined observation
      Comments

      Examples: person, animal, device, air, surface ….

      Control0..*
      TypeCodeableConcept
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. ObservationDefinition.category
      Definition

      A code that classifies the general type of observation.

      ShortGeneral type of observation
      Comments

      This element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used for one instance of ObservationDefinition. The level of granularity is defined by the category concepts in the value set.

      Control0..*
      BindingFor example codes, see ObservationCategoryVS (0.11.1)http://hl7.org/fhir/ValueSet/observation-category|5.0.0
      (example to https://terminology.dhp.uz/fhir/core/ValueSet/observation-category-vs|0.11.1)
      TypeCodeableConcept
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      Used for filtering what kinds of observations are retrieved and displayed.

      Alternate NamesClass of observation
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. ObservationDefinition.code
      Definition

      Describes what will be observed. Sometimes this is called the observation "name".

      ShortLaboratory panel or test code displayed in the Patient PortalType of observation
      Control1..1
      BindingFor example codes, see ObservationCodesVS (0.11.1)http://hl7.org/fhir/ValueSet/observation-codes|5.0.0
      (example to https://terminology.dhp.uz/fhir/core/ValueSet/observation-codes-vs|0.11.1)
      TypeCodeableConcept
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. ObservationDefinition.permittedDataType
      Definition

      The data types allowed for the value element of the instance observations conforming to this ObservationDefinition.

      ShortAllowed value types for laboratory observation resultsQuantity | CodeableConcept | string | boolean | integer | Range | Ratio | SampledData | time | dateTime | Period
      Control0..*
      This element is affected by the following invariants: obd-0
      BindingThe codes SHALL be taken from PermittedDataTypeVS (0.11.1)http://hl7.org/fhir/ValueSet/permitted-data-type|5.0.0
      (required to https://terminology.dhp.uz/fhir/core/ValueSet/permitted-data-type-vs|0.11.1)
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      ExampleGeneral: CodeableConcept
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. ObservationDefinition.method
      Definition

      The method or technique used to perform the observation.

      ShortLaboratory method used to perform the test or analyte measurementMethod used to produce the observation
      Comments

      Only used if not implicit in observation code Example: 702659008 |Automated count technique|.

      Control0..1
      BindingFor example codes, see LabMethodsVS (0.11.1)http://hl7.org/fhir/ValueSet/observation-methods|5.0.0
      (example to https://terminology.dhp.uz/fhir/core/ValueSet/lab-method-vs|0.11.1)
      TypeCodeableConcept
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      In some cases, method can impact results.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. ObservationDefinition.permittedUnit
      Definition

      Units allowed for the valueQuantity element in the instance observations conforming to this ObservationDefinition.

      ShortPermitted unit of measure for the laboratory analyte value in uzbek and russian translationsUnit for quantitative results
      Control0..*
      This element is affected by the following invariants: obd-0
      BindingThe codes SHOULD be taken from UCUMUnitsSupplementVS (0.11.1)http://hl7.org/fhir/ValueSet/ucum-units|5.0.0
      (preferred to https://terminology.dhp.uz/fhir/core/ValueSet/ucum-units-supp-vs|0.11.1)
      TypeCoding
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on ObservationDefinition.permittedUnit. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ $this
      • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

        46. ObservationDefinition.permittedUnit:ucum
        Slice Nameucum
        Definition

        Units allowed for the valueQuantity element in the instance observations conforming to this ObservationDefinition.

        ShortPermitted unit from UCUMUnit for quantitative results
        Control0..*
        This element is affected by the following invariants: obd-0
        BindingThe codes SHALL be taken from The codes SHOULD be taken from UCUMUnitsSupplementVS (0.11.1)http://hl7.org/fhir/ValueSet/ucum-units|5.0.0
        (required to https://terminology.dhp.uz/fhir/core/ValueSet/ucum-units-supp-vs|0.11.1)
        TypeCoding
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. ObservationDefinition.qualifiedValue
        Definition

        A set of qualified values associated with a context and a set of conditions - provides a range for quantitative and ordinal observations and a collection of value sets for qualitative observations.

        ShortSet of qualified values for observation results
        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        50. ObservationDefinition.qualifiedValue.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        52. ObservationDefinition.qualifiedValue.context
        Definition

        A concept defining the context for this set of qualified values.

        ShortContext qualifier for the set of qualified values
        Control0..1
        BindingUnless not suitable, these codes SHALL be taken from ReferenceRangeMeaningVS (0.11.1)http://hl7.org/fhir/ValueSet/referencerange-meaning|5.0.0
        (extensible to https://terminology.dhp.uz/fhir/core/ValueSet/reference-range-meaning-vs|0.11.1)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. ObservationDefinition.qualifiedValue.gender
        Definition

        The gender this set of qualified values applies to.

        Shortmale | female | other | unknown
        Control0..1
        BindingThe codes SHALL be taken from AdministrativeGenderVS (0.11.1)http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0
        (required to https://terminology.dhp.uz/fhir/core/ValueSet/administrative-gender-vs|0.11.1)
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        ExampleGeneral: female
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        56. ObservationDefinition.qualifiedValue.rangeCategory
        Definition

        The category of range of values for continuous or ordinal observations that match the criteria of this set of qualified values.

        Shortreference | critical | absolute
        Control0..1
        BindingThe codes SHALL be taken from ObservationRangeCategoryVS (0.11.1)http://hl7.org/fhir/ValueSet/observation-range-category|5.0.0
        (required to https://terminology.dhp.uz/fhir/core/ValueSet/observation-range-category-vs|0.11.1)
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        ExampleGeneral: critical
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        58. ObservationDefinition.qualifiedValue.range
        Definition

        The range of values defined for continuous or ordinal observations that match the criteria of this set of qualified values.

        ShortReference range used as the normal value for the laboratory analyte displayed in the Patient PortalThe range for continuous or ordinal observations
        Control0..1
        TypeRange
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Requirements

        The unit may be not relevant for ordinal values. In case it is there, it is the same as ObservationDefinition.unit.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        60. ObservationDefinition.qualifiedValue.normalCodedValueSet
        Definition

        The set of normal coded results for qualitative observations that match the criteria of this set of qualified values.

        ShortValue set defining coded normal values for the laboratory analyteValue set of normal coded values as part of this set of qualified values
        Control0..1
        Typecanonical(ValueSet)
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        62. ObservationDefinition.hasMember
        Definition

        This ObservationDefinition defines a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.

        ShortDefinitions of related resources belonging to this kind of observation group
        Control0..*
        TypeReference(ObservationDefinition, Questionnaire)
        Is Modifierfalse
        Must Supporttrue
        Must Support TypesNo must-support rules about the choice of types/profiles
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        64. ObservationDefinition.component
        Definition

        Some observations have multiple component observations, expressed as separate code value pairs.

        ShortComponent results
        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Requirements

        Component observations share the same attributes as the primary observation and are always treated as a part of it (they are not separable).

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        obd-1: If permittedUnit exists, then permittedDataType=Quantity must exist. (permittedUnit.exists() implies (permittedDataType = 'Quantity').exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        obd-1: If permittedUnit exists, then permittedDataType=Quantity must exist. (permittedUnit.exists() implies (permittedDataType = 'Quantity').exists())
        66. ObservationDefinition.component.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        68. ObservationDefinition.component.code
        Definition

        Describes what will be observed.

        ShortLaboratory analyte or indicator code included in the laboratory panel displayed in the Patient PortalType of observation
        Control1..1
        BindingFor example codes, see ObservationCodesVS (0.11.1)http://hl7.org/fhir/ValueSet/observation-codes|5.0.0
        (example to https://terminology.dhp.uz/fhir/core/ValueSet/observation-codes-vs|0.11.1)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        70. ObservationDefinition.component.permittedDataType
        Definition

        The data types allowed for the value element of the instance of this component observations.

        ShortAllowed value types for laboratory observation resultsQuantity | CodeableConcept | string | boolean | integer | Range | Ratio | SampledData | time | dateTime | Period
        Control0..*
        This element is affected by the following invariants: obd-1
        BindingThe codes SHALL be taken from PermittedDataTypeVS (0.11.1)http://hl7.org/fhir/ValueSet/permitted-data-type|5.0.0
        (required to https://terminology.dhp.uz/fhir/core/ValueSet/permitted-data-type-vs|0.11.1)
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        ExampleGeneral: CodeableConcept
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        72. ObservationDefinition.component.permittedUnit
        Definition

        Units allowed for the valueQuantity element in the instance observations conforming to this ObservationDefinition.

        ShortPermitted unit of measure for the laboratory analyte value in uzbek and russian translationsUnit for quantitative results
        Control0..*
        This element is affected by the following invariants: obd-1
        BindingThe codes SHOULD be taken from UCUMUnitsSupplementVS (0.11.1)http://hl7.org/fhir/ValueSet/ucum-units|5.0.0
        (preferred to https://terminology.dhp.uz/fhir/core/ValueSet/ucum-units-supp-vs|0.11.1)
        TypeCoding
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

        See the documentation on how to interpret the contents of this table

        0. ObservationDefinition
        2. ObservationDefinition.url
        Must Supporttrue
        4. ObservationDefinition.identifier
        ShortIdentifier of the ObservationDefinition
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Must Supporttrue
        6. ObservationDefinition.name
        Must Supporttrue
        8. ObservationDefinition.title
        ShortObservation definition title (in Uzbek language)
        Must Supporttrue
        10. ObservationDefinition.title.extension
        ShortObservation definition title (in Russian and Karakalpak languages)
        SlicingThis element introduces a set of slices on ObservationDefinition.title.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

          12. ObservationDefinition.title.extension:translation
          Slice Nametranslation
          Control0..*
          TypeExtension(Translation) (Complex Extension)
          Must Supporttrue
          14. ObservationDefinition.status
          BindingThe codes SHALL be taken from PublicationStatusVS (0.11.1)
          (required to https://terminology.dhp.uz/fhir/core/ValueSet/publication-status-vs|0.11.1)
          Must Supporttrue
          16. ObservationDefinition.date
          Must Supporttrue
          18. ObservationDefinition.description
          Must Supporttrue
          20. ObservationDefinition.useContext
          Control1..?
          Must Supporttrue
          SlicingThis element introduces a set of slices on ObservationDefinition.useContext. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ code
          • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

            22. ObservationDefinition.useContext:laboratoryFocus
            Slice NamelaboratoryFocus
            ShortMarks this ObservationDefinition as a laboratory definition
            Control1..1
            Must Supporttrue
            24. ObservationDefinition.useContext:laboratoryFocus.code
            Pattern Value
            {
              "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
              "code" : "focus"
            }
            <code>
              <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
              <code value="focus"/>
            </code>
            26. ObservationDefinition.useContext:laboratoryFocus.value[x]
            TypeCodeableConcept
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Pattern Value
            {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "108252007",
                  "display" : "Laboratory procedure"
                }
              ]
            }
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="108252007"/>
                <display value="Laboratory procedure"/>
              </coding>
            </valueCodeableConcept>
            28. ObservationDefinition.subject
            Must Supporttrue
            30. ObservationDefinition.category
            BindingFor example codes, see ObservationCategoryVS (0.11.1)
            (example to https://terminology.dhp.uz/fhir/core/ValueSet/observation-category-vs|0.11.1)
            Must Supporttrue
            32. ObservationDefinition.code
            ShortLaboratory panel or test code displayed in the Patient Portal
            BindingFor example codes, see ObservationCodesVS (0.11.1)
            (example to https://terminology.dhp.uz/fhir/core/ValueSet/observation-codes-vs|0.11.1)
            Must Supporttrue
            34. ObservationDefinition.permittedDataType
            ShortAllowed value types for laboratory observation results
            BindingThe codes SHALL be taken from PermittedDataTypeVS (0.11.1)
            (required to https://terminology.dhp.uz/fhir/core/ValueSet/permitted-data-type-vs|0.11.1)
            Must Supporttrue
            36. ObservationDefinition.method
            ShortLaboratory method used to perform the test or analyte measurement
            BindingFor example codes, see LabMethodsVS (0.11.1)
            (example to https://terminology.dhp.uz/fhir/core/ValueSet/lab-method-vs|0.11.1)
            Must Supporttrue
            38. ObservationDefinition.permittedUnit
            ShortPermitted unit of measure for the laboratory analyte value in uzbek and russian translations
            BindingThe codes SHOULD be taken from UCUMUnitsSupplementVS (0.11.1)
            (preferred to https://terminology.dhp.uz/fhir/core/ValueSet/ucum-units-supp-vs|0.11.1)
            Must Supporttrue
            SlicingThis element introduces a set of slices on ObservationDefinition.permittedUnit. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ $this
            • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

              40. ObservationDefinition.permittedUnit:ucum
              Slice Nameucum
              ShortPermitted unit from UCUM
              Control0..*
              BindingThe codes SHALL be taken from UCUMUnitsSupplementVS (0.11.1)
              (required to https://terminology.dhp.uz/fhir/core/ValueSet/ucum-units-supp-vs|0.11.1)
              Must Supporttrue
              42. ObservationDefinition.qualifiedValue
              Must Supporttrue
              44. ObservationDefinition.qualifiedValue.context
              BindingUnless not suitable, these codes SHALL be taken from ReferenceRangeMeaningVS (0.11.1)
              (extensible to https://terminology.dhp.uz/fhir/core/ValueSet/reference-range-meaning-vs|0.11.1)
              46. ObservationDefinition.qualifiedValue.gender
              BindingThe codes SHALL be taken from AdministrativeGenderVS (0.11.1)
              (required to https://terminology.dhp.uz/fhir/core/ValueSet/administrative-gender-vs|0.11.1)
              48. ObservationDefinition.qualifiedValue.rangeCategory
              BindingThe codes SHALL be taken from ObservationRangeCategoryVS (0.11.1)
              (required to https://terminology.dhp.uz/fhir/core/ValueSet/observation-range-category-vs|0.11.1)
              50. ObservationDefinition.qualifiedValue.range
              ShortReference range used as the normal value for the laboratory analyte displayed in the Patient Portal
              52. ObservationDefinition.qualifiedValue.normalCodedValueSet
              ShortValue set defining coded normal values for the laboratory analyte
              54. ObservationDefinition.hasMember
              Must Supporttrue
              56. ObservationDefinition.component
              Must Supporttrue
              58. ObservationDefinition.component.code
              ShortLaboratory analyte or indicator code included in the laboratory panel displayed in the Patient Portal
              BindingFor example codes, see ObservationCodesVS (0.11.1)
              (example to https://terminology.dhp.uz/fhir/core/ValueSet/observation-codes-vs|0.11.1)
              60. ObservationDefinition.component.permittedDataType
              ShortAllowed value types for laboratory observation results
              BindingThe codes SHALL be taken from PermittedDataTypeVS (0.11.1)
              (required to https://terminology.dhp.uz/fhir/core/ValueSet/permitted-data-type-vs|0.11.1)
              62. ObservationDefinition.component.permittedUnit
              ShortPermitted unit of measure for the laboratory analyte value in uzbek and russian translations
              BindingThe codes SHOULD be taken from UCUMUnitsSupplementVS (0.11.1)
              (preferred to https://terminology.dhp.uz/fhir/core/ValueSet/ucum-units-supp-vs|0.11.1)
              Must Supporttrue

              See the documentation on how to interpret the contents of this table

              0. ObservationDefinition
              Definition

              Set of definitional characteristics for a kind of observation or measurement produced or consumed by an orderable health care service.

              ShortDefinition of an observation
              Comments

              An instance of this resource informs the consumer of a health-related service (such as a lab diagnostic test or panel) about how the observations used or produced by this service will look like.

              Control0..*
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantscnl-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$'))
              obd-0: If permittedUnit exists, then permittedDataType=Quantity must exist. (permittedUnit.exists() implies (permittedDataType = 'Quantity').exists())
              2. ObservationDefinition.id
              Definition

              The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

              ShortLogical id of this artifact
              Comments

              Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

              Control0..1
              Typeid
              Is Modifierfalse
              Must Supportfalse
              Summarytrue
              4. ObservationDefinition.meta
              Definition

              The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

              ShortMetadata about the resource
              Control0..1
              TypeMeta
              Is Modifierfalse
              Must Supportfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              6. ObservationDefinition.implicitRules
              Definition

              A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

              ShortA set of rules under which this content was created
              Comments

              Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

              Control0..1
              Typeuri
              Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              8. ObservationDefinition.language
              Definition

              The base language in which the resource is written.

              ShortLanguage of the resource content
              Comments

              Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

              Control0..1
              BindingThe codes SHALL be taken from AllLanguages
              (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

              IETF language tag for a human language

              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              10. ObservationDefinition.text
              Definition

              A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

              ShortText summary of the resource, for human interpretation
              Comments

              Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

              Control0..1
              This element is affected by the following invariants: dom-6
              TypeNarrative
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Alternate Namesnarrative, html, xhtml, display
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              12. ObservationDefinition.contained
              Definition

              These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

              ShortContained, inline Resources
              Comments

              This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

              Control0..*
              This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
              TypeResource
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Alternate Namesinline resources, anonymous resources, contained resources
              14. ObservationDefinition.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              16. ObservationDefinition.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
              Must Supportfalse
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              18. ObservationDefinition.url
              Definition

              An absolute URL that is used to identify this ObservationDefinition when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this ObservationDefinition is (or will be) published. The URL SHOULD include the major version of the ObservationDefinition. For more information see Technical and Business Versions.

              ShortLogical canonical URL to reference this ObservationDefinition (globally unique)
              Comments

              Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred. This is the URI that will be used when making canonical references to this resource.

              Control0..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Requirements

              Allows the ObservationDefinition to be referenced by a single globally unique identifier.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              20. ObservationDefinition.identifier
              Definition

              Business identifiers assigned to this ObservationDefinition. by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server.

              ShortIdentifier of the ObservationDefinition
              Comments

              This is a business identifier, not a resource identifier. It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.

              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..1
              TypeIdentifier
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Requirements

              Allows identification of the ObservationDefinition as it is known by various participating systems and in a way that remains consistent across servers.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              22. ObservationDefinition.version
              Definition

              The identifier that is used to identify this version of the ObservationDefinition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the ObservationDefinition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.

              ShortBusiness version of the ObservationDefinition
              Comments

              There may be multiple different instances of an observationDefinition that have the same identifier but different versions.

              NoteThis is a business version Id, not a resource version Id (see discussion)
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              24. ObservationDefinition.versionAlgorithm[x]
              Definition

              Indicates the mechanism used to compare versions to determine which is more current.

              ShortHow to compare versions
              Comments

              If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.

              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from VersionAlgorithm
              (extensible to http://hl7.org/fhir/ValueSet/version-algorithm|5.0.0)
              TypeChoice of: string, Coding
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              26. ObservationDefinition.name
              Definition

              A natural language name identifying the ObservationDefinition. This name should be usable as an identifier for the module by machine processing applications such as code generation.

              ShortName for this ObservationDefinition (computer friendly)
              Comments

              The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

              Control0..1
              This element is affected by the following invariants: cnl-0
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Requirements

              Support human navigation and code generation.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              28. ObservationDefinition.title
              Definition

              A short, descriptive, user-friendly title for the ObservationDefinition.

              ShortObservation definition title (in Uzbek language)
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              30. ObservationDefinition.title.id
              Definition

              unique id for the element within a resource (for internal references)

              Shortxml:id (or equivalent in JSON)
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              32. ObservationDefinition.title.extension
              Definition

              An Extension

              ShortObservation definition title (in Russian and Karakalpak languages)
              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on ObservationDefinition.title.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                34. ObservationDefinition.title.extension:translation
                Slice Nametranslation
                Definition

                Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended.

                ShortLanguage Translation (Localization)
                Control0..*
                TypeExtension(Translation) (Complex Extension)
                Is Modifierfalse
                Must Supporttrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                36. ObservationDefinition.title.value
                Definition

                The actual value

                ShortPrimitive value for string
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Max Length:1048576
                38. ObservationDefinition.status
                Definition

                The current state of the ObservationDefinition.

                Shortdraft | active | retired | unknown
                Comments

                A nominal state-transition diagram can be found in the Definition pattern documentation Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

                See guidance around (not) making local changes to elements here.

                Control1..1
                BindingThe codes SHALL be taken from PublicationStatusVS (0.11.1)
                (required to https://terminology.dhp.uz/fhir/core/ValueSet/publication-status-vs|0.11.1)
                Typecode
                Is Modifiertrue because Not known why this is labelled a modifier
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                40. ObservationDefinition.experimental
                Definition

                A flag to indicate that this ObservationDefinition is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.

                ShortIf for testing purposes, not real usage
                Comments

                Allows filtering of ObservationDefinition that are appropriate for use vs. not.

                Control0..1
                Typeboolean
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summarytrue
                Meaning if MissingIf absent, this resource is treated as though it is not experimental.
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                42. ObservationDefinition.date
                Definition

                The date (and optionally time) when the ObservationDefinition was last significantly changed. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the ObservationDefinition changes.

                ShortDate last changed
                Comments

                The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the ObservationDefinition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

                See guidance around (not) making local changes to elements here.

                Control0..1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Alternate Namesrevision date
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                44. ObservationDefinition.publisher
                Definition

                Helps establish the "authority/credibility" of the ObservationDefinition. May also allow for contact.

                ShortThe name of the individual or organization that published the ObservationDefinition
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summarytrue
                Requirements

                Usually an organization, but may be an individual. The publisher (or steward) of the ObservationDefinition is the organization or individual primarily responsible for the maintenance and upkeep of the ObservationDefinition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the ObservationDefinition. This item SHOULD be populated unless the information is available from context.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                46. ObservationDefinition.contact
                Definition

                Contact details to assist a user in finding and communicating with the publisher.

                ShortContact details for the publisher
                Comments

                May be a web site, an email address, a telephone number, etc.

                See guidance around (not) making local changes to elements here.

                Control0..*
                TypeContactDetail
                Is Modifierfalse
                Must Supportfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                48. ObservationDefinition.description
                Definition

                A free text natural language description of the ObservationDefinition from the consumer's perspective.

                ShortNatural language description of the ObservationDefinition
                Comments

                This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.

                Control0..1
                Typemarkdown
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                50. ObservationDefinition.useContext
                Definition

                The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate ObservationDefinition instances.

                ShortContent intends to support these contexts
                Comments

                When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.

                Control1..*
                TypeUsageContext
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Requirements

                Assist in searching for appropriate content.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on ObservationDefinition.useContext. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ code
                • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                  52. ObservationDefinition.useContext:laboratoryFocus
                  Slice NamelaboratoryFocus
                  Definition

                  The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate ObservationDefinition instances.

                  ShortMarks this ObservationDefinition as a laboratory definition
                  Comments

                  When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.

                  Control1..1
                  TypeUsageContext
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Assist in searching for appropriate content.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  54. ObservationDefinition.useContext:laboratoryFocus.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  This element is affected by the following invariants: ele-1
                  Typeid
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  56. ObservationDefinition.useContext:laboratoryFocus.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on ObservationDefinition.useContext.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 58. ObservationDefinition.useContext:laboratoryFocus.code
                    Definition

                    A code that identifies the type of context being specified by this usage context.

                    ShortType of context being specified
                    Control1..1
                    BindingUnless not suitable, these codes SHALL be taken from UsageContextType (1.0.1)
                    (extensible to http://terminology.hl7.org/ValueSet/usage-context-type|1.0.1)

                    A code that specifies a type of context being specified by a usage context.

                    TypeCoding
                    Is Modifierfalse
                    Summarytrue
                    Pattern Value
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
                      "code" : "focus"
                    }
                    <code>
                      <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
                      <code value="focus"/>
                    </code>
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    60. ObservationDefinition.useContext:laboratoryFocus.value[x]
                    Definition

                    A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.

                    ShortValue that defines the context
                    Control1..1
                    BindingFor example codes, see ContextOfUseValueSet
                    (example to http://hl7.org/fhir/ValueSet/use-context|5.0.0)

                    A code that defines the specific value for the context being specified.

                    TypeCodeableConcept
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Summarytrue
                    Pattern Value
                    {
                      "coding" : [
                        {
                          "system" : "http://snomed.info/sct",
                          "code" : "108252007",
                          "display" : "Laboratory procedure"
                        }
                      ]
                    }
                    <valueCodeableConcept>
                      <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="108252007"/>
                        <display value="Laboratory procedure"/>
                      </coding>
                    </valueCodeableConcept>
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    62. ObservationDefinition.jurisdiction
                    Definition

                    A jurisdiction in which the ObservationDefinition is intended to be used.

                    ShortIntended jurisdiction for this ObservationDefinition (if applicable)
                    Comments

                    It may be possible for the ObservationDefinition to be used in jurisdictions other than those for which it was originally designed or intended.

                    DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)

                    Control0..*
                    BindingUnless not suitable, these codes SHALL be taken from JurisdictionValueSet
                    (extensible to http://hl7.org/fhir/ValueSet/jurisdiction|5.0.0)

                    Codes for country, country subdivision and region for indicating where a resource is intended to be used.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    64. ObservationDefinition.purpose
                    Definition

                    Explains why this ObservationDefinition is needed and why it has been designed as it has.

                    ShortWhy this ObservationDefinition is defined
                    Comments

                    This element does not describe the usage of the ObservationDefinition. Rather it is for traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this ObservationDefinition.

                    Control0..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    66. ObservationDefinition.copyright
                    Definition

                    Copyright statement relating to the ObservationDefinition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the ObservationDefinition.

                    ShortUse and/or publishing restrictions
                    Control0..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Consumers of the ObservationDefinition must be able to determine any legal restrictions on the use of the artifact and/or its content.

                    Alternate NamesLicense, Restrictions
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    68. ObservationDefinition.copyrightLabel
                    Definition

                    A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are resctricted. (e.g. 'All rights reserved', 'Some rights reserved').

                    ShortCopyright holder and year(s)
                    Comments

                    The (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.

                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Defines the content expected to be rendered in all representations of the artifact.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    70. ObservationDefinition.approvalDate
                    Definition

                    The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage.

                    ShortWhen ObservationDefinition was approved by publisher
                    Comments

                    The date may be more recent than the approval date because of minor changes / editorial corrections.

                    See guidance around (not) making local changes to elements here.

                    Control0..1
                    Typedate
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    72. ObservationDefinition.lastReviewDate
                    Definition

                    The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date.

                    ShortDate on which the asset content was last reviewed by the publisher
                    Comments

                    If specified, this is usually after the approval date.

                    See guidance around (not) making local changes to elements here.

                    Control0..1
                    Typedate
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    74. ObservationDefinition.effectivePeriod
                    Definition

                    The period during which the ObservationDefinition content was or is planned to be effective.

                    ShortThe effective date range for the ObservationDefinition
                    Comments

                    The effective period for an ObservationDefinition determines when the content is applicable for usage and is independent of publication and review dates. For example, an observation definition intended to be used for the year 2021 might be published in 2020.

                    See guidance around (not) making local changes to elements here.

                    Control0..1
                    TypePeriod
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    76. ObservationDefinition.derivedFromCanonical
                    Definition

                    The canonical URL pointing to another FHIR-defined ObservationDefinition that is adhered to in whole or in part by this definition.

                    ShortBased on FHIR definition of another observation
                    Control0..*
                    Typecanonical(ObservationDefinition)
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    78. ObservationDefinition.derivedFromUri
                    Definition

                    The URL pointing to an externally-defined observation definition, guideline or other definition that is adhered to in whole or in part by this definition.

                    ShortBased on external definition
                    Control0..*
                    Typeuri
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Observation definitions may be refinements of other definitions.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    80. ObservationDefinition.subject
                    Definition

                    A code that describes the intended kind of subject of Observation instances conforming to this ObservationDefinition.

                    ShortType of subject for the defined observation
                    Comments

                    Examples: person, animal, device, air, surface ….

                    Control0..*
                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    82. ObservationDefinition.performerType
                    Definition

                    The type of individual/organization/device that is expected to act upon instances of this definition.

                    ShortDesired kind of performer for such kind of observation
                    Control0..1
                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    84. ObservationDefinition.category
                    Definition

                    A code that classifies the general type of observation.

                    ShortGeneral type of observation
                    Comments

                    This element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used for one instance of ObservationDefinition. The level of granularity is defined by the category concepts in the value set.

                    Control0..*
                    BindingFor example codes, see ObservationCategoryVS (0.11.1)
                    (example to https://terminology.dhp.uz/fhir/core/ValueSet/observation-category-vs|0.11.1)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Requirements

                    Used for filtering what kinds of observations are retrieved and displayed.

                    Alternate NamesClass of observation
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    86. ObservationDefinition.code
                    Definition

                    Describes what will be observed. Sometimes this is called the observation "name".

                    ShortLaboratory panel or test code displayed in the Patient Portal
                    Control1..1
                    BindingFor example codes, see ObservationCodesVS (0.11.1)
                    (example to https://terminology.dhp.uz/fhir/core/ValueSet/observation-codes-vs|0.11.1)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    88. ObservationDefinition.permittedDataType
                    Definition

                    The data types allowed for the value element of the instance observations conforming to this ObservationDefinition.

                    ShortAllowed value types for laboratory observation results
                    Control0..*
                    This element is affected by the following invariants: obd-0
                    BindingThe codes SHALL be taken from PermittedDataTypeVS (0.11.1)
                    (required to https://terminology.dhp.uz/fhir/core/ValueSet/permitted-data-type-vs|0.11.1)
                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summaryfalse
                    ExampleGeneral: CodeableConcept
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    90. ObservationDefinition.multipleResultsAllowed
                    Definition

                    Multiple results allowed for observations conforming to this ObservationDefinition.

                    ShortMultiple results allowed for conforming observations
                    Comments

                    An example of observation allowing multiple results is "bacteria identified by culture". Conversely, the measurement of a potassium level allows a single result.

                    Control0..1
                    Typeboolean
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    ExampleGeneral: true
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    92. ObservationDefinition.bodySite
                    Definition

                    The site on the subject's body where the observation is to be made.

                    ShortBody part to be observed
                    Comments

                    Only used if the defined observation is to be made directly on a body part and if this body part is not implied by code found in ObservationDefinition.code. Not used for in vitro diagnostic observations. Example: 14975008 |Forearm structure|.

                    Control0..1
                    BindingFor example codes, see SNOMEDCTBodyStructures
                    (example to http://hl7.org/fhir/ValueSet/body-site|5.0.0)

                    SNOMED CT body structures.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    94. ObservationDefinition.method
                    Definition

                    The method or technique used to perform the observation.

                    ShortLaboratory method used to perform the test or analyte measurement
                    Comments

                    Only used if not implicit in observation code Example: 702659008 |Automated count technique|.

                    Control0..1
                    BindingFor example codes, see LabMethodsVS (0.11.1)
                    (example to https://terminology.dhp.uz/fhir/core/ValueSet/lab-method-vs|0.11.1)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Requirements

                    In some cases, method can impact results.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    96. ObservationDefinition.specimen
                    Definition

                    The kind of specimen that this type of observation is produced on.

                    ShortKind of specimen used by this type of observation
                    Comments

                    Only used for in vitro observations. When multiple occurrences of specimen are present, they are to be combined with a logical AND: all specified specimens are needed for the observation.

                    Control0..*
                    TypeReference(SpecimenDefinition)
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    98. ObservationDefinition.device
                    Definition

                    The measurement model of device or actual device used to produce observations of this type.

                    ShortMeasurement device or model of device
                    Comments

                    When multiple occurrences of device are present, they are to be combined with a logical OR: at least one of the specified devices is used to produce the observation.

                    Control0..*
                    TypeReference(DeviceDefinition, Device)
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    100. ObservationDefinition.preferredReportName
                    Definition

                    The preferred name to be used when reporting the results of observations conforming to this ObservationDefinition.

                    ShortThe preferred name to be used when reporting the observation results
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    102. ObservationDefinition.permittedUnit
                    Definition

                    Units allowed for the valueQuantity element in the instance observations conforming to this ObservationDefinition.

                    ShortPermitted unit of measure for the laboratory analyte value in uzbek and russian translations
                    Control0..*
                    This element is affected by the following invariants: obd-0
                    BindingThe codes SHOULD be taken from UCUMUnitsSupplementVS (0.11.1)
                    (preferred to https://terminology.dhp.uz/fhir/core/ValueSet/ucum-units-supp-vs|0.11.1)
                    TypeCoding
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on ObservationDefinition.permittedUnit. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ $this
                    • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                      104. ObservationDefinition.permittedUnit:ucum
                      Slice Nameucum
                      Definition

                      Units allowed for the valueQuantity element in the instance observations conforming to this ObservationDefinition.

                      ShortPermitted unit from UCUM
                      Control0..*
                      This element is affected by the following invariants: obd-0
                      BindingThe codes SHALL be taken from UCUMUnitsSupplementVS (0.11.1)
                      (required to https://terminology.dhp.uz/fhir/core/ValueSet/ucum-units-supp-vs|0.11.1)
                      TypeCoding
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      106. ObservationDefinition.qualifiedValue
                      Definition

                      A set of qualified values associated with a context and a set of conditions - provides a range for quantitative and ordinal observations and a collection of value sets for qualitative observations.

                      ShortSet of qualified values for observation results
                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      108. ObservationDefinition.qualifiedValue.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      This element is affected by the following invariants: ele-1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      110. ObservationDefinition.qualifiedValue.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      112. ObservationDefinition.qualifiedValue.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      114. ObservationDefinition.qualifiedValue.context
                      Definition

                      A concept defining the context for this set of qualified values.

                      ShortContext qualifier for the set of qualified values
                      Control0..1
                      BindingUnless not suitable, these codes SHALL be taken from ReferenceRangeMeaningVS (0.11.1)
                      (extensible to https://terminology.dhp.uz/fhir/core/ValueSet/reference-range-meaning-vs|0.11.1)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      116. ObservationDefinition.qualifiedValue.appliesTo
                      Definition

                      The target population this set of qualified values applies to.

                      ShortTargetted population for the set of qualified values
                      Comments

                      If this element is not present then the global population is assumed.

                      Control0..*
                      BindingFor example codes, see ObservationReferenceRangeAppliesToCodes
                      (example to http://hl7.org/fhir/ValueSet/referencerange-appliesto|5.0.0)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      118. ObservationDefinition.qualifiedValue.gender
                      Definition

                      The gender this set of qualified values applies to.

                      Shortmale | female | other | unknown
                      Control0..1
                      BindingThe codes SHALL be taken from AdministrativeGenderVS (0.11.1)
                      (required to https://terminology.dhp.uz/fhir/core/ValueSet/administrative-gender-vs|0.11.1)
                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      ExampleGeneral: female
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      120. ObservationDefinition.qualifiedValue.age
                      Definition

                      The age range this set of qualified values applies to.

                      ShortApplicable age range for the set of qualified values
                      Comments

                      Some analytes vary greatly over age.

                      Control0..1
                      TypeRange
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      122. ObservationDefinition.qualifiedValue.gestationalAge
                      Definition

                      The gestational age this set of qualified values applies to.

                      ShortApplicable gestational age range for the set of qualified values
                      Control0..1
                      TypeRange
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      124. ObservationDefinition.qualifiedValue.condition
                      Definition

                      Text based condition for which the the set of qualified values is valid.

                      ShortCondition associated with the set of qualified values
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      126. ObservationDefinition.qualifiedValue.rangeCategory
                      Definition

                      The category of range of values for continuous or ordinal observations that match the criteria of this set of qualified values.

                      Shortreference | critical | absolute
                      Control0..1
                      BindingThe codes SHALL be taken from ObservationRangeCategoryVS (0.11.1)
                      (required to https://terminology.dhp.uz/fhir/core/ValueSet/observation-range-category-vs|0.11.1)
                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      ExampleGeneral: critical
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      128. ObservationDefinition.qualifiedValue.range
                      Definition

                      The range of values defined for continuous or ordinal observations that match the criteria of this set of qualified values.

                      ShortReference range used as the normal value for the laboratory analyte displayed in the Patient Portal
                      Control0..1
                      TypeRange
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Requirements

                      The unit may be not relevant for ordinal values. In case it is there, it is the same as ObservationDefinition.unit.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      130. ObservationDefinition.qualifiedValue.validCodedValueSet
                      Definition

                      The set of valid coded results for qualitative observations that match the criteria of this set of qualified values.

                      ShortValue set of valid coded values as part of this set of qualified values
                      Control0..1
                      Typecanonical(ValueSet)
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      132. ObservationDefinition.qualifiedValue.normalCodedValueSet
                      Definition

                      The set of normal coded results for qualitative observations that match the criteria of this set of qualified values.

                      ShortValue set defining coded normal values for the laboratory analyte
                      Control0..1
                      Typecanonical(ValueSet)
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      134. ObservationDefinition.qualifiedValue.abnormalCodedValueSet
                      Definition

                      The set of abnormal coded results for qualitative observations that match the criteria of this set of qualified values.

                      ShortValue set of abnormal coded values as part of this set of qualified values
                      Control0..1
                      Typecanonical(ValueSet)
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      136. ObservationDefinition.qualifiedValue.criticalCodedValueSet
                      Definition

                      The set of critical coded results for qualitative observations that match the criteria of this set of qualified values.

                      ShortValue set of critical coded values as part of this set of qualified values
                      Control0..1
                      Typecanonical(ValueSet)
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      138. ObservationDefinition.hasMember
                      Definition

                      This ObservationDefinition defines a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.

                      ShortDefinitions of related resources belonging to this kind of observation group
                      Control0..*
                      TypeReference(ObservationDefinition, Questionnaire)
                      Is Modifierfalse
                      Must Supporttrue
                      Must Support TypesNo must-support rules about the choice of types/profiles
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      140. ObservationDefinition.component
                      Definition

                      Some observations have multiple component observations, expressed as separate code value pairs.

                      ShortComponent results
                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Requirements

                      Component observations share the same attributes as the primary observation and are always treated as a part of it (they are not separable).

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      obd-1: If permittedUnit exists, then permittedDataType=Quantity must exist. (permittedUnit.exists() implies (permittedDataType = 'Quantity').exists())
                      142. ObservationDefinition.component.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      This element is affected by the following invariants: ele-1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      144. ObservationDefinition.component.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      146. ObservationDefinition.component.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      148. ObservationDefinition.component.code
                      Definition

                      Describes what will be observed.

                      ShortLaboratory analyte or indicator code included in the laboratory panel displayed in the Patient Portal
                      Control1..1
                      BindingFor example codes, see ObservationCodesVS (0.11.1)
                      (example to https://terminology.dhp.uz/fhir/core/ValueSet/observation-codes-vs|0.11.1)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      150. ObservationDefinition.component.permittedDataType
                      Definition

                      The data types allowed for the value element of the instance of this component observations.

                      ShortAllowed value types for laboratory observation results
                      Control0..*
                      This element is affected by the following invariants: obd-1
                      BindingThe codes SHALL be taken from PermittedDataTypeVS (0.11.1)
                      (required to https://terminology.dhp.uz/fhir/core/ValueSet/permitted-data-type-vs|0.11.1)
                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      ExampleGeneral: CodeableConcept
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      152. ObservationDefinition.component.permittedUnit
                      Definition

                      Units allowed for the valueQuantity element in the instance observations conforming to this ObservationDefinition.

                      ShortPermitted unit of measure for the laboratory analyte value in uzbek and russian translations
                      Control0..*
                      This element is affected by the following invariants: obd-1
                      BindingThe codes SHOULD be taken from UCUMUnitsSupplementVS (0.11.1)
                      (preferred to https://terminology.dhp.uz/fhir/core/ValueSet/ucum-units-supp-vs|0.11.1)
                      TypeCoding
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      154. ObservationDefinition.component.qualifiedValue
                      Definition

                      A set of qualified values associated with a context and a set of conditions - provides a range for quantitative and ordinal observations and a collection of value sets for qualitative observations.

                      ShortSet of qualified values for observation results
                      Control0..*
                      TypeSeettp://hl7.org/fhir/StructureDefinition/ObservationDefinition#ObservationDefinition.qualifiedValue
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))