Uzbekistan Digital Health Platform
0.3.0 -
Uzbekistan Digital Health Platform
0.3.0 -
Uzbekistan Digital Health Platform, published by Uzinfocom LLC. This guide is not an authorized publication; it is the continuous build for version 0.3.0 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
| Official URL: https://dhp.uz/fhir/core/StructureDefinition/uz-core-socioeconomic-observation | Version: 0.3.0 | |||
| Computable Name: UZCoreSocioeconomicObservation | ||||
Uzbekistan Core socioeconomic observation profile, used to represent patients' benefits, education, profession, and social status.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Observation |
C | 0..* | Observation(5.0.0) | Measurements and simple assertions Constraints: obs-6, obs-7, obs-8 | |||||||||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | ||||||||||||||||
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | |||||||||||||||
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | |||||||||||||||
  code |
SΣC | 1..1 | CodeableConcept | Socioeconomic observation type. Education level code is aligned with EE MPI SocialHistory Education Level profile Binding: LOINCCodes (example): Codes identifying names of simple observations. | |||||||||||||||
   Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |||||||||||||||
   coding:socioeconomicType |
SΣ | 1..1 | Coding | Required socioeconomic observation type code Binding: SocioeconomicObservationCodesVS (0.3.0) (required) | |||||||||||||||
 system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |||||||||||||||
 subject |
SΣ | 1..1 | Reference(UZ Core Patient(0.3.0)) | Who and/or what the observation is about | |||||||||||||||
| Slices for effective[x] |
Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |||||||||||||||
 effective[x]:effectiveDateTime |
SΣ | 1..1 | dateTime | Date when the socioeconomic data was recorded or applicable | |||||||||||||||
 value[x] |
ΣC | 0..1 | CodeableConcept | One of the sample valuesets that can be used is BenefitsVS. For all others, see the table: Binding: BenefitsVS (0.3.0) (example)
| |||||||||||||||
| Documentation for this format | |||||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | Observation Status | 📍5.0.0 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📍5.0.0 | FHIR Std. |
| Observation.code.coding:socioeconomicType | Base | required | Socioeconomic Observation Codes | 📍0.3.0 | This IG |
| Observation.value[x] | Base | example | Types of benefits | 📍0.3.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Observation.implicitRules, Observation.modifierExtension, Observation.status, Observation.code, Observation.code.coding, Observation.code.coding:socioeconomicType, Observation.code.coding:socioeconomicType.system, Observation.subject, Observation.effective[x], Observation.effective[x]:effectiveDateTime, Observation.value[x] | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Observation.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| obs-8 | error | Observation | bodyStructure SHALL only be present if Observation.bodySite is not present |
bodySite.exists() implies bodyStructure.empty()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
0..* | Observation(5.0.0) | Measurements and simple assertions | ||||||||||||||||
 code |
S | 1..1 | CodeableConcept | Socioeconomic observation type. Education level code is aligned with EE MPI SocialHistory Education Level profile | |||||||||||||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||||||||||||||
| coding:socioeconomicType |
S | 1..1 | Coding | Required socioeconomic observation type code Binding: SocioeconomicObservationCodesVS (0.3.0) (required) | |||||||||||||||
| system |
0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||||||||||||||
| subject |
S | 1..1 | Reference(UZ Core Patient(0.3.0)) | Who and/or what the observation is about | |||||||||||||||
| Slices for effective[x] |
1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | ||||||||||||||||
| effective[x]:effectiveDateTime |
S | 1..1 | dateTime | Date when the socioeconomic data was recorded or applicable | |||||||||||||||
| value[x] |
0..1 | CodeableConcept | One of the sample valuesets that can be used is BenefitsVS. For all others, see the table: Binding: BenefitsVS (0.3.0) (example)
| ||||||||||||||||
| Documentation for this format | |||||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.code.coding:socioeconomicType | Base | required | Socioeconomic Observation Codes | 📍0.3.0 | This IG |
| Observation.value[x] | Base | example | Types of benefits | 📍0.3.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation(5.0.0) | Measurements and simple assertions Constraints: obs-6, obs-7, obs-8 | |||||||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | |||||||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | |||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| ||||||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | ||||||||||||||||
 extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | ||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | |||||||||||||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | |||||||||||||||
| instantiates[x] |
Σ | 0..1 | canonical(ObservationDefinition), Reference(ObservationDefinition) | Instantiates FHIR ObservationDefinition | |||||||||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | |||||||||||||||
| triggeredBy |
0..* | BackboneElement | Triggering observation(s) | ||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | ||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||||||||||||
| observation |
Σ | 1..1 | Reference(Observation) | Triggering observation | |||||||||||||||
| type |
Σ | 1..1 | code | reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation. | |||||||||||||||
| reason |
0..1 | string | Reason that the observation was triggered | ||||||||||||||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) | Part of referenced event | |||||||||||||||
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | |||||||||||||||
| category |
0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||||||||||||||
| code |
SΣC | 1..1 | CodeableConcept | Socioeconomic observation type. Education level code is aligned with EE MPI SocialHistory Education Level profile Binding: LOINCCodes (example): Codes identifying names of simple observations. | |||||||||||||||
| id |
0..1 | id | Unique id for inter-element referencing | ||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |||||||||||||||
| coding:socioeconomicType |
SΣ | 1..1 | Coding | Required socioeconomic observation type code Binding: SocioeconomicObservationCodesVS (0.3.0) (required) | |||||||||||||||
 id |
0..1 | id | Unique id for inter-element referencing | ||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |||||||||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | |||||||||||||||
| code |
ΣC | 0..1 | code | Symbol in syntax defined by the system | |||||||||||||||
| display |
ΣC | 0..1 | string | Representation defined by the system | |||||||||||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | |||||||||||||||
| subject |
SΣ | 1..1 | Reference(UZ Core Patient(0.3.0)) | Who and/or what the observation is about | |||||||||||||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | |||||||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||||||||||||
| Slices for effective[x] |
Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |||||||||||||||
| effective[x]:effectiveDateTime |
SΣ | 1..1 | dateTime | Date when the socioeconomic data was recorded or applicable | |||||||||||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | |||||||||||||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | |||||||||||||||
| value[x] |
ΣC | 0..1 | CodeableConcept | One of the sample valuesets that can be used is BenefitsVS. For all others, see the table: Binding: BenefitsVS (0.3.0) (example)
| |||||||||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | |||||||||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||||||||||||||
| note |
0..* | Annotation | Comments about the observation | ||||||||||||||||
| bodySite |
C | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts | |||||||||||||||
| bodyStructure |
C | 0..1 | Reference(BodyStructure) | Observed body structure | |||||||||||||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | ||||||||||||||||
| specimen |
C | 0..1 | Reference(Specimen | Group) | Specimen used for this observation Constraints: obs-9 | |||||||||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | A reference to the device that generates the measurements or the device settings for the device | ||||||||||||||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | ||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||||||||||||
| low |
C | 0..1 | SimpleQuantity(5.0.0) | Low Range, if relevant | |||||||||||||||
| high |
C | 0..1 | SimpleQuantity(5.0.0) | High Range, if relevant | |||||||||||||||
| normalValue |
0..1 | CodeableConcept | Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation. | ||||||||||||||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | ||||||||||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | ||||||||||||||||
| age |
0..1 | Range | Applicable age range, if relevant | ||||||||||||||||
| text |
C | 0..1 | markdown | Text based reference range in an observation | |||||||||||||||
| hasMember |
Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | |||||||||||||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made | |||||||||||||||
| component |
ΣC | 0..* | BackboneElement | Component results | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | ||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||||||||||||
| code |
ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | |||||||||||||||
 value[x] |
Σ | 0..1 | Actual component result | ||||||||||||||||
| valueQuantity |
Quantity | ||||||||||||||||||
| valueCodeableConcept |
CodeableConcept | ||||||||||||||||||
| valueString |
string | ||||||||||||||||||
| valueBoolean |
boolean | ||||||||||||||||||
| valueInteger |
integer | ||||||||||||||||||
| valueRange |
Range | ||||||||||||||||||
| valueRatio |
Ratio | ||||||||||||||||||
| valueSampledData |
SampledData | ||||||||||||||||||
| valueTime |
time | ||||||||||||||||||
| valueDateTime |
dateTime | ||||||||||||||||||
| valuePeriod |
Period | ||||||||||||||||||
| valueAttachment |
Attachment | ||||||||||||||||||
| valueReference |
Reference(MolecularSequence) | ||||||||||||||||||
| dataAbsentReason |
0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||||||||||||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | ||||||||||||||||
| Documentation for this format | |||||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| Observation.triggeredBy.type | Base | required | triggered Bytype | 📍5.0.0 | FHIR Std. |
| Observation.status | Base | required | Observation Status | 📍5.0.0 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📍5.0.0 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📍5.0.0 | FHIR Std. |
| Observation.code.coding:socioeconomicType | Base | required | Socioeconomic Observation Codes | 📍0.3.0 | This IG |
| Observation.value[x] | Base | example | Types of benefits | 📍0.3.0 | This IG |
| Observation.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.normalValue | Base | extensible | Observation Reference Range Normal Value Codes | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍5.0.0 | FHIR Std. |
| Observation.component.code | Base | example | LOINC Codes | 📍5.0.0 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.modifierExtension, Observation.identifier, Observation.instantiates[x], Observation.basedOn, Observation.triggeredBy, Observation.triggeredBy.extension, Observation.triggeredBy.modifierExtension, Observation.triggeredBy.observation, Observation.triggeredBy.type, Observation.triggeredBy.reason, Observation.partOf, Observation.status, Observation.category, Observation.code, Observation.code.extension, Observation.code.coding, Observation.code.coding:socioeconomicType, Observation.code.coding:socioeconomicType.extension, Observation.code.coding:socioeconomicType.system, Observation.code.coding:socioeconomicType.version, Observation.code.coding:socioeconomicType.code, Observation.code.coding:socioeconomicType.display, Observation.code.coding:socioeconomicType.userSelected, Observation.code.text, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.effective[x]:effectiveDateTime, Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.bodyStructure, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.normalValue, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Observation.extension, Observation.modifierExtension, Observation.triggeredBy.extension, Observation.triggeredBy.modifierExtension, Observation.code.extension, Observation.code.coding:socioeconomicType.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text |
low.exists() or high.exists() or text.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| obs-8 | error | Observation | bodyStructure SHALL only be present if Observation.bodySite is not present |
bodySite.exists() implies bodyStructure.empty()
|
| obs-9 | error | Observation.specimen | If Observation.specimen is a reference to Group, the group can only have specimens |
(reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)
|
Summary
Mandatory: 5 elements
Must-Support: 4 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation(5.0.0) | Measurements and simple assertions Constraints: obs-6, obs-7, obs-8 | |||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | ||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | |||||||||||||||
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | |||||||||||||||
| code |
SΣC | 1..1 | CodeableConcept | Socioeconomic observation type. Education level code is aligned with EE MPI SocialHistory Education Level profile Binding: LOINCCodes (example): Codes identifying names of simple observations. | |||||||||||||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |||||||||||||||
| coding:socioeconomicType |
SΣ | 1..1 | Coding | Required socioeconomic observation type code Binding: SocioeconomicObservationCodesVS (0.3.0) (required) | |||||||||||||||
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |||||||||||||||
| subject |
SΣ | 1..1 | Reference(UZ Core Patient(0.3.0)) | Who and/or what the observation is about | |||||||||||||||
| Slices for effective[x] |
Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |||||||||||||||
| effective[x]:effectiveDateTime |
SΣ | 1..1 | dateTime | Date when the socioeconomic data was recorded or applicable | |||||||||||||||
| value[x] |
ΣC | 0..1 | CodeableConcept | One of the sample valuesets that can be used is BenefitsVS. For all others, see the table: Binding: BenefitsVS (0.3.0) (example)
| |||||||||||||||
| Documentation for this format | |||||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | Observation Status | 📍5.0.0 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📍5.0.0 | FHIR Std. |
| Observation.code.coding:socioeconomicType | Base | required | Socioeconomic Observation Codes | 📍0.3.0 | This IG |
| Observation.value[x] | Base | example | Types of benefits | 📍0.3.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Observation.implicitRules, Observation.modifierExtension, Observation.status, Observation.code, Observation.code.coding, Observation.code.coding:socioeconomicType, Observation.code.coding:socioeconomicType.system, Observation.subject, Observation.effective[x], Observation.effective[x]:effectiveDateTime, Observation.value[x] | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Observation.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| obs-8 | error | Observation | bodyStructure SHALL only be present if Observation.bodySite is not present |
bodySite.exists() implies bodyStructure.empty()
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
0..* | Observation(5.0.0) | Measurements and simple assertions | ||||||||||||||||
| code |
S | 1..1 | CodeableConcept | Socioeconomic observation type. Education level code is aligned with EE MPI SocialHistory Education Level profile | |||||||||||||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||||||||||||||
| coding:socioeconomicType |
S | 1..1 | Coding | Required socioeconomic observation type code Binding: SocioeconomicObservationCodesVS (0.3.0) (required) | |||||||||||||||
| system |
0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||||||||||||||
| subject |
S | 1..1 | Reference(UZ Core Patient(0.3.0)) | Who and/or what the observation is about | |||||||||||||||
| Slices for effective[x] |
1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | ||||||||||||||||
| effective[x]:effectiveDateTime |
S | 1..1 | dateTime | Date when the socioeconomic data was recorded or applicable | |||||||||||||||
| value[x] |
0..1 | CodeableConcept | One of the sample valuesets that can be used is BenefitsVS. For all others, see the table: Binding: BenefitsVS (0.3.0) (example)
| ||||||||||||||||
| Documentation for this format | |||||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.code.coding:socioeconomicType | Base | required | Socioeconomic Observation Codes | 📍0.3.0 | This IG |
| Observation.value[x] | Base | example | Types of benefits | 📍0.3.0 | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation(5.0.0) | Measurements and simple assertions Constraints: obs-6, obs-7, obs-8 | |||||||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | |||||||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | |||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| ||||||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | ||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | ||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | |||||||||||||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | |||||||||||||||
| instantiates[x] |
Σ | 0..1 | canonical(ObservationDefinition), Reference(ObservationDefinition) | Instantiates FHIR ObservationDefinition | |||||||||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | |||||||||||||||
| triggeredBy |
0..* | BackboneElement | Triggering observation(s) | ||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | ||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||||||||||||
| observation |
Σ | 1..1 | Reference(Observation) | Triggering observation | |||||||||||||||
| type |
Σ | 1..1 | code | reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation. | |||||||||||||||
| reason |
0..1 | string | Reason that the observation was triggered | ||||||||||||||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) | Part of referenced event | |||||||||||||||
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | |||||||||||||||
| category |
0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||||||||||||||
| code |
SΣC | 1..1 | CodeableConcept | Socioeconomic observation type. Education level code is aligned with EE MPI SocialHistory Education Level profile Binding: LOINCCodes (example): Codes identifying names of simple observations. | |||||||||||||||
| id |
0..1 | id | Unique id for inter-element referencing | ||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |||||||||||||||
| coding:socioeconomicType |
SΣ | 1..1 | Coding | Required socioeconomic observation type code Binding: SocioeconomicObservationCodesVS (0.3.0) (required) | |||||||||||||||
| id |
0..1 | id | Unique id for inter-element referencing | ||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |||||||||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | |||||||||||||||
| code |
ΣC | 0..1 | code | Symbol in syntax defined by the system | |||||||||||||||
| display |
ΣC | 0..1 | string | Representation defined by the system | |||||||||||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | |||||||||||||||
| subject |
SΣ | 1..1 | Reference(UZ Core Patient(0.3.0)) | Who and/or what the observation is about | |||||||||||||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | |||||||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||||||||||||
| Slices for effective[x] |
Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | |||||||||||||||
| effective[x]:effectiveDateTime |
SΣ | 1..1 | dateTime | Date when the socioeconomic data was recorded or applicable | |||||||||||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | |||||||||||||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | |||||||||||||||
| value[x] |
ΣC | 0..1 | CodeableConcept | One of the sample valuesets that can be used is BenefitsVS. For all others, see the table: Binding: BenefitsVS (0.3.0) (example)
| |||||||||||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | |||||||||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||||||||||||||
| note |
0..* | Annotation | Comments about the observation | ||||||||||||||||
| bodySite |
C | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts | |||||||||||||||
| bodyStructure |
C | 0..1 | Reference(BodyStructure) | Observed body structure | |||||||||||||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | ||||||||||||||||
| specimen |
C | 0..1 | Reference(Specimen | Group) | Specimen used for this observation Constraints: obs-9 | |||||||||||||||
| device |
0..1 | Reference(Device | DeviceMetric) | A reference to the device that generates the measurements or the device settings for the device | ||||||||||||||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | ||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||||||||||||
| low |
C | 0..1 | SimpleQuantity(5.0.0) | Low Range, if relevant | |||||||||||||||
| high |
C | 0..1 | SimpleQuantity(5.0.0) | High Range, if relevant | |||||||||||||||
| normalValue |
0..1 | CodeableConcept | Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation. | ||||||||||||||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | ||||||||||||||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | ||||||||||||||||
| age |
0..1 | Range | Applicable age range, if relevant | ||||||||||||||||
| text |
C | 0..1 | markdown | Text based reference range in an observation | |||||||||||||||
| hasMember |
Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | |||||||||||||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made | |||||||||||||||
| component |
ΣC | 0..* | BackboneElement | Component results | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | ||||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||||||||||||
| code |
ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | |||||||||||||||
| value[x] |
Σ | 0..1 | Actual component result | ||||||||||||||||
| valueQuantity |
Quantity | ||||||||||||||||||
| valueCodeableConcept |
CodeableConcept | ||||||||||||||||||
| valueString |
string | ||||||||||||||||||
| valueBoolean |
boolean | ||||||||||||||||||
| valueInteger |
integer | ||||||||||||||||||
| valueRange |
Range | ||||||||||||||||||
| valueRatio |
Ratio | ||||||||||||||||||
| valueSampledData |
SampledData | ||||||||||||||||||
| valueTime |
time | ||||||||||||||||||
| valueDateTime |
dateTime | ||||||||||||||||||
| valuePeriod |
Period | ||||||||||||||||||
| valueAttachment |
Attachment | ||||||||||||||||||
| valueReference |
Reference(MolecularSequence) | ||||||||||||||||||
| dataAbsentReason |
0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||||||||||||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||||||||||||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | ||||||||||||||||
| Documentation for this format | |||||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| Observation.triggeredBy.type | Base | required | triggered Bytype | 📍5.0.0 | FHIR Std. |
| Observation.status | Base | required | Observation Status | 📍5.0.0 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📍5.0.0 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📍5.0.0 | FHIR Std. |
| Observation.code.coding:socioeconomicType | Base | required | Socioeconomic Observation Codes | 📍0.3.0 | This IG |
| Observation.value[x] | Base | example | Types of benefits | 📍0.3.0 | This IG |
| Observation.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.normalValue | Base | extensible | Observation Reference Range Normal Value Codes | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍5.0.0 | FHIR Std. |
| Observation.component.code | Base | example | LOINC Codes | 📍5.0.0 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.modifierExtension, Observation.identifier, Observation.instantiates[x], Observation.basedOn, Observation.triggeredBy, Observation.triggeredBy.extension, Observation.triggeredBy.modifierExtension, Observation.triggeredBy.observation, Observation.triggeredBy.type, Observation.triggeredBy.reason, Observation.partOf, Observation.status, Observation.category, Observation.code, Observation.code.extension, Observation.code.coding, Observation.code.coding:socioeconomicType, Observation.code.coding:socioeconomicType.extension, Observation.code.coding:socioeconomicType.system, Observation.code.coding:socioeconomicType.version, Observation.code.coding:socioeconomicType.code, Observation.code.coding:socioeconomicType.display, Observation.code.coding:socioeconomicType.userSelected, Observation.code.text, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.effective[x]:effectiveDateTime, Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.bodyStructure, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.normalValue, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Observation.extension, Observation.modifierExtension, Observation.triggeredBy.extension, Observation.triggeredBy.modifierExtension, Observation.code.extension, Observation.code.coding:socioeconomicType.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text |
low.exists() or high.exists() or text.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| obs-8 | error | Observation | bodyStructure SHALL only be present if Observation.bodySite is not present |
bodySite.exists() implies bodyStructure.empty()
|
| obs-9 | error | Observation.specimen | If Observation.specimen is a reference to Group, the group can only have specimens |
(reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)
|
Summary
Mandatory: 5 elements
Must-Support: 4 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron