2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Profile: DAFSmokingStatus

The official URL for this profile is: 

http://hl7.org/fhir/Profile/observation-daf-smokingstatus-dafsmokingstatus

. Smoking Status Observation

This profile was published on Thu, Aug 21, 2014 00:00+1000 as a draft by U.S. Office of the National Coordinator (ONC).

Summary

Terminology Bindings

  • Observation.valueCodeableConcept must come from This value set indicates the current smoking status of a patient

Required/Prohibited Elements

  • The element Observation is required
  • The element Observation.code is required
  • The element Observation.interpretation is prohibited
  • The element Observation.issued is prohibited
  • The element Observation.status is required
  • The element Observation.reliability is prohibited
  • The element Observation.bodySite[x] is prohibited
  • The element Observation.method is prohibited
  • The element Observation.specimen is prohibited
  • The element Observation.device is prohibited
  • The element Observation.referenceRange is prohibited

Fixed Values

  • The element Observation.code value must match LOINC code 72166-2("Tobacco smoking status NHIS")
  • The element Observation.status value has been fixed to final

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

Differential View

This structure is derived from Observation.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1Smoking Status Observation
... code S1..1CodeableConceptSmoking Status: LOINC 72166-2 = Tobacco smoking status NHIS
Required Pattern: {"coding":[{"system":"http://loinc.org","version":"2.48","code":"72166-2","display":"Tobacco smoking status NHIS"}]}
... valueCodeableConcept S0..1CodeableConceptCoded Responses from Smoking Status Value Set
Binding: DAFSmokingStatusValueset (required, not extensible)
... dataAbsentReason S0..1code
... interpretation 0..0CodeableConcept
... comments 0..1string
... appliesPeriod S0..1Period
... issued 0..0instant
... status 1..1codeFixed Value: final
... reliability 0..0code
... bodySite[x] 0..0CodeableConcept
... method 0..0CodeableConcept
... identifier 0..1Identifier
... subject S0..1patient-daf-dafpatient
... specimen 0..0Specimen
... performer 0..*
... device 0..0
... encounter S0..1encounter-daf-dafencounter
... referenceRange 0..0Element
... related 0..*Element

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I1..1Smoking Status Observation
obs-6: Shall only be present if Observation.value[x] is not present
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... code S1..1CodeableConceptSmoking Status: LOINC 72166-2 = Tobacco smoking status NHIS
Binding: ObservationType (example, extensible)
Required Pattern: {"coding":[{"system":"http://loinc.org","version":"2.48","code":"72166-2","display":"Tobacco smoking status NHIS"}]}
... valueCodeableConcept S0..1CodeableConceptCoded Responses from Smoking Status Value Set
Binding: DAFSmokingStatusValueset (required, not extensible)
... dataAbsentReason S I0..1codeunknown | asked | temp | notasked +
Binding: DataAbsentReason (required, not extensible)
Example: unknown
... comments 0..1stringComments about result
... appliesPeriod S0..1PeriodPhysiologically Relevant time/time-period for observation
... status M1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required, not extensible)
Fixed Value: final
... identifier 0..1IdentifierUnique Id for this particular observation
... subject S0..1patient-daf-dafpatientWho and/or what this is about
... performer 0..*Practitioner, Organization, Patient, RelatedPersonWho did the observation
... encounter S0..1encounter-daf-dafencounterHealthcare event during which this observation is made
... related 0..*ElementObservations related to this observation
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-component | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required, not extensible)
.... target 1..1ObservationObservation that is related to this one

XML Template

JSON Template

todo

Differential View

This structure is derived from Observation.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1Smoking Status Observation
... code S1..1CodeableConceptSmoking Status: LOINC 72166-2 = Tobacco smoking status NHIS
Required Pattern: {"coding":[{"system":"http://loinc.org","version":"2.48","code":"72166-2","display":"Tobacco smoking status NHIS"}]}
... valueCodeableConcept S0..1CodeableConceptCoded Responses from Smoking Status Value Set
Binding: DAFSmokingStatusValueset (required, not extensible)
... dataAbsentReason S0..1code
... interpretation 0..0CodeableConcept
... comments 0..1string
... appliesPeriod S0..1Period
... issued 0..0instant
... status 1..1codeFixed Value: final
... reliability 0..0code
... bodySite[x] 0..0CodeableConcept
... method 0..0CodeableConcept
... identifier 0..1Identifier
... subject S0..1patient-daf-dafpatient
... specimen 0..0Specimen
... performer 0..*
... device 0..0
... encounter S0..1encounter-daf-dafencounter
... referenceRange 0..0Element
... related 0..*Element

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I1..1Smoking Status Observation
obs-6: Shall only be present if Observation.value[x] is not present
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... code S1..1CodeableConceptSmoking Status: LOINC 72166-2 = Tobacco smoking status NHIS
Binding: ObservationType (example, extensible)
Required Pattern: {"coding":[{"system":"http://loinc.org","version":"2.48","code":"72166-2","display":"Tobacco smoking status NHIS"}]}
... valueCodeableConcept S0..1CodeableConceptCoded Responses from Smoking Status Value Set
Binding: DAFSmokingStatusValueset (required, not extensible)
... dataAbsentReason S I0..1codeunknown | asked | temp | notasked +
Binding: DataAbsentReason (required, not extensible)
Example: unknown
... comments 0..1stringComments about result
... appliesPeriod S0..1PeriodPhysiologically Relevant time/time-period for observation
... status M1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required, not extensible)
Fixed Value: final
... identifier 0..1IdentifierUnique Id for this particular observation
... subject S0..1patient-daf-dafpatientWho and/or what this is about
... performer 0..*Practitioner, Organization, Patient, RelatedPersonWho did the observation
... encounter S0..1encounter-daf-dafencounterHealthcare event during which this observation is made
... related 0..*ElementObservations related to this observation
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-component | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required, not extensible)
.... target 1..1ObservationObservation that is related to this one

XML Template

JSON Template

todo

 

Other definitions: (todo)

Terminology Bindings

PathNameConformanceValueSet
Observation.languageLanguagerequiredhttp://tools.ietf.org/html/bcp47
Observation.codeObservationTypeexample (extensible)LOINC Codes
Observation.valueCodeableConceptDAFSmokingStatusValuesetrequiredSmoking Status
Observation.dataAbsentReasonDataAbsentReasonrequiredDataAbsentReason
Observation.interpretationObservationInterpretationpreferred (extensible)Observation Interpretation Codes
Observation.statusObservationStatusrequiredObservationStatus
Observation.reliabilityObservationReliabilityrequiredObservationReliability
Observation.bodySiteCodeableConceptBodySiteexample (extensible)SNOMED CT Body Structures
Observation.methodObservationMethodexample (extensible)Observation Methods
Observation.referenceRange.meaningObservationRangeMeaningexample (extensible)Observation Reference Range Meaning Codes
Observation.related.typeObservationRelationshipTyperequiredObservationRelationshipType

Constraints

IdPathNameDetails
obs-6Observationdata absent reasonShall only be present if Observation.value[x] is not present
XPath: not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))
obs-3Observation.referenceRangereference rangeMust have at least a low or a high or text
XPath: (exists(f:low) or exists(f:high)or exists(f:text))
obs-4Observation.referenceRange.lowlow range comparatorsLow range comparators can only be '>' or '>=' or empty
XPath: not(exists(f:comparator)) or boolean(f:comparator/@value = '<') or boolean(f:comparator/@value = '<=')
obs-5Observation.referenceRange.highhigh range comparatorsHigh range comparators can only be '<' or '<=' or empty
XPath: not(exists(f:comparator)) or boolean(f:comparator/@value = '>') or boolean(f:comparator/@value = '>=')
.