R5 Final QA
DiagnosticsThis page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4 R3 R2
| Orders and Observations Work Group | Maturity Level: 0 | Trial Use | Use Context: Not yet ready for Production use |
The canonical URL for this profile is:
http://hl7.org/fhir/StructureDefinition/cholesterol
Describes how the lab report is used for a standard Lipid Profile - Cholesterol, Triglyceride and Cholesterol fractions. Uses LOINC codes
This profile was published on Sat, Feb 21, 2015 00:00+1100 as a draft by Health Level Seven, Inc. - FHIR WG.
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Observation.
Summary
Mandatory: 3 elements (+3 nested mandatory elements)
Must-Support: 9 elements
Fixed Value: 5 elements
Prohibited: 7 elements
This indicates the differences between this profile and the base Observation structure.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 1..1 | Observation | Measurements and simple assertions | |
  code | S | 1..1 | CodeableConcept | Cholesterol Fixed Value: As shown |
   coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
  system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 35200-5 | |
 display | 1..1 | string | Representation defined by the system Fixed Value: Cholesterol [Moles/volume] in Serum or Plasma | |
| valueQuantity | S | 0..1 | Quantity | Cholesterol value |
 value | S | 0..1 | decimal | Actual numerical value |
| comparator | 0..0 | |||
| unit | S | 1..1 | string | Unit representation Fixed Value: mmol/L |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mmol/L |
| interpretation | S | 0..1 | CodeableConcept | + | ++ | +++ | - | -- | --- |
| note | S | 0..* | Annotation | Comments about result |
 referenceRange | S | 1..1 | BackboneElement | Provides guide for interpretation |
| low | 0..0 | |||
| high | 1..1 | SimpleQuantity | A fixed quantity (no comparator) Fixed Value: As shown | |
| value | 1..1 | decimal | Numerical value (with implicit precision) Fixed Value: 4.5 | |
| type | 0..0 | |||
| appliesTo | 0..0 | |||
| age | 0..0 | |||
| hasMember | 0..0 | |||
| derivedFrom | 0..0 | |||
| Documentation for this format | ||||
This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base Observation structure.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 1..1 | Observation | Measurements and simple assertions |
| 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: All Languages (required): IETF language tag for a human language | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional content defined by implementations | |
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| 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 | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| observation | Σ | 1..1 | Reference(Observation) | Triggering observation |
| type | Σ | 1..1 | code | reflex | repeat | re-run Binding: triggered Bytype (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: Observation Status (required): Codes providing the status of an observation. |
| category | 0..* | CodeableConcept | Classification of type of observation Binding: Observation Category Codes (preferred): Codes for high level observation categories. | |
| code | SΣC | 1..1 | CodeableConcept | Cholesterol Binding: LOINC Codes (example): Codes identifying names of simple observations. Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 35200-5 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Cholesterol [Moles/volume] in Serum or Plasma | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| subject | Σ | 0..1 | Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct) | Who and/or what the observation is about |
| focus | ΣTU | 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 |
 effective[x] | Σ | 0..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| effectiveTiming | Timing | |||
| effectiveInstant | instant | |||
| 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 |
 Slices for value[x] | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |
 valueQuantity | Quantity | |||
| valueCodeableConcept | CodeableConcept | |||
| valueMarkdown | markdown | |||
| valueBoolean | boolean | |||
| valueInteger | integer | |||
| valueRange | Range | |||
| valueRatio | Ratio | |||
| valueSampledData | SampledData | |||
| valueTime | time | |||
| valueDateTime | dateTime | |||
| valuePeriod | Period | |||
| valueAttachment | Attachment | |||
| valueReference | Reference(MolecularSequence) | |||
| valueCanonical | canonical(Any) | |||
  value[x]:valueQuantity | SΣC | 0..1 | Quantity | Cholesterol value |
 id | 0..1 | id | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value | SΣ | 0..1 | decimal | Actual numerical value |
| unit | SΣ | 1..1 | string | Unit representation Fixed Value: mmol/L |
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
 code | SΣC | 1..1 | code | Coded form of the unit Fixed Value: mmol/L |
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: Data Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| interpretation | S | 0..1 | CodeableConcept | + | ++ | +++ | - | -- | --- Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. |
| note | S | 0..* | Annotation | Comments about result |
| bodySite | C | 0..1 | CodeableConcept | Observed body part Binding: SNOMED CT Body Structures (example): SNOMED CT Body site concepts |
| bodyStructure | C | 0..1 | Reference(BodyStructure) | Observed body structure |
| method | 0..1 | CodeableConcept | How it was done Binding: Observation Methods (example): Methods for simple observations. | |
| specimen | C | 0..1 | Reference(Specimen | Group) | Specimen used for this observation |
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |
| referenceRange | SC | 1..1 | BackboneElement | Provides guide for interpretation |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| high | C | 1..1 | SimpleQuantity | A fixed quantity (no comparator) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| value | 1..1 | decimal | Numerical value (with implicit precision) Fixed Value: 4.5 | |
| comparator | 0..0 | code | < | <= | >= | > | ad - how to understand the value | |
| unit | 0..0 | string | Unit representation | |
| system | 0..0 | uri | System that defines coded unit form | |
| code | 0..0 | code | Coded form of the unit | |
| normalValue | 0..1 | CodeableConcept | Normal value, if relevant Binding: Observation Reference Range Normal Value Codes (extensible): Codes identifying the normal value of the observation. | |
| text | C | 0..1 | markdown | Text based reference range in an observation |
| component | ΣC | 0..* | BackboneElement | Component results |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. |
| value[x] | Σ | 0..1 | Actual component result | |
| valueQuantity | Quantity | |||
| valueCodeableConcept | CodeableConcept | |||
| valueMarkdown | markdown | |||
| valueBoolean | boolean | |||
| valueInteger | integer | |||
| valueRange | Range | |||
| valueRatio | Ratio | |||
| valueSampledData | SampledData | |||
| valueTime | time | |||
| valueDateTime | dateTime | |||
| valuePeriod | Period | |||
| valueAttachment | Attachment | |||
| valueReference | Reference(MolecularSequence) | |||
| valueCanonical | canonical(Any) | |||
| dataAbsentReason | 0..1 | CodeableConcept | Why the component result is missing Binding: Data Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | |
| interpretation | 0..* | CodeableConcept | High, low, normal, etc Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |
| Documentation for this format | ||||
<!-- ExampleLipidProfile --><Observation xmlns="http://hl7.org/fhir" > <!-- from Element: extension --> <id value="[id]"/><!-- 0..1 Logical id of this artifact --> <meta><!-- I 0..1 Meta Metadata about the resource --></meta> <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created --> <language value="[code]"/><!-- I 0..1 Language of the resource content --> <text><!-- I 0..1 Narrative Text summary of the resource, for human interpretation --></text> <contained><!-- 0..* Resource Contained, inline Resources --></contained> <modifierExtension><!-- I 0..* Extension Extensions that cannot be ignored --></modifierExtension> <identifier><!-- I 0..* Identifier Business Identifier for observation --></identifier> <instantiates[x]><!-- I 0..1 canonical|Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition --></instantiates[x]> <basedOn><!-- I 0..* Reference(CarePlan) Fulfills plan, proposal or order --></basedOn> <triggeredBy> I 0..* BackboneElement <!-- I 0..* Triggering observation(s) --> <modifierExtension><!-- I 0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <observation><!-- I 1..1 Reference(Observation) Triggering observation --></observation> <type value="[code]"/><!-- I 1..1 reflex | repeat | re-run --> <reason value="[string]"/><!-- I 0..1 Reason that the observation was triggered --> </triggeredBy> <partOf><!-- I 0..* Reference(MedicationAdministration) Part of referenced event --></partOf> <status value="[code]"/><!-- I 1..1 registered | preliminary | final | amended + --> <category><!-- I 0..* CodeableConcept Classification of type of observation --></category> <code><!-- I 1..1 CodeableConcept Cholesterol --></code> <subject><!-- I 0..1 Reference(Patient) Who and/or what the observation is about --></subject> <focus><!-- I 0..* Reference(Resource) What the observation is about, when it is not about the subject of record --></focus> <encounter><!-- I 0..1 Reference(Encounter) Healthcare event during which this observation is made --></encounter> <effective[x]><!-- I 0..1 dateTime|Period|Timing|instant Clinically relevant time/time-period for observation --></effective[x]> <issued value="[instant]"/><!-- I 0..1 Date/Time this version was made available --> <performer><!-- I 0..* Reference(Practitioner) Who is responsible for the observation --></performer> <-- value[x] sliced by type:$this in the specified orderOpen--> <valueQuantity> I 0..1 Quantity <!-- I 0..1 Cholesterol value --> <value value="[decimal]"/><!-- I 0..1 Actual numerical value --> <comparator value="[code]"/><!-- I 0..0 < | <= | >= | > | ad - how to understand the value --> <unit value="[string]"/><!-- I 1..1 Unit representation --> <system value="[uri]"/><!-- I 1..1 System that defines coded unit form --> <code value="[code]"/><!-- I 1..1 Coded form of the unit --> </valueQuantity> <dataAbsentReason><!-- I 0..1 CodeableConcept Why the result is missing --></dataAbsentReason> <interpretation><!-- I 0..1 CodeableConcept + | ++ | +++ | - | -- | --- --></interpretation> <note><!-- I 0..* Annotation Comments about result --></note> <bodySite><!-- I 0..1 CodeableConcept Observed body part --></bodySite> <bodyStructure><!-- I 0..1 Reference(BodyStructure) Observed body structure --></bodyStructure> <method><!-- I 0..1 CodeableConcept How it was done --></method> <specimen><!-- I 0..1 Reference(Specimen) Specimen used for this observation --></specimen> <device><!-- I 0..1 Reference(Device) (Measurement) Device --></device> <referenceRange> I 1..1 BackboneElement <!-- I 1..1 Provides guide for interpretation --> <modifierExtension><!-- I 0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <low><!-- I 0..0 Quantity Low Range, if relevant --></low> <high><!-- I 1..1 Quantity A fixed quantity (no comparator) --></high> <normalValue><!-- I 0..1 CodeableConcept Normal value, if relevant --></normalValue> <type><!-- I 0..0 CodeableConcept Reference range qualifier --></type> <appliesTo><!-- I 0..0 CodeableConcept Reference range population --></appliesTo> <age><!-- I 0..0 Range Applicable age range, if relevant --></age> <text value="[markdown]"/><!-- I 0..1 Text based reference range in an observation --> </referenceRange> <hasMember><!-- I 0..0 Reference(Observation) Related resource that belongs to the Observation group --></hasMember> <derivedFrom><!-- I 0..0 Reference(DocumentReference) Related resource from which the observation is made --></derivedFrom> <component> I 0..* BackboneElement <!-- I 0..* Component results --> <modifierExtension><!-- I 0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <code><!-- I 1..1 CodeableConcept Type of component observation (code / type) --></code> <value[x]><!-- I 0..1 Quantity|CodeableConcept|markdown| boolean|integer|Range|Ratio|SampledData|time|dateTime|Period|Attachment| Reference(MolecularSequence)|canonical Actual component result --></value[x]> <dataAbsentReason><!-- I 0..1 CodeableConcept Why the component result is missing --></dataAbsentReason> <interpretation><!-- I 0..* CodeableConcept High, low, normal, etc --></interpretation> <referenceRange><!-- See http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange Provides guide for interpretation of component result --></referenceRange> </component> </Observation>
{ // ExampleLipidProfile
// from Element: extension
"meta" : { Meta }, // IMetadata about the resource
"implicitRules" : "<uri>", // IA set of rules under which this content was created
"language" : "<code>", // ILanguage of the resource content
"text" : { Narrative }, // IText summary of the resource, for human interpretation
"contained" : [{ Resource }], //Contained, inline Resources
"modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
"identifier" : [{ Identifier }], // IBusiness Identifier for observation
// value[x]: Instantiates FHIR ObservationDefinition. One of these 2:
"instantiatesCanonical" : "<canonical>", // IInstantiates FHIR ObservationDefinition
"instantiatesReference" : { Reference(ObservationDefinition) }, // IInstantiates FHIR ObservationDefinition
"basedOn" : [{ Reference(CarePlan) }], // IFulfills plan, proposal or order
"triggeredBy" : [{ BackboneElement }], // ITriggering observation(s)
"partOf" : [{ Reference(MedicationAdministration) }], // IPart of referenced event
"status" : "<code>", // I R! registered | preliminary | final | amended +
"category" : [{ CodeableConcept }], // IClassification of type of observation
"code" : { CodeableConcept }, // I R!
"subject" : { Reference(Patient) }, // IWho and/or what the observation is about
"focus" : [{ Reference(Resource) }], // IWhat the observation is about, when it is not about the subject of record
"encounter" : { Reference(Encounter) }, // IHealthcare event during which this observation is made
// value[x]: Clinically relevant time/time-period for observation. One of these 4:
"effectiveDateTime" : "<dateTime>", // IClinically relevant time/time-period for observation
"effectivePeriod" : { Period }, // IClinically relevant time/time-period for observation
"effectiveTiming" : { Timing }, // IClinically relevant time/time-period for observation
"effectiveInstant" : "<instant>", // IClinically relevant time/time-period for observation
"issued" : "<instant>", // IDate/Time this version was made available
"performer" : [{ Reference(Practitioner) }], // IWho is responsible for the observation
"valueQuantity" : [ // sliced by type:$this in the specified order, Open
{ // Cholesterol value // I
// from Element: extension
"extension" : [ // sliced by value:url in the specified order, Open ]
"value" : <decimal>, // IActual numerical value
"unit" : "mmol/L", // I R!
"system" : "http://unitsofmeasure.org", // I R!
"code" : "mmol/L" // I R!
}
],
"dataAbsentReason" : { CodeableConcept }, // IWhy the result is missing
"interpretation" : { CodeableConcept }, // I+ | ++ | +++ | - | -- | ---
"note" : [{ Annotation }], // IComments about result
"bodySite" : { CodeableConcept }, // IObserved body part
"bodyStructure" : { Reference(BodyStructure) }, // IObserved body structure
"method" : { CodeableConcept }, // IHow it was done
"specimen" : { Reference(Specimen) }, // ISpecimen used for this observation
"device" : { Reference(Device) }, // I(Measurement) Device
"referenceRange" : { BackboneElement }, // I R! Provides guide for interpretation
"component" : [{ BackboneElement }], // IComponent results
}
This structure is derived from Observation.
Differential View
This indicates the differences between this profile and the base Observation structure.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 1..1 | Observation | Measurements and simple assertions | |
| code | S | 1..1 | CodeableConcept | Cholesterol Fixed Value: As shown |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 35200-5 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Cholesterol [Moles/volume] in Serum or Plasma | |
| valueQuantity | S | 0..1 | Quantity | Cholesterol value |
| value | S | 0..1 | decimal | Actual numerical value |
| comparator | 0..0 | |||
| unit | S | 1..1 | string | Unit representation Fixed Value: mmol/L |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mmol/L |
| interpretation | S | 0..1 | CodeableConcept | + | ++ | +++ | - | -- | --- |
| note | S | 0..* | Annotation | Comments about result |
| referenceRange | S | 1..1 | BackboneElement | Provides guide for interpretation |
| low | 0..0 | |||
| high | 1..1 | SimpleQuantity | A fixed quantity (no comparator) Fixed Value: As shown | |
| value | 1..1 | decimal | Numerical value (with implicit precision) Fixed Value: 4.5 | |
| type | 0..0 | |||
| appliesTo | 0..0 | |||
| age | 0..0 | |||
| hasMember | 0..0 | |||
| derivedFrom | 0..0 | |||
| Documentation for this format | ||||
Snapshot View
This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base Observation structure.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 1..1 | Observation | Measurements and simple assertions |
| 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: All Languages (required): IETF language tag for a human language | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| 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 | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| observation | Σ | 1..1 | Reference(Observation) | Triggering observation |
| type | Σ | 1..1 | code | reflex | repeat | re-run Binding: triggered Bytype (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: Observation Status (required): Codes providing the status of an observation. |
| category | 0..* | CodeableConcept | Classification of type of observation Binding: Observation Category Codes (preferred): Codes for high level observation categories. | |
| code | SΣC | 1..1 | CodeableConcept | Cholesterol Binding: LOINC Codes (example): Codes identifying names of simple observations. Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 35200-5 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Cholesterol [Moles/volume] in Serum or Plasma | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| subject | Σ | 0..1 | Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct) | Who and/or what the observation is about |
| focus | ΣTU | 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 |
| effective[x] | Σ | 0..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| effectiveTiming | Timing | |||
| effectiveInstant | instant | |||
| 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 |
| Slices for value[x] | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |
| valueQuantity | Quantity | |||
| valueCodeableConcept | CodeableConcept | |||
| valueMarkdown | markdown | |||
| valueBoolean | boolean | |||
| valueInteger | integer | |||
| valueRange | Range | |||
| valueRatio | Ratio | |||
| valueSampledData | SampledData | |||
| valueTime | time | |||
| valueDateTime | dateTime | |||
| valuePeriod | Period | |||
| valueAttachment | Attachment | |||
| valueReference | Reference(MolecularSequence) | |||
| valueCanonical | canonical(Any) | |||
| value[x]:valueQuantity | SΣC | 0..1 | Quantity | Cholesterol value |
| id | 0..1 | id | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value | SΣ | 0..1 | decimal | Actual numerical value |
| unit | SΣ | 1..1 | string | Unit representation Fixed Value: mmol/L |
| system | SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | SΣC | 1..1 | code | Coded form of the unit Fixed Value: mmol/L |
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: Data Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| interpretation | S | 0..1 | CodeableConcept | + | ++ | +++ | - | -- | --- Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. |
| note | S | 0..* | Annotation | Comments about result |
| bodySite | C | 0..1 | CodeableConcept | Observed body part Binding: SNOMED CT Body Structures (example): SNOMED CT Body site concepts |
| bodyStructure | C | 0..1 | Reference(BodyStructure) | Observed body structure |
| method | 0..1 | CodeableConcept | How it was done Binding: Observation Methods (example): Methods for simple observations. | |
| specimen | C | 0..1 | Reference(Specimen | Group) | Specimen used for this observation |
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |
| referenceRange | SC | 1..1 | BackboneElement | Provides guide for interpretation |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| high | C | 1..1 | SimpleQuantity | A fixed quantity (no comparator) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| value | 1..1 | decimal | Numerical value (with implicit precision) Fixed Value: 4.5 | |
| comparator | 0..0 | code | < | <= | >= | > | ad - how to understand the value | |
| unit | 0..0 | string | Unit representation | |
| system | 0..0 | uri | System that defines coded unit form | |
| code | 0..0 | code | Coded form of the unit | |
| normalValue | 0..1 | CodeableConcept | Normal value, if relevant Binding: Observation Reference Range Normal Value Codes (extensible): Codes identifying the normal value of the observation. | |
| text | C | 0..1 | markdown | Text based reference range in an observation |
| component | ΣC | 0..* | BackboneElement | Component results |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example): Codes identifying names of simple observations. |
| value[x] | Σ | 0..1 | Actual component result | |
| valueQuantity | Quantity | |||
| valueCodeableConcept | CodeableConcept | |||
| valueMarkdown | markdown | |||
| valueBoolean | boolean | |||
| valueInteger | integer | |||
| valueRange | Range | |||
| valueRatio | Ratio | |||
| valueSampledData | SampledData | |||
| valueTime | time | |||
| valueDateTime | dateTime | |||
| valuePeriod | Period | |||
| valueAttachment | Attachment | |||
| valueReference | Reference(MolecularSequence) | |||
| valueCanonical | canonical(Any) | |||
| dataAbsentReason | 0..1 | CodeableConcept | Why the component result is missing Binding: Data Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | |
| interpretation | 0..* | CodeableConcept | High, low, normal, etc Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations. | |
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |
| Documentation for this format | ||||
XML Template
<!-- ExampleLipidProfile -->
JSON Template
{ // ExampleLipidProfile
// from Element: extension
"meta" : { Meta }, // IMetadata about the resource
"implicitRules" : "<uri>", // IA set of rules under which this content was created
"language" : "<code>", // ILanguage of the resource content
"text" : { Narrative }, // IText summary of the resource, for human interpretation
"contained" : [{ Resource }], //Contained, inline Resources
"modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
"identifier" : [{ Identifier }], // IBusiness Identifier for observation
// value[x]: Instantiates FHIR ObservationDefinition. One of these 2:
"instantiatesCanonical" : "<canonical>", // IInstantiates FHIR ObservationDefinition
"instantiatesReference" : { Reference(ObservationDefinition) }, // IInstantiates FHIR ObservationDefinition
"basedOn" : [{ Reference(CarePlan) }], // IFulfills plan, proposal or order
"triggeredBy" : [{ BackboneElement }], // ITriggering observation(s)
"partOf" : [{ Reference(MedicationAdministration) }], // IPart of referenced event
"status" : "<code>", // I R! registered | preliminary | final | amended +
"category" : [{ CodeableConcept }], // IClassification of type of observation
"code" : { CodeableConcept }, // I R!
"subject" : { Reference(Patient) }, // IWho and/or what the observation is about
"focus" : [{ Reference(Resource) }], // IWhat the observation is about, when it is not about the subject of record
"encounter" : { Reference(Encounter) }, // IHealthcare event during which this observation is made
// value[x]: Clinically relevant time/time-period for observation. One of these 4:
"effectiveDateTime" : "<dateTime>", // IClinically relevant time/time-period for observation
"effectivePeriod" : { Period }, // IClinically relevant time/time-period for observation
"effectiveTiming" : { Timing }, // IClinically relevant time/time-period for observation
"effectiveInstant" : "<instant>", // IClinically relevant time/time-period for observation
"issued" : "<instant>", // IDate/Time this version was made available
"performer" : [{ Reference(Practitioner) }], // IWho is responsible for the observation
"valueQuantity" : [ // sliced by type:$this in the specified order, Open
{ // Cholesterol value // I
// from Element: extension
"extension" : [ // sliced by value:url in the specified order, Open ]
"value" : <decimal>, // IActual numerical value
"unit" : "mmol/L", // I R!
"system" : "http://unitsofmeasure.org", // I R!
"code" : "mmol/L" // I R!
}
],
"dataAbsentReason" : { CodeableConcept }, // IWhy the result is missing
"interpretation" : { CodeableConcept }, // I+ | ++ | +++ | - | -- | ---
"note" : [{ Annotation }], // IComments about result
"bodySite" : { CodeableConcept }, // IObserved body part
"bodyStructure" : { Reference(BodyStructure) }, // IObserved body structure
"method" : { CodeableConcept }, // IHow it was done
"specimen" : { Reference(Specimen) }, // ISpecimen used for this observation
"device" : { Reference(Device) }, // I(Measurement) Device
"referenceRange" : { BackboneElement }, // I R! Provides guide for interpretation
"component" : [{ BackboneElement }], // IComponent results
}
Alternate definitions: Master Definition (XML, JSON), Schematron
| Path | Name | Conformance | ValueSet |
| Observation.language | All Languages | required | All Languages |
| Observation.triggeredBy.type | triggered Bytype | required | triggered Bytype |
| Observation.status | Observation Status | required | Observation Status |
| Observation.category | Observation Category Codes | preferred | Observation Category Codes |
| Observation.code | LOINC Codes | example | LOINC Codes |
| Observation.dataAbsentReason | Data Absent Reason | extensible | Data Absent Reason |
| Observation.interpretation | Observation Interpretation Codes | extensible | Observation Interpretation Codes |
| Observation.bodySite | SNOMED CT Body Structures | example | SNOMED CT Body Structures |
| Observation.method | Observation Methods | example | Observation Methods |
| Observation.referenceRange.normalValue | Observation Reference Range Normal Value Codes | extensible | Observation Reference Range Normal Value Codes |
| Observation.component.code | LOINC Codes | example | LOINC Codes |
| Observation.component.dataAbsentReason | Data Absent Reason | extensible | Data Absent Reason |
| Observation.component.interpretation | Observation Interpretation Codes | extensible | Observation Interpretation Codes |
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0-draft-final generated on Wed, Mar 1, 2023 23:06+1100.
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