This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). 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: R4B R4 R3
Orders and Observations Work Group | Maturity Level: 1 | Trial Use | Use Context: Any |
The official URL for this profile is:
http://hl7.org/fhir/StructureDefinition/observation-genetics
Describes how the observation resource is used to report structured genetic test results
This profile was published on Mon, Mar 14, 2016 00:00+1100 as a draft by Health Level Seven International (Clinical Genomics).
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Observation.
Summary
Extensions
This structure refers to these extensions:
This structure is derived from Observation.
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | I | 0..* | Measurements and simple assertions | |
id | Σ | 0..1 | string | Logical id of this artifact |
meta | ΣI | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
language | I | 0..1 | code | Language of the resource content Binding: Common Languages (preferred) Max Binding: All Languages |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
observation-geneticsGene | I | 0..1 | CodeableConcept | HGNC gene symbol URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsGene Binding: H g n c (preferred) |
observation-geneticsDNARegionName | I | 0..1 | string | DNA region name URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName |
observation-geneticsCopyNumberEvent | I | 0..1 | CodeableConcept | Copy number variation URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent |
observation-geneticsGenomicSourceClass | I | 0..1 | CodeableConcept | Genomic source class URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass |
observation-geneticsInterpretation | I | 0..1 | Reference(Observation) | Clinical interpretations for variant URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation |
observation-geneticsVariant | I | 0..1 | (Complex) | Variant URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant |
observation-geneticsAminoAcidChange | I | 0..1 | (Complex) | AminoAcidChange URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange |
observation-geneticsAllele | I | 0..1 | (Complex) | Allele URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele |
observation-geneticsAncestry | I | 0..1 | (Complex) | Ancestry URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry |
observation-geneticsPhaseSet | I | 0..* | (Complex) | Phase set URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet |
modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
identifier | ΣI | 0..* | Identifier | Business Identifier for observation |
basedOn | ΣI | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
partOf | ΣI | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
status | ?!ΣI | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) |
category | I | 0..* | CodeableConcept | Classification of type of observation Binding: Observation Category Codes (preferred) |
code | ΣI | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINC Codes (example) |
subject | ΣI | 0..1 | Reference(Patient | Group | Device | Location) | Who and/or what the observation is about |
focus | ΣI | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
encounter | ΣI | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made |
effective[x] | ΣI | 0..1 | Clinically relevant time/time-period for observation | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
effectiveTiming | Timing | |||
effectiveInstant | instant | |||
issued | ΣI | 0..1 | instant | Date/Time this version was made available |
performer | ΣI | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation |
value[x] | ΣI | 0..1 | Actual result | |
valueQuantity | Quantity | |||
valueCodeableConcept | CodeableConcept | |||
valueString | string | |||
valueBoolean | boolean | |||
valueInteger | integer | |||
valueRange | Range | |||
valueRatio | Ratio | |||
valueSampledData | SampledData | |||
valueTime | time | |||
valueDateTime | dateTime | |||
valuePeriod | Period | |||
dataAbsentReason | I | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible) |
interpretation | I | 0..* | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible) |
note | I | 0..* | Annotation | Comments about the observation |
bodySite | I | 0..1 | CodeableConcept | Observed body part Binding: SNOMED CT Body Structures (example) |
method | I | 0..1 | CodeableConcept | How it was done Binding: Observation Methods (example) |
specimen | I | 0..1 | Reference(Specimen) | Specimen used for this observation |
device | I | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
referenceRange | I | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
low | I | 0..1 | SimpleQuantity | Low Range, if relevant |
high | I | 0..1 | SimpleQuantity | High Range, if relevant |
type | I | 0..1 | CodeableConcept | Reference range qualifier Binding: Observation Reference Range Meaning Codes (preferred) |
appliesTo | I | 0..* | CodeableConcept | Reference range population Binding: Observation Reference Range Applies To Codes (example) |
age | I | 0..1 | Range | Applicable age range, if relevant |
text | I | 0..1 | string | Text based reference range in an observation |
hasMember | ΣI | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group |
derivedFrom | ΣI | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from |
component | ΣI | 0..* | BackboneElement | Component results |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | ΣI | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example) |
value[x] | ΣI | 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 | |||
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible) |
interpretation | I | 0..* | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible) |
referenceRange | I | 0..* | Unknown reference to #Observation.referenceRange Provides guide for interpretation of component result | |
Documentation for this format |
<!-- Observation-genetics --> <Observation xmlns="http://hl7.org/fhir" > <!-- from Element: extension --> <id><!-- 0..1 string Logical id of this artifact --></id> <meta><!-- 0..1 Meta Metadata about the resource --></meta> <implicitRules value="[uri]"/><!-- 0..1 A set of rules under which this content was created --> <language value="[code]"/><!-- 0..1 Language of the resource content --> <text><!-- 0..1 Narrative Text summary of the resource, for human interpretation --></text> <contained><!-- 0..* Resource Contained, inline Resources --></contained> <modifierExtension><!-- 0..* Extension Extensions that cannot be ignored --></modifierExtension> <identifier><!-- 0..* Identifier Business Identifier for observation --></identifier> <basedOn><!-- 0..* Reference(CarePlan) Fulfills plan, proposal or order --></basedOn> <partOf><!-- 0..* Reference(MedicationAdministration) Part of referenced event --></partOf> <status value="[code]"/><!-- 1..1 registered | preliminary | final | amended + --> <category><!-- 0..* CodeableConcept Classification of type of observation --></category> <code><!-- 1..1 CodeableConcept Type of observation (code / type) --></code> <subject><!-- 0..1 Reference(Patient) Who and/or what the observation is about --></subject> <focus><!-- 0..* Reference(Resource) What the observation is about, when it is not about the subject of record --></focus> <encounter><!-- 0..1 Reference(Encounter) Healthcare event during which this observation is made --></encounter> <effective[x]><!-- 0..1 dateTime|Period|Timing|instant Clinically relevant time/time-period for observation --></effective[x]> <issued value="[instant]"/><!-- 0..1 Date/Time this version was made available --> <performer><!-- 0..* Reference(Practitioner) Who is responsible for the observation --></performer> <value[x]><!-- 0..1 Quantity|CodeableConcept|string|boolean|integer| Range|Ratio|SampledData|time|dateTime|Period Actual result --></value[x]> <dataAbsentReason><!-- 0..1 CodeableConcept Why the result is missing --></dataAbsentReason> <interpretation><!-- 0..* CodeableConcept High, low, normal, etc. --></interpretation> <note><!-- 0..* Annotation Comments about the observation --></note> <bodySite><!-- 0..1 CodeableConcept Observed body part --></bodySite> <method><!-- 0..1 CodeableConcept How it was done --></method> <specimen><!-- 0..1 Reference(Specimen) Specimen used for this observation --></specimen> <device><!-- 0..1 Reference(Device) (Measurement) Device --></device> <referenceRange> 0..* BackboneElement <!-- 0..* Provides guide for interpretation --> <modifierExtension><!-- 0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <low><!-- 0..1 Quantity Low Range, if relevant --></low> <high><!-- 0..1 Quantity High Range, if relevant --></high> <type><!-- 0..1 CodeableConcept Reference range qualifier --></type> <appliesTo><!-- 0..* CodeableConcept Reference range population --></appliesTo> <age><!-- 0..1 Range Applicable age range, if relevant --></age> <text value="[string]"/><!-- 0..1 Text based reference range in an observation --> </referenceRange> <hasMember><!-- 0..* Reference(Observation) Related resource that belongs to the Observation group --></hasMember> <derivedFrom><!-- 0..* Reference(DocumentReference) Related measurements the observation is made from --></derivedFrom> <component> 0..* BackboneElement <!-- 0..* Component results --> <modifierExtension><!-- 0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <code><!-- 1..1 CodeableConcept Type of component observation (code / type) --></code> <value[x]><!-- 0..1 Quantity|CodeableConcept|string| boolean|integer|Range|Ratio|SampledData|time|dateTime|Period Actual component result --></value[x]> <dataAbsentReason><!-- 0..1 CodeableConcept Why the component result is missing --></dataAbsentReason> <interpretation><!-- 0..* CodeableConcept High, low, normal, etc. --></interpretation> <referenceRange><!-- See #Observation.referenceRange Provides guide for interpretation of component result --></referenceRange> </component> </Observation>
{ // Observation-genetics // from Element: extension "meta" : { Meta }, // C?Metadata about the resource "implicitRules" : "<uri>", // C?A set of rules under which this content was created "language" : "<code>", // C?Language of the resource content "text" : { Narrative }, // C?Text summary of the resource, for human interpretation "contained" : [{ Resource }], //Contained, inline Resources "extension" : [ // sliced by value:url in the specified order, Open { // HGNC gene symbol // C? // from Element: extension }, { // DNA region name // C? // from Element: extension }, { // Copy number variation // C? // from Element: extension }, { // Genomic source class // C? // from Element: extension }, { // Clinical interpretations for variant // C? // from Element: extension }, { // Variant // C? // from Element: extension }, { // AminoAcidChange // C? // from Element: extension }, { // Allele // C? // from Element: extension }, { // Ancestry // C? // from Element: extension }, { // Phase set // C? // from Element: extension } ], "modifierExtension" : [{ Extension }], // C?Extensions that cannot be ignored "identifier" : [{ Identifier }], // C?Business Identifier for observation "basedOn" : [{ Reference(CarePlan) }], // C?Fulfills plan, proposal or order "partOf" : [{ Reference(MedicationAdministration) }], // C?Part of referenced event "status" : "<code>", // C? R! registered | preliminary | final | amended + "category" : [{ CodeableConcept }], // C?Classification of type of observation "code" : { CodeableConcept }, // C? R! Type of observation (code / type) "subject" : { Reference(Patient) }, // C?Who and/or what the observation is about "focus" : [{ Reference(Resource) }], // C?What the observation is about, when it is not about the subject of record "encounter" : { Reference(Encounter) }, // C?Healthcare event during which this observation is made // value[x]: Clinically relevant time/time-period for observation. One of these 4: "effectiveDateTime" : "<dateTime>", // C?Clinically relevant time/time-period for observation "effectivePeriod" : { Period }, // C?Clinically relevant time/time-period for observation "effectiveTiming" : { Timing }, // C?Clinically relevant time/time-period for observation "effectiveInstant" : "<instant>", // C?Clinically relevant time/time-period for observation "issued" : "<instant>", // C?Date/Time this version was made available "performer" : [{ Reference(Practitioner) }], // C?Who is responsible for the observation // value[x]: Actual result. One of these 11: "valueQuantity" : { Quantity }, // C?Actual result "valueCodeableConcept" : { CodeableConcept }, // C?Actual result "valueString" : "<string>", // C?Actual result "valueBoolean" : <boolean>, // C?Actual result "valueInteger" : <integer>, // C?Actual result "valueRange" : { Range }, // C?Actual result "valueRatio" : { Ratio }, // C?Actual result "valueSampledData" : { SampledData }, // C?Actual result "valueTime" : "<time>", // C?Actual result "valueDateTime" : "<dateTime>", // C?Actual result "valuePeriod" : { Period }, // C?Actual result "dataAbsentReason" : { CodeableConcept }, // C?Why the result is missing "interpretation" : [{ CodeableConcept }], // C?High, low, normal, etc. "note" : [{ Annotation }], // C?Comments about the observation "bodySite" : { CodeableConcept }, // C?Observed body part "method" : { CodeableConcept }, // C?How it was done "specimen" : { Reference(Specimen) }, // C?Specimen used for this observation "device" : { Reference(Device) }, // C?(Measurement) Device "referenceRange" : [{ BackboneElement }] // C?Provides guide for interpretation "hasMember" : [{ Reference(Observation) }], // C?Related resource that belongs to the Observation group "derivedFrom" : [{ Reference(DocumentReference) }], // C?Related measurements the observation is made from "component" : [{ BackboneElement }], // C?Component results }
This structure is derived from Observation.
Summary
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from Observation.
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | I | 0..* | Measurements and simple assertions | |
id | Σ | 0..1 | string | Logical id of this artifact |
meta | ΣI | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
language | I | 0..1 | code | Language of the resource content Binding: Common Languages (preferred) Max Binding: All Languages |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
observation-geneticsGene | I | 0..1 | CodeableConcept | HGNC gene symbol URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsGene Binding: H g n c (preferred) |
observation-geneticsDNARegionName | I | 0..1 | string | DNA region name URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName |
observation-geneticsCopyNumberEvent | I | 0..1 | CodeableConcept | Copy number variation URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent |
observation-geneticsGenomicSourceClass | I | 0..1 | CodeableConcept | Genomic source class URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass |
observation-geneticsInterpretation | I | 0..1 | Reference(Observation) | Clinical interpretations for variant URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation |
observation-geneticsVariant | I | 0..1 | (Complex) | Variant URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant |
observation-geneticsAminoAcidChange | I | 0..1 | (Complex) | AminoAcidChange URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange |
observation-geneticsAllele | I | 0..1 | (Complex) | Allele URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele |
observation-geneticsAncestry | I | 0..1 | (Complex) | Ancestry URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry |
observation-geneticsPhaseSet | I | 0..* | (Complex) | Phase set URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet |
modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
identifier | ΣI | 0..* | Identifier | Business Identifier for observation |
basedOn | ΣI | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
partOf | ΣI | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
status | ?!ΣI | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) |
category | I | 0..* | CodeableConcept | Classification of type of observation Binding: Observation Category Codes (preferred) |
code | ΣI | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINC Codes (example) |
subject | ΣI | 0..1 | Reference(Patient | Group | Device | Location) | Who and/or what the observation is about |
focus | ΣI | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
encounter | ΣI | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made |
effective[x] | ΣI | 0..1 | Clinically relevant time/time-period for observation | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
effectiveTiming | Timing | |||
effectiveInstant | instant | |||
issued | ΣI | 0..1 | instant | Date/Time this version was made available |
performer | ΣI | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation |
value[x] | ΣI | 0..1 | Actual result | |
valueQuantity | Quantity | |||
valueCodeableConcept | CodeableConcept | |||
valueString | string | |||
valueBoolean | boolean | |||
valueInteger | integer | |||
valueRange | Range | |||
valueRatio | Ratio | |||
valueSampledData | SampledData | |||
valueTime | time | |||
valueDateTime | dateTime | |||
valuePeriod | Period | |||
dataAbsentReason | I | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible) |
interpretation | I | 0..* | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible) |
note | I | 0..* | Annotation | Comments about the observation |
bodySite | I | 0..1 | CodeableConcept | Observed body part Binding: SNOMED CT Body Structures (example) |
method | I | 0..1 | CodeableConcept | How it was done Binding: Observation Methods (example) |
specimen | I | 0..1 | Reference(Specimen) | Specimen used for this observation |
device | I | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
referenceRange | I | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
low | I | 0..1 | SimpleQuantity | Low Range, if relevant |
high | I | 0..1 | SimpleQuantity | High Range, if relevant |
type | I | 0..1 | CodeableConcept | Reference range qualifier Binding: Observation Reference Range Meaning Codes (preferred) |
appliesTo | I | 0..* | CodeableConcept | Reference range population Binding: Observation Reference Range Applies To Codes (example) |
age | I | 0..1 | Range | Applicable age range, if relevant |
text | I | 0..1 | string | Text based reference range in an observation |
hasMember | ΣI | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group |
derivedFrom | ΣI | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from |
component | ΣI | 0..* | BackboneElement | Component results |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | ΣI | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINC Codes (example) |
value[x] | ΣI | 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 | |||
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible) |
interpretation | I | 0..* | CodeableConcept | High, low, normal, etc. Binding: Observation Interpretation Codes (extensible) |
referenceRange | I | 0..* | Unknown reference to #Observation.referenceRange Provides guide for interpretation of component result | |
Documentation for this format |
XML Template
<!-- Observation-genetics --> <Observation xmlns="http://hl7.org/fhir" > <!-- from Element: extension --> <id><!-- 0..1 string Logical id of this artifact --></id> <meta><!-- 0..1 Meta Metadata about the resource --></meta> <implicitRules value="[uri]"/><!-- 0..1 A set of rules under which this content was created --> <language value="[code]"/><!-- 0..1 Language of the resource content --> <text><!-- 0..1 Narrative Text summary of the resource, for human interpretation --></text> <contained><!-- 0..* Resource Contained, inline Resources --></contained> <modifierExtension><!-- 0..* Extension Extensions that cannot be ignored --></modifierExtension> <identifier><!-- 0..* Identifier Business Identifier for observation --></identifier> <basedOn><!-- 0..* Reference(CarePlan) Fulfills plan, proposal or order --></basedOn> <partOf><!-- 0..* Reference(MedicationAdministration) Part of referenced event --></partOf> <status value="[code]"/><!-- 1..1 registered | preliminary | final | amended + --> <category><!-- 0..* CodeableConcept Classification of type of observation --></category> <code><!-- 1..1 CodeableConcept Type of observation (code / type) --></code> <subject><!-- 0..1 Reference(Patient) Who and/or what the observation is about --></subject> <focus><!-- 0..* Reference(Resource) What the observation is about, when it is not about the subject of record --></focus> <encounter><!-- 0..1 Reference(Encounter) Healthcare event during which this observation is made --></encounter> <effective[x]><!-- 0..1 dateTime|Period|Timing|instant Clinically relevant time/time-period for observation --></effective[x]> <issued value="[instant]"/><!-- 0..1 Date/Time this version was made available --> <performer><!-- 0..* Reference(Practitioner) Who is responsible for the observation --></performer> <value[x]><!-- 0..1 Quantity|CodeableConcept|string|boolean|integer| Range|Ratio|SampledData|time|dateTime|Period Actual result --></value[x]> <dataAbsentReason><!-- 0..1 CodeableConcept Why the result is missing --></dataAbsentReason> <interpretation><!-- 0..* CodeableConcept High, low, normal, etc. --></interpretation> <note><!-- 0..* Annotation Comments about the observation --></note> <bodySite><!-- 0..1 CodeableConcept Observed body part --></bodySite> <method><!-- 0..1 CodeableConcept How it was done --></method> <specimen><!-- 0..1 Reference(Specimen) Specimen used for this observation --></specimen> <device><!-- 0..1 Reference(Device) (Measurement) Device --></device> <referenceRange> 0..* BackboneElement <!-- 0..* Provides guide for interpretation --> <modifierExtension><!-- 0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <low><!-- 0..1 Quantity Low Range, if relevant --></low> <high><!-- 0..1 Quantity High Range, if relevant --></high> <type><!-- 0..1 CodeableConcept Reference range qualifier --></type> <appliesTo><!-- 0..* CodeableConcept Reference range population --></appliesTo> <age><!-- 0..1 Range Applicable age range, if relevant --></age> <text value="[string]"/><!-- 0..1 Text based reference range in an observation --> </referenceRange> <hasMember><!-- 0..* Reference(Observation) Related resource that belongs to the Observation group --></hasMember> <derivedFrom><!-- 0..* Reference(DocumentReference) Related measurements the observation is made from --></derivedFrom> <component> 0..* BackboneElement <!-- 0..* Component results --> <modifierExtension><!-- 0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <code><!-- 1..1 CodeableConcept Type of component observation (code / type) --></code> <value[x]><!-- 0..1 Quantity|CodeableConcept|string| boolean|integer|Range|Ratio|SampledData|time|dateTime|Period Actual component result --></value[x]> <dataAbsentReason><!-- 0..1 CodeableConcept Why the component result is missing --></dataAbsentReason> <interpretation><!-- 0..* CodeableConcept High, low, normal, etc. --></interpretation> <referenceRange><!-- See #Observation.referenceRange Provides guide for interpretation of component result --></referenceRange> </component> </Observation>
JSON Template
{ // Observation-genetics // from Element: extension "meta" : { Meta }, // C?Metadata about the resource "implicitRules" : "<uri>", // C?A set of rules under which this content was created "language" : "<code>", // C?Language of the resource content "text" : { Narrative }, // C?Text summary of the resource, for human interpretation "contained" : [{ Resource }], //Contained, inline Resources "extension" : [ // sliced by value:url in the specified order, Open { // HGNC gene symbol // C? // from Element: extension }, { // DNA region name // C? // from Element: extension }, { // Copy number variation // C? // from Element: extension }, { // Genomic source class // C? // from Element: extension }, { // Clinical interpretations for variant // C? // from Element: extension }, { // Variant // C? // from Element: extension }, { // AminoAcidChange // C? // from Element: extension }, { // Allele // C? // from Element: extension }, { // Ancestry // C? // from Element: extension }, { // Phase set // C? // from Element: extension } ], "modifierExtension" : [{ Extension }], // C?Extensions that cannot be ignored "identifier" : [{ Identifier }], // C?Business Identifier for observation "basedOn" : [{ Reference(CarePlan) }], // C?Fulfills plan, proposal or order "partOf" : [{ Reference(MedicationAdministration) }], // C?Part of referenced event "status" : "<code>", // C? R! registered | preliminary | final | amended + "category" : [{ CodeableConcept }], // C?Classification of type of observation "code" : { CodeableConcept }, // C? R! Type of observation (code / type) "subject" : { Reference(Patient) }, // C?Who and/or what the observation is about "focus" : [{ Reference(Resource) }], // C?What the observation is about, when it is not about the subject of record "encounter" : { Reference(Encounter) }, // C?Healthcare event during which this observation is made // value[x]: Clinically relevant time/time-period for observation. One of these 4: "effectiveDateTime" : "<dateTime>", // C?Clinically relevant time/time-period for observation "effectivePeriod" : { Period }, // C?Clinically relevant time/time-period for observation "effectiveTiming" : { Timing }, // C?Clinically relevant time/time-period for observation "effectiveInstant" : "<instant>", // C?Clinically relevant time/time-period for observation "issued" : "<instant>", // C?Date/Time this version was made available "performer" : [{ Reference(Practitioner) }], // C?Who is responsible for the observation // value[x]: Actual result. One of these 11: "valueQuantity" : { Quantity }, // C?Actual result "valueCodeableConcept" : { CodeableConcept }, // C?Actual result "valueString" : "<string>", // C?Actual result "valueBoolean" : <boolean>, // C?Actual result "valueInteger" : <integer>, // C?Actual result "valueRange" : { Range }, // C?Actual result "valueRatio" : { Ratio }, // C?Actual result "valueSampledData" : { SampledData }, // C?Actual result "valueTime" : "<time>", // C?Actual result "valueDateTime" : "<dateTime>", // C?Actual result "valuePeriod" : { Period }, // C?Actual result "dataAbsentReason" : { CodeableConcept }, // C?Why the result is missing "interpretation" : [{ CodeableConcept }], // C?High, low, normal, etc. "note" : [{ Annotation }], // C?Comments about the observation "bodySite" : { CodeableConcept }, // C?Observed body part "method" : { CodeableConcept }, // C?How it was done "specimen" : { Reference(Specimen) }, // C?Specimen used for this observation "device" : { Reference(Device) }, // C?(Measurement) Device "referenceRange" : [{ BackboneElement }] // C?Provides guide for interpretation "hasMember" : [{ Reference(Observation) }], // C?Related resource that belongs to the Observation group "derivedFrom" : [{ Reference(DocumentReference) }], // C?Related measurements the observation is made from "component" : [{ BackboneElement }], // C?Component results }
Alternate definitions: Master Definition (XML, JSON), Schematron
Path | Name | Conformance | ValueSet |
Observation.language | Common Languages | preferred | Common Languages |
Observation.status | ObservationStatus | required | ObservationStatus |
Observation.category | Observation Category Codes | preferred | Observation Category Codes |
Observation.code | LOINC Codes | example | LOINC Codes |
Observation.dataAbsentReason | DataAbsentReason | extensible | DataAbsentReason |
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.type | Observation Reference Range Meaning Codes | preferred | Observation Reference Range Meaning Codes |
Observation.referenceRange.appliesTo | Observation Reference Range Applies To Codes | example | Observation Reference Range Applies To Codes |
Observation.component.code | LOINC Codes | example | LOINC Codes |
Observation.component.dataAbsentReason | DataAbsentReason | extensible | DataAbsentReason |
Observation.component.interpretation | Observation Interpretation Codes | extensible | Observation Interpretation Codes |
Id | Path | Details | Requirements |
obs-3 | Observation.referenceRange | Must have at least a low or a high or text Expression : low.exists() or high.exists() or text.exists() |