This page is part of the Da Vinci Payer Data Exchange (v2.1.0-ballot: STU2.1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
Page standards status: Informative |
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The US Core 3.1.1 IG profiles the Observation resource for a variety of purposes. For example:
US Core 6.1.0 defines those same profiles:
The essential fields (Must Support or Cardinality greater than 0..*) to be provided in the US Core Observation resource are:
R4 Element | Name | Cardinality | Type |
---|---|---|---|
Observation.status | status | 1..1 | code |
Observation.category | category | 1..* | (Slice Definition) |
Observation.category:VSCat | category:VSCat | 1..1 | CodeableConcept |
Observation.category:VSCat.coding | coding | 1..* | Coding |
Observation.category:VSCat.coding.system | system | 1..1 | uri |
Observation.category:VSCat.coding.code | code | 1..1 | code |
Observation.code | code | 1..1 | CodeableConcept |
Observation.code.coding | coding | 1..* | Coding |
Observation.code.coding.system | system | 1..1 | uri |
Observation.code.coding.code | code | 1..1 | code |
Observation.subject | subject | 1..1 | Reference(US Core Patient Profile) |
Observation.effective[x] | effective[x] | 1..1 | |
Observation.value[x] | value[x] | 0..1 | (Slice Definition) |
Observation.value[x]:valueQuantity.value | value | 1..1 | decimal |
Observation.value[x]:valueQuantity.unit | unit | 1..1 | string |
Observation.value[x]:valueQuantity.system | system | 1..1 | uri |
Observation.value[x]:valueQuantity.code | code | 1..1 | code |
Observation.dataAbsentReason | dataAbsentReason | 0..1 | CodeableConcept |
Observation.component | component | 0..* | BackboneElement |
Observation.component.code | code | 1..1 | CodeableConcept |
Observation.component.value[x] | value[x] | 0..1 | |
Observation.dataAbsentReason | dataAbsentReason | 0..1 | CodeableConcept |
US Core Pediatric BMI for Age example: US Core 3.1.1 Pediatric BMI for Age](http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-pediatric-bmi-for-age.html)
{ "resourceType" : "Observation", "id" : "pediatric-bmi-example", "meta" : { "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative
id: pediatric-bmi-example
meta:
category: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span>
code: <span title=\"Codes: {http://loinc.org 59576-9}\">BMI</span>
subject: <a href=\"Patient-child-example.html\">Child Example. Generated Summary: id: child-example; Medical Record Number: 1032704 (USUAL); active; Child Example ; ph: 555-555-5555(HOME); gender: male; birthDate: 2016-01-15</a>
encounter: GP Visit
effective: 05/05/2019 5:12:29 AM
value: 65 %
note: CDC Males, 2-20 years Chart
</div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" } ], "text" : "Vital Signs" } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "59576-9", "display" : "Body mass index (BMI) [Percentile] Per age and sex" } ], "text" : "BMI" }, "subject" : { "reference" : "Patient/child-example", "display" : "Child Example" }, "encounter" : { "display" : "GP Visit" }, "effectiveDateTime" : "2019-05-04T12:12:29-07:00", "valueQuantity" : { "value" : 65, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "note" : [ { "text" : "CDC Males, 2-20 years Chart" } ] }
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