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The US Core IG profiles the Observation resource for a variety of purposes. For example:
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 Weight for Height Observation: https://hl7.org/fhir/us/core/Observation-pediatric-wt-example.html
{ "resourceType" : "Observation", "id" : "pediatric-wt-example", "meta" : { "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative
id: pediatric-wt-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 77606-2}\">BMI</span>
subject: <a href=\"Patient-infant-example.html\">Infant Example. Generated Summary: id: infant-example; Medical Record Number: 1032703 (USUAL); active; Infant Example ; ph: 555-555-5555(HOME); gender: male; birthDate: 2020-06-02</a>
encounter: GP Visit
effective: 2020-07-02
value: 65 %
note: WHO Males, 0-2 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" : "77606-2", "display" : "Weight-for-length Per age and sex" } ], "text" : "BMI" }, "subject" : { "reference" : "Patient/infant-example", "display" : "Infant Example" }, "encounter" : { "display" : "GP Visit" }, "effectiveDateTime" : "2020-07-02", "valueQuantity" : { "value" : 65, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "note" : [ { "text" : "WHO Males, 0-2 years Chart" } ] }