This page is part of the Da Vinci Payer Data Exchange (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
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This IG supports the full complement of US Core profiles. They are supported to enable a payer to produce FHIR resources from data provided in other formats.
For some resources, payers are unlikely to have the clinical information necessary to create a valid US Core resource. The US Core Pulse Oximetry is one potential example of an Observation profile that payers may be unable to create from the source clinical data they have available.
A Pulse Oximetry observation requires codes and values for oxygen saturation in the blood. Payers may not have access to the detail measurement data needed to create a valid observation resource.
The essential fields (Must Support or Cardinality greater than 0..*) to be provided in the US Core Pulse Oximetry 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 | 0..* | (Slice Definition) |
Observation.code.coding:OxygenSatCode | coding:OxygenSatCode | 1..1 | Coding |
Observation.code.coding:OxygenSatCode.system | system | 1..1 | uri |
Observation.code.coding:OxygenSatCode.code | code | 1..1 | code |
Observation.code.coding:PulseOx | coding:PulseOx | 1..1 | Coding |
Observation.code.coding:PulseOx.system | system | 1..1 | uri |
Observation.code.coding:PulseOx.code | code | 1..1 | code |
Observation.subject | subject | 1..1 | Reference(Patient) |
Observation.effective[x] | effective[x] | 1..1 | |
Observation.value[x] | value[x] | 0..1 | (Slice Definition) |
Observation.value[x]:valueQuantity | value[x]:valueQuantity | 0..1 | Quantity |
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..* | (Slice Definition) |
Observation.component:All Slices.code | code | 1..1 | CodeableConcept |
Observation.component:All Slices.value[x] | value[x] | 0..1 | |
Observation.component:All Slices.dataAbsentReason | dataAbsentReason | 0..1 | CodeableConcept |
Observation.component:FlowRate | component:FlowRate | 0..1 | BackboneElement |
Observation.component:FlowRate.code | code | 1..1 | CodeableConcept |
Observation.component:FlowRate.code.coding | coding | 1..* | Coding |
Observation.component:FlowRate.code.coding.system | system | 1..1 | uri |
Observation.component:FlowRate.code.coding.code | code | 1..1 | code |
Observation.component:FlowRate.value[x] | value[x] | 0..1 | Quantity |
Observation.component:FlowRate.value[x].value | value | 1..1 | decimal |
Observation.component:FlowRate.value[x].unit | unit | 1..1 | string |
Observation.component:FlowRate.value[x].system | system | 1..1 | uri |
Observation.component:FlowRate.value[x].code | code | 1..1 | code |
Observation.component:FlowRate.dataAbsentReason | dataAbsentReason | 0..1 | CodeableConcept |
Observation.component:FlowRate.value[x].component:Concentration | component:Concentration | 0..1 | BackboneElement |
Observation.component:FlowRate.value[x].component:Concentration.code | code | 1..1 | CodeableConcept |
Observation.component:FlowRate.value[x].component:Concentration.code.coding | coding | 1..* | Coding |
Observation.component:FlowRate.value[x].component:Concentration.code.coding.system | system | 1..1 | uri |
Observation.component:FlowRate.value[x].component:Concentration.code.coding.code | code | 1..1 | code |
Observation.component:FlowRate.value[x].component:Concentration.value[x] | value[x] | 0..1 | Quantity |
Observation.component:FlowRate.value[x].component:Concentration.value[x].value | value | 1..1 | decimal |
Observation.component:FlowRate.value[x].component:Concentration.value[x].unit | unit | 1..1 | string |
Observation.component:FlowRate.value[x].component:Concentration.value[x].system | system | 1..1 | uri |
Observation.component:FlowRate.value[x].component:Concentration.value[x].code | code | 1..1 | code |
Observation.component:FlowRate.value[x].component:Concentration.dataAbsentReason | dataAbsentReason | 0..1 | CodeableConcept |
Here is a US Core Example of a Pulse Oximetry observation: http://hl7.org/fhir/us/core/Observation-satO2-fiO2.html.