Union of http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result and http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status

This is the set of resources that conform to either of the profiles US Core Observation Clinical Result Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result) and ECOG Performance Status Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status). E.g. what you have to deal with if you get resources conforming to one of them

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*Measurements and simple assertions
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
... meta Σ0..1MetaMetadata about the resource
ele-1: All FHIR elements must have a @value or children
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.


ele-1: All FHIR elements must have a @value or children
... text 0..1NarrativeText summary of the resource, for human interpretation
ele-1: All FHIR elements must have a @value or children
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... identifier Σ0..*IdentifierBusiness Identifier for observation
ele-1: All FHIR elements must have a @value or children
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest), Reference(ServiceRequest | CarePlan)Fulfills plan, proposal or order
ele-1: All FHIR elements must have a @value or children
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy), Reference(Procedure)Part of referenced event
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ?? (required): Codes providing the status of an observation.


ele-1: All FHIR elements must have a @value or children
... category S1..*CodeableConceptClassification of type of observation
Binding: ?? (preferred): Codes for high level observation categories.


ele-1: All FHIR elements must have a @value or children
... code SΣ1..1CodeableConceptleft: Clinical Test or Procedure Name; right: Clinical Test Name
Binding: ?? (extensible)
ele-1: All FHIR elements must have a @value or children
... subject SΣ1..1Reference(US Core Patient Profile S | Group | Device | US Core Location Profile)Who and/or what the observation is about
ele-1: All FHIR elements must have a @value or children
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
ele-1: All FHIR elements must have a @value or children
... encounter SΣ0..1Reference(Encounter)left: Encounter associated with Observation; right: Healthcare event during which this observation is made
ele-1: All FHIR elements must have a @value or children
... effective[x] SΣC0..1Clinically relevant time/time-period for observation
ele-1: All FHIR elements must have a @value or children
us-core-1: Datetime must be at least to day.
.... effectiveDateTimedateTime S
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued Σ0..1instantDate/Time this version was made available
ele-1: All FHIR elements must have a @value or children
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
ele-1: All FHIR elements must have a @value or children
... value[x] SΣC0..1Result Value
ele-1: All FHIR elements must have a @value or children
us-core-3: SHALL use UCUM for coded quantity units.
.... valueQuantityQuantity S
.... valueCodeableConceptCodeableConcept S
.... valueStringstring S
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason S0..1CodeableConceptWhy the result is missing
Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.


ele-1: All FHIR elements must have a @value or children
... interpretation S0..*CodeableConceptHigh, low, normal, etc.
Binding: ?? (extensible): Codes identifying interpretations of observations.


ele-1: All FHIR elements must have a @value or children
... note 0..*AnnotationComments about the observation
ele-1: All FHIR elements must have a @value or children
... bodySite 0..1CodeableConceptleft: Observed body part; right: Not used in this profile
Binding: ?? (example): Codes describing anatomical locations. May include laterality.


ele-1: All FHIR elements must have a @value or children
... method 0..1CodeableConceptHow it was done
Binding: ?? (example): Methods for simple observations.


ele-1: All FHIR elements must have a @value or children
... specimen 0..1Reference(Specimen)left: Specimen used for this observation; right: Not used in this profile
ele-1: All FHIR elements must have a @value or children
... device 0..1Reference(Device | DeviceMetric)left: (Measurement) Device; right: Not used in this profile
ele-1: All FHIR elements must have a @value or children
... referenceRange C0..*BackboneElementProvides guide for interpretation
ele-1: All FHIR elements must have a @value or children
obs-3: Must have at least a low or a high or text
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... low 0..1??Low Range, if relevant
ele-1: All FHIR elements must have a @value or children
.... high 0..1??High Range, if relevant
ele-1: All FHIR elements must have a @value or children
.... type 0..1CodeableConceptReference range qualifier
Binding: ?? (preferred): Code for the meaning of a reference range.


ele-1: All FHIR elements must have a @value or children
.... appliesTo 0..*CodeableConceptReference range population
Binding: ?? (example): Codes identifying the population the reference range applies to.


ele-1: All FHIR elements must have a @value or children
.... age 0..1RangeApplicable age range, if relevant
ele-1: All FHIR elements must have a @value or children
.... text 0..1stringText based reference range in an observation
ele-1: All FHIR elements must have a @value or children
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)left: Related resource that belongs to the Observation group; right: Not used in this profile
ele-1: All FHIR elements must have a @value or children
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
ele-1: All FHIR elements must have a @value or children
... component Σ0..*BackboneElementleft: Component results; right: Not used in this profile
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: ?? (example): Codes identifying names of simple observations.


ele-1: All FHIR elements must have a @value or children
.... value[x] Σ0..1Actual component result
ele-1: All FHIR elements must have a @value or children
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason 0..1CodeableConceptWhy the component result is missing
Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.


ele-1: All FHIR elements must have a @value or children
.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ?? (extensible): Codes identifying interpretations of observations.


ele-1: All FHIR elements must have a @value or children
.... referenceRange 0..*Provides guide for interpretation of component result
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format