This page is part of the Occupational Data for Health (ODH) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 1.2.0. For a full list of available versions, see the Directory of published versions
The official URL for this logical model is:
http://hl7.org/fhir/us/odh/StructureDefinition/cimi-statement-Observation-model
Represents the result of evaluations (measurements, tests, or questions) that have been performed. Observation has a value representing the result (answer), or an ExceptionValue indicating why the value is not present. The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments.
This logical model was published on Fri Aug 17 00:00:00 AEST 2018 as a draft by HL7.
View the corresponding ObservationProfile profile.
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
cimi-statement-Observation-model | 0..* | |||
personOfRecord | 1..1 | Reference(ODH Person Logical Model) | The person this entry belongs to. | |
recorded | 0..1 | AttributionModel | The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order. | |
signed | 0..1 | AttributionModel | Provenance information specific to the signing of the clinical statement. | |
additionalText | 0..1 | string | A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information. | |
contextCode | 0..1 | Coding | Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement. | |
extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
version | Σ | 0..1 | string | Version of the system - if relevant |
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 424975005 |
display | Σ | 0..1 | string | Representation defined by the system |
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
encounter | 0..1 | EncounterModel | A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient. | |
interpretation | 0..1 | Coding | A clinical interpretation of a finding (applies to both assertions and observation). Binding: Observation Interpretation Codes (extensible) | |
relevantTime | 0..1 | dateTime, TimePeriodModel | The time or time period that the finding addresses. | |
findingMethod | 0..1 | Coding | The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle. Binding: ODH FindingMethodVS ValueSet (preferred) | |
media | 0..* | MediaModel | A file that contains audio, video, image, or similar content. | |
topicCode | 1..1 | Coding | The concept representing the finding or action that is the topic of the statement. | |
resultValue | 0..1 | QuantityModel, Coding, string, boolean, RangeModel, RatioModel, time, dateTime, TimePeriodModel | The finding itself, such as the blood pressure value recorded. | |
exceptionValue | 0..1 | Coding | Reason that a value associated with a test or other finding is missing. Binding: DataAbsentReason (extensible) | |
deltaFlag | 0..1 | Coding | Indicator of significant change (delta) from the last or previous measurement. Binding: ODH DeltaFlagVS ValueSet (required) | |
category | 1..* | Coding | The type, kind, or class of this item. Binding: Observation Category Codes (extensible) | |
anatomicalLocation | 0..1 | AnatomicalLocationModel | A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart. | |
device | 0..1 | DeviceModel | A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients. | |
specimen | 0..1 | SpecimenModel | A specimen is a substance, physical object, or collection of objects, that the laboratory considers a single discrete, uniquely identified unit that is the subject of one or more steps in the laboratory workflow. A specimen may include multiple physical pieces as long as they are considered a single unit within the laboratory workflow. A specimen results from one to many specimen collection procedures, and may be contained in multiple specimen containers. Specimen may have one or more processing activities. | |
precondition | 0..* | Coding, Reference(ODH Observation Logical Model) | A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar. | |
referenceRange | 0..* | ReferenceRangeModel | The usual or acceptable range for a test result. | |
evaluationComponent | 0..* | EvaluationComponentModel | A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation. | |
panelMembers | 0..1 | PanelMembersModel | PanelMembers represent the elements of a group of a related but independent evaluations. | |
Documentation for this format |
Downloads: StructureDefinition: (XML, JSON, TTL)
Path | Name | Conformance | ValueSet |
cimi-statement-Observation-model.interpretation | Observation Interpretation Codes | extensible | Observation Interpretation Codes |
cimi-statement-Observation-model.findingMethod | ODH FindingMethodVS ValueSet | preferred | FindingMethodVS |
cimi-statement-Observation-model.exceptionValue | DataAbsentReason | extensible | DataAbsentReason |
cimi-statement-Observation-model.deltaFlag | ODH DeltaFlagVS ValueSet | required | DeltaFlagVS |
cimi-statement-Observation-model.category | Observation Category Codes | extensible | Observation Category Codes |