This page is part of the Canonical Resource Management Infrastructure Implementation Guide (v2.0.0-ballot: STU 2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 1.0.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/publishable-example | Version: 2.0.0-ballot | |||
| Standards status: Informative | Computable Name: Dangersigns | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.38.42.13 | ||||
| Usage:Workflow Task: Quick check | ||||
Before each contact, the health worker should check whether the woman has any of the danger signs listed here – if yes, she should refer to the hospital urgently; if no, she should continue to the normal contact
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   Observation | C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7 | 
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | 
|    code | SΣ | 1..1 | CodeableConcept | Danger signs Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | 
|     id | 0..1 | string | Unique id for inter-element referencing | |
|     extension | 0..* | Extension | Additional content defined by implementations | |
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
|      id | 0..1 | string | Unique id for inter-element referencing | |
|      extension | 0..* | Extension | Additional content defined by implementations | |
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/crmi/CodeSystem/publishable-example | |
|      version | 0..1 | string | Version of the system - if relevant | |
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ANC.B5.DE48 | |
|      display | 1..1 | string | Representation defined by the system Fixed Value: Danger signs | |
|      userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
|     text | 0..1 | string | Plain text representation of the concept | |
|    value[x] | SΣC | 1..1 | CodeableConcept | Danger signs Binding: Danger signs Codes Grouper (Publishable Example) (required) | 
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI | 
| Observation.status | required | ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1From the FHIR Standard | |
| Observation.code | example | Pattern Value: ANC.B5.DE48("Danger signs") http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | |
| Observation.value[x] | required | DangersignsCodesGrouperPublishable http://hl7.org/fhir/uv/crmi/ValueSet/publishable-exampleFrom this IG | 
| Id | Grade | Path(s) | Details | Requirements | 
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | 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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | 
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   Observation | 0..* | Observation | Measurements and simple assertions | |
|    code | S | 1..1 | CodeableConcept | Danger signs Required Pattern: At least the following | 
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/crmi/CodeSystem/publishable-example | |
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ANC.B5.DE48 | |
|      display | 1..1 | string | Representation defined by the system Fixed Value: Danger signs | |
|    value[x] | S | 1..1 | CodeableConcept | Danger signs Binding: Danger signs Codes Grouper (Publishable Example) (required) | 
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| Observation.value[x] | required | DangersignsCodesGrouperPublishable http://hl7.org/fhir/uv/crmi/ValueSet/publishable-exampleFrom this IG | 
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
|   Observation | C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7 | ||||
|    id | Σ | 0..1 | id | Logical id of this artifact | ||||
|    meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
|    language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language. 
 | |||||
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||
|    extension | 0..* | Extension | Additional content defined by implementations | |||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
|    identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
|    basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
|    partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
|    status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
|    category | 0..* | CodeableConcept | Classification of  type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
|    code | SΣ | 1..1 | CodeableConcept | Danger signs Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/crmi/CodeSystem/publishable-example | |||||
|      version | 0..1 | string | Version of the system - if relevant | |||||
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ANC.B5.DE48 | |||||
|      display | 1..1 | string | Representation defined by the system Fixed Value: Danger signs | |||||
|      userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|     text | 0..1 | string | Plain text representation of the concept | |||||
|    subject | Σ | 0..1 | Reference(Patient | Group | Device | Location) | Who and/or what the observation is about | ||||
|    focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
|    encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
|    effective[x] | Σ | 0..1 | Clinically relevant time/time-period for observation | |||||
|     effectiveDateTime | dateTime | |||||||
|     effectivePeriod | Period | |||||||
|     effectiveTiming | Timing | |||||||
|     effectiveInstant | instant | |||||||
|    issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
|    performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
|    value[x] | SΣC | 1..1 | CodeableConcept | Danger signs Binding: Danger signs Codes Grouper (Publishable Example) (required) | ||||
|    dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
|    interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
|    note | 0..* | Annotation | Comments about the observation | |||||
|    bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
|    method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
|    specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
|    device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
|    referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
|     high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
|     type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
|     appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
|     age | 0..1 | Range | Applicable age range, if relevant | |||||
|     text | 0..1 | string | Text based reference range in an observation | |||||
|    hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
|    derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
|    component | Σ | 0..* | BackboneElement | Component results | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
|     value[x] | Σ | 0..1 | Actual component result | |||||
|      valueQuantity | Quantity | |||||||
|      valueCodeableConcept | CodeableConcept | |||||||
|      valueString | string | |||||||
|      valueBoolean | boolean | |||||||
|      valueInteger | integer | |||||||
|      valueRange | Range | |||||||
|      valueRatio | Ratio | |||||||
|      valueSampledData | SampledData | |||||||
|      valueTime | time | |||||||
|      valueDateTime | dateTime | |||||||
|      valuePeriod | Period | |||||||
|     dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
|     interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
|     referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
|  Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Observation.language | preferred | CommonLanguages http://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard 
 | ||||
| Observation.status | required | ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1From the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-categoryFrom the FHIR Standard | ||||
| Observation.code | example | Pattern Value: ANC.B5.DE48("Danger signs") http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | ||||
| Observation.value[x] | required | DangersignsCodesGrouperPublishable http://hl7.org/fhir/uv/crmi/ValueSet/publishable-exampleFrom this IG | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretationFrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethods http://hl7.org/fhir/ValueSet/observation-methodsFrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaningFrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliestoFrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretationFrom the FHIR Standard | 
| Id | Grade | Path(s) | Details | Requirements | 
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | 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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | 
This structure is derived from Observation
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   Observation | C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7 | 
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | 
|    code | SΣ | 1..1 | CodeableConcept | Danger signs Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | 
|     id | 0..1 | string | Unique id for inter-element referencing | |
|     extension | 0..* | Extension | Additional content defined by implementations | |
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
|      id | 0..1 | string | Unique id for inter-element referencing | |
|      extension | 0..* | Extension | Additional content defined by implementations | |
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/crmi/CodeSystem/publishable-example | |
|      version | 0..1 | string | Version of the system - if relevant | |
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ANC.B5.DE48 | |
|      display | 1..1 | string | Representation defined by the system Fixed Value: Danger signs | |
|      userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
|     text | 0..1 | string | Plain text representation of the concept | |
|    value[x] | SΣC | 1..1 | CodeableConcept | Danger signs Binding: Danger signs Codes Grouper (Publishable Example) (required) | 
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI | 
| Observation.status | required | ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1From the FHIR Standard | |
| Observation.code | example | Pattern Value: ANC.B5.DE48("Danger signs") http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | |
| Observation.value[x] | required | DangersignsCodesGrouperPublishable http://hl7.org/fhir/uv/crmi/ValueSet/publishable-exampleFrom this IG | 
| Id | Grade | Path(s) | Details | Requirements | 
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | 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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | 
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   Observation | 0..* | Observation | Measurements and simple assertions | |
|    code | S | 1..1 | CodeableConcept | Danger signs Required Pattern: At least the following | 
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/crmi/CodeSystem/publishable-example | |
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ANC.B5.DE48 | |
|      display | 1..1 | string | Representation defined by the system Fixed Value: Danger signs | |
|    value[x] | S | 1..1 | CodeableConcept | Danger signs Binding: Danger signs Codes Grouper (Publishable Example) (required) | 
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| Observation.value[x] | required | DangersignsCodesGrouperPublishable http://hl7.org/fhir/uv/crmi/ValueSet/publishable-exampleFrom this IG | 
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
|   Observation | C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7 | ||||
|    id | Σ | 0..1 | id | Logical id of this artifact | ||||
|    meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
|    language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language. 
 | |||||
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||
|    extension | 0..* | Extension | Additional content defined by implementations | |||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
|    identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
|    basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
|    partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
|    status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
|    category | 0..* | CodeableConcept | Classification of  type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
|    code | SΣ | 1..1 | CodeableConcept | Danger signs Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/crmi/CodeSystem/publishable-example | |||||
|      version | 0..1 | string | Version of the system - if relevant | |||||
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ANC.B5.DE48 | |||||
|      display | 1..1 | string | Representation defined by the system Fixed Value: Danger signs | |||||
|      userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|     text | 0..1 | string | Plain text representation of the concept | |||||
|    subject | Σ | 0..1 | Reference(Patient | Group | Device | Location) | Who and/or what the observation is about | ||||
|    focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
|    encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
|    effective[x] | Σ | 0..1 | Clinically relevant time/time-period for observation | |||||
|     effectiveDateTime | dateTime | |||||||
|     effectivePeriod | Period | |||||||
|     effectiveTiming | Timing | |||||||
|     effectiveInstant | instant | |||||||
|    issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
|    performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
|    value[x] | SΣC | 1..1 | CodeableConcept | Danger signs Binding: Danger signs Codes Grouper (Publishable Example) (required) | ||||
|    dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
|    interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
|    note | 0..* | Annotation | Comments about the observation | |||||
|    bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
|    method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
|    specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
|    device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
|    referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
|     high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
|     type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
|     appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
|     age | 0..1 | Range | Applicable age range, if relevant | |||||
|     text | 0..1 | string | Text based reference range in an observation | |||||
|    hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
|    derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
|    component | Σ | 0..* | BackboneElement | Component results | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
|     value[x] | Σ | 0..1 | Actual component result | |||||
|      valueQuantity | Quantity | |||||||
|      valueCodeableConcept | CodeableConcept | |||||||
|      valueString | string | |||||||
|      valueBoolean | boolean | |||||||
|      valueInteger | integer | |||||||
|      valueRange | Range | |||||||
|      valueRatio | Ratio | |||||||
|      valueSampledData | SampledData | |||||||
|      valueTime | time | |||||||
|      valueDateTime | dateTime | |||||||
|      valuePeriod | Period | |||||||
|     dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
|     interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
|     referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
|  Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Observation.language | preferred | CommonLanguages http://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard 
 | ||||
| Observation.status | required | ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1From the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-categoryFrom the FHIR Standard | ||||
| Observation.code | example | Pattern Value: ANC.B5.DE48("Danger signs") http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | ||||
| Observation.value[x] | required | DangersignsCodesGrouperPublishable http://hl7.org/fhir/uv/crmi/ValueSet/publishable-exampleFrom this IG | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretationFrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethods http://hl7.org/fhir/ValueSet/observation-methodsFrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaningFrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliestoFrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretationFrom the FHIR Standard | 
| Id | Grade | Path(s) | Details | Requirements | 
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | 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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | 
This structure is derived from Observation
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