Point-of-Care Device Implementation Guide
0.3.0 - STU 1 Ballot

This page is part of the Point-of-care Device FHIR IG (v0.3.0: STU 1 Ballot 3) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: Compound Numeric Observation profile

Defining URL:http://hl7.org/fhir/uv/pocd/StructureDefinition/CompoundNumericObservation
Version:0.3.0
Name:CompoundNumericObservation
Title:Compound Numeric Observation profile
Status:Draft as of 2021-07-24
Definition:

StructureDefinition for Observation resources that represent numerical measurements, calculations, or settings with multiple components.

Publisher:HL7 International - Devices Work Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/uv/pocd/StructureDefinition/CompoundNumericObservation

Scope and Usage

This profile sets minimum expectations for the Observation resource that represents numerical measurement, calculation, or setting with multiple components.

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Observation

Summary

The profile defines the following rules:

  • Observation.code and Observation.component.code shall have a coding from the ISO/IEEE 11073 MDC Metric nomenclature if there is an appropriate code available. Depending on the type of measurement, the Vital Signs profiles may require additional LOINC codes.
  • Observation.subject shall be present and refer to a Patient resource or MDS Device resource.
  • Observation.value[x] must not be present.
  • Observation.device shall be present and refer to the Numeric DeviceMetric resource which this observation belongs to.
  • For each component, Observation.component.valueQuantity or, if there is no value, Observation.component.dataAbsentReason shall be present. Values shall have a UCUM unit code.
  • Observation.component.interpretation coding includes measurement status.

Mandatory: 3 elements (1 nested mandatory element)
Must-Support: 13 elements
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.component.value[x] is sliced based on the value of type:$this (Closed)

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationMeasurements and simple assertions
... meta 0..1MetaMetadata about the resource
.... security S0..*CodingSecurity Labels applied to this resource
... status S1..1coderegistered | preliminary | final | amended +
... category S0..*CodeableConceptClassification of type of observation
.... coding 0..*CodingCode defined by a terminology system
..... code 0..1codeSymbol in syntax defined by the system
... subject S1..1Reference(Patient | MDS Device profile)Who and/or what the observation is about
... effective[x] S0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
... effectiveDateTime 0..1dateTimeClinically relevant time/time-period for observation
... effectivePeriod 0..1PeriodClinically relevant time/time-period for observation
.... start 0..1dateTimeStarting time with inclusive boundary
.... end 0..1dateTimeEnd time with inclusive boundary, if not ongoing
... value[x] 0..0
... bodySite S0..1CodeableConceptObserved body part
... device S1..1Reference(Numeric DeviceMetric profile)(Measurement) Device
... component I1..*BackboneElementComponent results
pocd-obs-1: If there is no value a dataAbsentReason shall be present
.... code S1..1CodeableConceptType of component observation (code / type)
Binding: MDC Metric nomenclature (extensible)
..... coding 0..*CodingCode defined by a terminology system
...... code 0..1codeSymbol in syntax defined by the system
.... Slices for value[x] SI0..1QuantityActual component result
Slice: Unordered, Closed by type:$this
..... valueQuantity:valueQuantity 0..1QuantityActual component result
...... value 1..1decimalNumerical value (with implicit precision)
...... system 0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 0..1codeCoded form of the unit
.... dataAbsentReason SI0..1CodeableConceptWhy the component result is missing
.... interpretation S0..*CodeableConceptHigh, low, normal, etc.
Binding: Observation interpretation codes (extensible)
.... referenceRange S0..*BackboneElementProvides guide for interpretation of component result
..... low 0..1SimpleQuantityLow Range, if relevant
..... high 0..1SimpleQuantityHigh Range, if relevant

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*ObservationMeasurements and simple assertions
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security SΣ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category S0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ1..1CodeableConceptType of observation (code / type)
Binding: MDC Metric nomenclature (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(Patient | MDS Device profile)Who and/or what the observation is about
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... Slices for effective[x] SΣ0..1Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
.... effective[x]:effectiveDateTime Σ0..1dateTimeClinically relevant time/time-period for observation
.... effective[x]:effectivePeriod Σ0..1PeriodClinically relevant time/time-period for observation
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣI0..1dateTimeStarting time with inclusive boundary
..... end ΣI0..1dateTimeEnd time with inclusive boundary, if not ongoing
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... dataAbsentReason I0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite S0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation
... device S1..1Reference(Numeric DeviceMetric profile)(Measurement) Device
... referenceRange I0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... component ΣI1..*BackboneElementComponent results
pocd-obs-1: If there is no value a dataAbsentReason shall be present
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: MDC Metric nomenclature (extensible)
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... Slices for value[x] SΣI0..1QuantityActual component result
Slice: Unordered, Closed by type:$this
..... value[x]:valueQuantity Σ0..1QuantityActual component result
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ1..1decimalNumerical value (with implicit precision)
...... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

...... unit Σ0..1stringUnit representation
...... system ΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ0..1codeCoded form of the unit
.... dataAbsentReason SI0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation S0..*CodeableConceptHigh, low, normal, etc.
Binding: Observation interpretation codes (extensible)
.... referenceRange S0..*BackboneElementProvides guide for interpretation of component result
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... low I0..1SimpleQuantityLow Range, if relevant
..... high I0..1SimpleQuantityHigh Range, if relevant
..... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

..... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


..... age 0..1RangeApplicable age range, if relevant
..... text 0..1stringText based reference range in an observation

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*ObservationMeasurements and simple assertions
... meta Σ0..1MetaMetadata about the resource
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... subject Σ1..1Reference(Patient | MDS Device profile)Who and/or what the observation is about
... Slices for effective[x] Σ0..1Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... device 1..1Reference(Numeric DeviceMetric profile)(Measurement) Device
... component ΣI1..*BackboneElementComponent results
pocd-obs-1: If there is no value a dataAbsentReason shall be present
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: MDC Metric nomenclature (extensible)
.... Slices for value[x] ΣI0..1QuantityActual component result
Slice: Unordered, Closed by type:$this
.... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: Observation interpretation codes (extensible)
.... referenceRange 0..*BackboneElementProvides guide for interpretation of component result

doco Documentation for this format

This structure is derived from Observation

Summary

The profile defines the following rules:

  • Observation.code and Observation.component.code shall have a coding from the ISO/IEEE 11073 MDC Metric nomenclature if there is an appropriate code available. Depending on the type of measurement, the Vital Signs profiles may require additional LOINC codes.
  • Observation.subject shall be present and refer to a Patient resource or MDS Device resource.
  • Observation.value[x] must not be present.
  • Observation.device shall be present and refer to the Numeric DeviceMetric resource which this observation belongs to.
  • For each component, Observation.component.valueQuantity or, if there is no value, Observation.component.dataAbsentReason shall be present. Values shall have a UCUM unit code.
  • Observation.component.interpretation coding includes measurement status.

Mandatory: 3 elements (1 nested mandatory element)
Must-Support: 13 elements
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.component.value[x] is sliced based on the value of type:$this (Closed)

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationMeasurements and simple assertions
... meta 0..1MetaMetadata about the resource
.... security S0..*CodingSecurity Labels applied to this resource
... status S1..1coderegistered | preliminary | final | amended +
... category S0..*CodeableConceptClassification of type of observation
.... coding 0..*CodingCode defined by a terminology system
..... code 0..1codeSymbol in syntax defined by the system
... subject S1..1Reference(Patient | MDS Device profile)Who and/or what the observation is about
... effective[x] S0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
... effectiveDateTime 0..1dateTimeClinically relevant time/time-period for observation
... effectivePeriod 0..1PeriodClinically relevant time/time-period for observation
.... start 0..1dateTimeStarting time with inclusive boundary
.... end 0..1dateTimeEnd time with inclusive boundary, if not ongoing
... value[x] 0..0
... bodySite S0..1CodeableConceptObserved body part
... device S1..1Reference(Numeric DeviceMetric profile)(Measurement) Device
... component I1..*BackboneElementComponent results
pocd-obs-1: If there is no value a dataAbsentReason shall be present
.... code S1..1CodeableConceptType of component observation (code / type)
Binding: MDC Metric nomenclature (extensible)
..... coding 0..*CodingCode defined by a terminology system
...... code 0..1codeSymbol in syntax defined by the system
.... Slices for value[x] SI0..1QuantityActual component result
Slice: Unordered, Closed by type:$this
..... valueQuantity:valueQuantity 0..1QuantityActual component result
...... value 1..1decimalNumerical value (with implicit precision)
...... system 0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 0..1codeCoded form of the unit
.... dataAbsentReason SI0..1CodeableConceptWhy the component result is missing
.... interpretation S0..*CodeableConceptHigh, low, normal, etc.
Binding: Observation interpretation codes (extensible)
.... referenceRange S0..*BackboneElementProvides guide for interpretation of component result
..... low 0..1SimpleQuantityLow Range, if relevant
..... high 0..1SimpleQuantityHigh Range, if relevant

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*ObservationMeasurements and simple assertions
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security SΣ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category S0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ1..1CodeableConceptType of observation (code / type)
Binding: MDC Metric nomenclature (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(Patient | MDS Device profile)Who and/or what the observation is about
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... Slices for effective[x] SΣ0..1Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
.... effective[x]:effectiveDateTime Σ0..1dateTimeClinically relevant time/time-period for observation
.... effective[x]:effectivePeriod Σ0..1PeriodClinically relevant time/time-period for observation
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣI0..1dateTimeStarting time with inclusive boundary
..... end ΣI0..1dateTimeEnd time with inclusive boundary, if not ongoing
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... dataAbsentReason I0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite S0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation
... device S1..1Reference(Numeric DeviceMetric profile)(Measurement) Device
... referenceRange I0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... component ΣI1..*BackboneElementComponent results
pocd-obs-1: If there is no value a dataAbsentReason shall be present
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: MDC Metric nomenclature (extensible)
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... Slices for value[x] SΣI0..1QuantityActual component result
Slice: Unordered, Closed by type:$this
..... value[x]:valueQuantity Σ0..1QuantityActual component result
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ1..1decimalNumerical value (with implicit precision)
...... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

...... unit Σ0..1stringUnit representation
...... system ΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ0..1codeCoded form of the unit
.... dataAbsentReason SI0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation S0..*CodeableConceptHigh, low, normal, etc.
Binding: Observation interpretation codes (extensible)
.... referenceRange S0..*BackboneElementProvides guide for interpretation of component result
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... low I0..1SimpleQuantityLow Range, if relevant
..... high I0..1SimpleQuantityHigh Range, if relevant
..... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

..... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


..... age 0..1RangeApplicable age range, if relevant
..... text 0..1stringText based reference range in an observation

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Observation.meta.securityextensibleAll Security Labels
Observation.meta.tagexampleCommonTags
Observation.languagepreferredCommonLanguages
Max Binding: AllLanguages
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.codeextensibleMdcMetric
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeextensibleMdcMetric
Observation.component.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretation
Observation.component.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.component.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes

Constraints

IdPathDetailsRequirements
obs-3Observation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
pocd-obs-1Observation.componentIf there is no value a dataAbsentReason shall be present
: value.exists() or dataAbsentReason.exists()