Extensions for Using Data Elements from FHIR R4 in FHIR STU3
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR R4 in FHIR STU3 - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R4_Observation_R3

Official URL: http://hl7.org/fhir/4.0/StructureDefinition/profile-Observation Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: Profile_R4_Observation_R3

This cross-version profile allows R4 Observation content to be represented via FHIR STU3 Observation resources.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-7, obs-6
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:effective 0..1 Timing, instant R4: effective additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.effective
.... extension:value 0..1 integer R4: value additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.value
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍3.0.2 FHIR Std.
Observation.code Base example LOINC Codes 📍3.0.2 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-1 error Observation If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
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 contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (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 code is the same as a component code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation Measurements and simple assertions
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:effective 0..1 Timing, instant R4: effective additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.effective
.... extension:value 0..1 integer R4: value additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.value
... basedOn
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:basedOn 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: basedOn
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... performer
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:performer 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: performer
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:note 0..* Annotation R4: Comments about the observation additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.note
... related
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:partOf 0..* Reference(Cross-version Profile for R4.MedicationAdministration for use in FHIR STU3(0.1.0) | MedicationAdministration | Cross-version Profile for R4.MedicationDispense for use in FHIR STU3(0.1.0) | MedicationDispense | Cross-version Profile for R4.MedicationStatement for use in FHIR STU3(0.1.0) | MedicationStatement | Cross-version Profile for R4.Procedure for use in FHIR STU3(0.1.0) | Procedure | Cross-version Profile for R4.Immunization for use in FHIR STU3(0.1.0) | Immunization | Cross-version Profile for R4.ImagingStudy for use in FHIR STU3(0.1.0) | ImagingStudy) R4: Part of referenced event (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.partOf
..... extension:focus 0..* Reference(Cross-version Profile for R4.Resource for use in FHIR STU3(0.1.0) | Resource) R4: What the observation is about, when it is not about the subject of record (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.focus
.... target
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:derivedFrom 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: Related measurements the observation is made from
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... component
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:value 0..1 boolean, integer R4: value additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.component.value

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-7, obs-6
... 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: Common Languages (extensible): A human language.
Additional BindingsPurpose
All Languages Max Binding
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:effective 0..1 Timing, instant R4: effective additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.effective
.... extension:value 0..1 integer R4: value additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.value
... 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 | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:basedOn 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: basedOn
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... 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: Observation Category Codes (preferred): Codes for high level observation categories.
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.
... subject Σ 0..1 Reference(Patient | Group | Device | Location) Who and/or what this is about
... context 0..1 Reference(Encounter | EpisodeOfCare) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this was made available
... performer Σ 0..* Reference(Practitioner | Organization | Patient | RelatedPerson) Who is responsible for the observation
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:performer 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: performer
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... value[x] ΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueAttachment Attachment
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes . (extensible): Codes identifying interpretations of observations.
... comment 0..1 string Comments about result
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:note 0..* Annotation R4: Comments about the observation additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.note
.... value 0..1 string Primitive value for string
Max Length:1048576
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: Observation Methods (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 xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... 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: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes (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
... related Σ 0..* BackboneElement Resource related to this observation
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:partOf 0..* Reference(Cross-version Profile for R4.MedicationAdministration for use in FHIR STU3(0.1.0) | MedicationAdministration | Cross-version Profile for R4.MedicationDispense for use in FHIR STU3(0.1.0) | MedicationDispense | Cross-version Profile for R4.MedicationStatement for use in FHIR STU3(0.1.0) | MedicationStatement | Cross-version Profile for R4.Procedure for use in FHIR STU3(0.1.0) | Procedure | Cross-version Profile for R4.Immunization for use in FHIR STU3(0.1.0) | Immunization | Cross-version Profile for R4.ImagingStudy for use in FHIR STU3(0.1.0) | ImagingStudy) R4: Part of referenced event (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.partOf
..... extension:focus 0..* Reference(Cross-version Profile for R4.Resource for use in FHIR STU3(0.1.0) | Resource) R4: What the observation is about, when it is not about the subject of record (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.focus
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... type 0..1 code has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.
.... target 1..1 Reference(Observation | QuestionnaireResponse | Sequence) Resource that is related to this one
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:derivedFrom 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: Related measurements the observation is made from
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... component Σ 0..* BackboneElement Component results
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:value 0..1 boolean, integer R4: value additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.component.value
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueAttachment Attachment
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes . (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base extensible Common Languages 📍3.0.2 FHIR Std.
Observation.status Base required ObservationStatus 📍3.0.2 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍3.0.2 FHIR Std.
Observation.code Base example LOINC Codes 📍3.0.2 FHIR Std.
Observation.dataAbsentReason Base extensible Observation Value Absent Reason 📍3.0.2 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes . 📍3.0.2 tx.fhir.org
Observation.bodySite Base example SNOMED CT Body Structures 📍3.0.2 FHIR Std.
Observation.method Base example Observation Methods 📍3.0.2 FHIR Std.
Observation.referenceRange.​type Base extensible Observation Reference Range Meaning Codes 📍3.0.2 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍3.0.2 FHIR Std.
Observation.related.​type Base required ObservationRelationshipType 📍3.0.2 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍3.0.2 FHIR Std.
Observation.component.​dataAbsentReason Base extensible Observation Value Absent Reason 📍3.0.2 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes . 📍3.0.2 tx.fhir.org

Constraints

Id Grade Path(s) Description Expression
dom-1 error Observation If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
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 contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (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 code is the same as a component code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-7, obs-6
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:effective 0..1 Timing, instant R4: effective additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.effective
.... extension:value 0..1 integer R4: value additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.value
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍3.0.2 FHIR Std.
Observation.code Base example LOINC Codes 📍3.0.2 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-1 error Observation If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
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 contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (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 code is the same as a component code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation Measurements and simple assertions
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:effective 0..1 Timing, instant R4: effective additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.effective
.... extension:value 0..1 integer R4: value additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.value
... basedOn
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:basedOn 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: basedOn
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... performer
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:performer 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: performer
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:note 0..* Annotation R4: Comments about the observation additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.note
... related
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:partOf 0..* Reference(Cross-version Profile for R4.MedicationAdministration for use in FHIR STU3(0.1.0) | MedicationAdministration | Cross-version Profile for R4.MedicationDispense for use in FHIR STU3(0.1.0) | MedicationDispense | Cross-version Profile for R4.MedicationStatement for use in FHIR STU3(0.1.0) | MedicationStatement | Cross-version Profile for R4.Procedure for use in FHIR STU3(0.1.0) | Procedure | Cross-version Profile for R4.Immunization for use in FHIR STU3(0.1.0) | Immunization | Cross-version Profile for R4.ImagingStudy for use in FHIR STU3(0.1.0) | ImagingStudy) R4: Part of referenced event (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.partOf
..... extension:focus 0..* Reference(Cross-version Profile for R4.Resource for use in FHIR STU3(0.1.0) | Resource) R4: What the observation is about, when it is not about the subject of record (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.focus
.... target
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:derivedFrom 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: Related measurements the observation is made from
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... component
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:value 0..1 boolean, integer R4: value additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.component.value

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-7, obs-6
... 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: Common Languages (extensible): A human language.
Additional BindingsPurpose
All Languages Max Binding
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:effective 0..1 Timing, instant R4: effective additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.effective
.... extension:value 0..1 integer R4: value additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.value
... 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 | ProcedureRequest | ReferralRequest) Fulfills plan, proposal or order
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:basedOn 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: basedOn
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... 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: Observation Category Codes (preferred): Codes for high level observation categories.
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.
... subject Σ 0..1 Reference(Patient | Group | Device | Location) Who and/or what this is about
... context 0..1 Reference(Encounter | EpisodeOfCare) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this was made available
... performer Σ 0..* Reference(Practitioner | Organization | Patient | RelatedPerson) Who is responsible for the observation
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:performer 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: performer
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... value[x] ΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueAttachment Attachment
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes . (extensible): Codes identifying interpretations of observations.
... comment 0..1 string Comments about result
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:note 0..* Annotation R4: Comments about the observation additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.note
.... value 0..1 string Primitive value for string
Max Length:1048576
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: Observation Methods (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 xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... 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: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes (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
... related Σ 0..* BackboneElement Resource related to this observation
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:partOf 0..* Reference(Cross-version Profile for R4.MedicationAdministration for use in FHIR STU3(0.1.0) | MedicationAdministration | Cross-version Profile for R4.MedicationDispense for use in FHIR STU3(0.1.0) | MedicationDispense | Cross-version Profile for R4.MedicationStatement for use in FHIR STU3(0.1.0) | MedicationStatement | Cross-version Profile for R4.Procedure for use in FHIR STU3(0.1.0) | Procedure | Cross-version Profile for R4.Immunization for use in FHIR STU3(0.1.0) | Immunization | Cross-version Profile for R4.ImagingStudy for use in FHIR STU3(0.1.0) | ImagingStudy) R4: Part of referenced event (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.partOf
..... extension:focus 0..* Reference(Cross-version Profile for R4.Resource for use in FHIR STU3(0.1.0) | Resource) R4: What the observation is about, when it is not about the subject of record (new)
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.focus
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... type 0..1 code has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.
.... target 1..1 Reference(Observation | QuestionnaireResponse | Sequence) Resource that is related to this one
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:derivedFrom 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: Related measurements the observation is made from
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... component Σ 0..* BackboneElement Component results
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:value 0..1 boolean, integer R4: value additional types
URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Observation.component.value
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueAttachment Attachment
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes . (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base extensible Common Languages 📍3.0.2 FHIR Std.
Observation.status Base required ObservationStatus 📍3.0.2 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍3.0.2 FHIR Std.
Observation.code Base example LOINC Codes 📍3.0.2 FHIR Std.
Observation.dataAbsentReason Base extensible Observation Value Absent Reason 📍3.0.2 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes . 📍3.0.2 tx.fhir.org
Observation.bodySite Base example SNOMED CT Body Structures 📍3.0.2 FHIR Std.
Observation.method Base example Observation Methods 📍3.0.2 FHIR Std.
Observation.referenceRange.​type Base extensible Observation Reference Range Meaning Codes 📍3.0.2 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍3.0.2 FHIR Std.
Observation.related.​type Base required ObservationRelationshipType 📍3.0.2 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍3.0.2 FHIR Std.
Observation.component.​dataAbsentReason Base extensible Observation Value Absent Reason 📍3.0.2 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes . 📍3.0.2 tx.fhir.org

Constraints

Id Grade Path(s) Description Expression
dom-1 error Observation If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.empty()
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 contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (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 code is the same as a component code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

 

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