Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions

• Content
• Detailed Descriptions
• XML
• JSON
• TTL

Resource Profile: Profile_R5_Observation_R4B

This cross-version profile allows R5 Observation content to be represented via FHIR R4B Observation resources.

Usages:

• Refer to this Profile: R5: Contributing factors suspected to have increased the probability or severity of the adverse event (new), R5: Supporting information relevant to the event (new), R5: manifestation additional types, R5: Reason this appointment is scheduled additional types... Show 24 more, R5: service additional types, R5: What was found additional types, R5: Why is action (not) needed? additional types, R5: Coded/Linked Reason for request additional types, R5: Why device was used additional types, R5: Additional information supporting the diagnostic report (new), R5: Reason the encounter takes place (core or reference) additional types, R5: The list of medical reasons that are expected to be addressed during the episode of care (new), R5: Why was family member history performed? additional types, R5: Genomic Analysis Event (new), R5: Why the genomic study was performed (new), R5: Why the study was requested / performed additional types, R5: Why immunization occurred additional types, R5: Concept, condition or observation that supports why the medication was administered additional types, R5: Link to information relevant to the usage of a medication (new), R5: Reason for why the medication is being/was taken additional types, R5: Part of referenced event (new), R5: Reason for why the food or fluid is /was consumed (new), R5: Triggering observation(s) (new), R5: The justification that the procedure was performed additional types, R5: Why the request orchestration is needed additional types, R5: Why the assessment was necessary? additional types, R5: Explanation/Justification for procedure or service additional types and R5: The reason why the supply item was requested additional types

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation(4.3.0)	Measurements and simple assertions Constraints: obs-6, obs-7
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 Constraints: ext-1
extension:instantiates		0..1	canonical(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4B(0.1.0) | ObservationDefinition), Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4B(0.1.0) | ObservationDefinition)	R5: Instantiates FHIR ObservationDefinition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.instantiates Constraints: ext-1
extension:triggeredBy		0..*	(Complex)	R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1
extension:value		0..1	Attachment, Reference(Cross-version Profile for R5.MolecularSequence for use in FHIR R4B(0.1.0) | MolecularSequence)	R5: value additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1
extension:bodyStructure		0..1	Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4B(0.1.0) | BodyStructure)	R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.3.0	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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.exists() and ('#'+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(uri) = '#').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	Observation.implicitRules, Observation.extension, Observation.extension:instantiates, Observation.extension:triggeredBy, Observation.extension:value, Observation.extension:bodyStructure, Observation.modifierExtension, Observation.status, Observation.code	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Observation.extension, Observation.extension:instantiates, Observation.extension:triggeredBy, Observation.extension:value, Observation.extension:bodyStructure, Observation.modifierExtension	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: Bindings Constraints Obligations
Observation		0..*	Observation(4.3.0)	Measurements and simple assertions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:instantiates		0..1	canonical(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4B(0.1.0) | ObservationDefinition), Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4B(0.1.0) | ObservationDefinition)	R5: Instantiates FHIR ObservationDefinition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.instantiates
extension:triggeredBy		0..*	(Complex)	R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
extension:value		0..1	Attachment, Reference(Cross-version Profile for R5.MolecularSequence for use in FHIR R4B(0.1.0) | MolecularSequence)	R5: value additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
extension:bodyStructure		0..1	Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4B(0.1.0) | BodyStructure)	R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
partOf
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:partOf		0..*	Reference(Resource)	R5: partOf URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
subject
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:subject		0..1	Reference(Resource)	R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
specimen
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:specimen		0..1	Reference(Resource)	R5: specimen additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
referenceRange
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:normalValue		0..1	CodeableConcept	R5: Normal value, if relevant (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.referenceRange.normalValue Binding: R5ObservationReferencerangeNormalvalueForR4B (0.1.0) (extensible): Codes identifying the normal value of the observation.
derivedFrom
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:derivedFrom		0..*	Reference(Resource)	R5: Related resource from which the observation is made 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	Attachment, Reference(Cross-version Profile for R5.MolecularSequence for use in FHIR R4B(0.1.0) | MolecularSequence)	R5: value additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation(4.3.0)	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): IETF language tag Additional Bindings Purpose AllLanguages 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 Constraints: dom-r4b
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:instantiates		0..1	canonical(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4B(0.1.0) | ObservationDefinition), Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4B(0.1.0) | ObservationDefinition)	R5: Instantiates FHIR ObservationDefinition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.instantiates Constraints: ext-1
extension:triggeredBy		0..*	(Complex)	R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1
extension:value		0..1	Attachment, Reference(Cross-version Profile for R5.MolecularSequence for use in FHIR R4B(0.1.0) | MolecularSequence)	R5: value additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1
extension:bodyStructure		0..1	Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4B(0.1.0) | BodyStructure)	R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
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
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:partOf		0..1	Reference(Resource)	R5: partOf URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
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: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
subject	Σ	0..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance)	Who and/or what the observation is about
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:subject		0..1	Reference(Resource)	R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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]	ΣC	0..1		Actual 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 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): SNOMED CT Body site concepts
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
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:specimen		0..1	Reference(Resource)	R5: specimen additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:normalValue		0..1	CodeableConcept	R5: Normal value, if relevant (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.referenceRange.normalValue Binding: R5ObservationReferencerangeNormalvalueForR4B (0.1.0) (extensible): Codes identifying the normal value of the observation. Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
low	C	0..1	SimpleQuantity(4.3.0)	Low Range, if relevant
high	C	0..1	SimpleQuantity(4.3.0)	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
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:derivedFrom		0..1	Reference(Resource)	R5: Related resource from which the observation is made URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
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	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:value		0..1	Attachment, Reference(Cross-version Profile for R5.MolecularSequence for use in FHIR R4B(0.1.0) | MolecularSequence)	R5: value additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
Observation.partOf.type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.3.0	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.3.0	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.3.0	FHIR Std.
Observation.subject.​type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.3.0	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.3.0	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.3.0	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.3.0	FHIR Std.
Observation.specimen.​type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.3.0	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.3.0	FHIR Std.
Observation.derivedFrom.​type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.3.0	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.3.0	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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.exists() and ('#'+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(uri) = '#').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()
dom-r4b	warning	Observation.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.extension:instantiates, Observation.extension:triggeredBy, Observation.extension:value, Observation.extension:bodyStructure, Observation.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.partOf.extension, Observation.partOf.extension:partOf, Observation.partOf.reference, Observation.partOf.type, Observation.partOf.identifier, Observation.partOf.display, Observation.status, Observation.category, Observation.code, Observation.subject, Observation.subject.extension, Observation.subject.extension:subject, Observation.subject.reference, Observation.subject.type, Observation.subject.identifier, Observation.subject.display, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.method, Observation.specimen, Observation.specimen.extension, Observation.specimen.extension:specimen, Observation.specimen.reference, Observation.specimen.type, Observation.specimen.identifier, Observation.specimen.display, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.extension:normalValue, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.derivedFrom.extension, Observation.derivedFrom.extension:derivedFrom, Observation.derivedFrom.reference, Observation.derivedFrom.type, Observation.derivedFrom.identifier, Observation.derivedFrom.display, Observation.component, Observation.component.extension, Observation.component.extension:value, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Observation.extension, Observation.extension:instantiates, Observation.extension:triggeredBy, Observation.extension:value, Observation.extension:bodyStructure, Observation.modifierExtension, Observation.partOf.extension, Observation.partOf.extension:partOf, Observation.subject.extension, Observation.subject.extension:subject, Observation.specimen.extension, Observation.specimen.extension:specimen, Observation.referenceRange.extension, Observation.referenceRange.extension:normalValue, Observation.referenceRange.modifierExtension, Observation.derivedFrom.extension, Observation.derivedFrom.extension:derivedFrom, Observation.component.extension, Observation.component.extension:value, Observation.component.modifierExtension	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

Summary

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.instantiates|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure|0.1.0
• http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.referenceRange.normalValue|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value|0.1.0

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation(4.3.0)	Measurements and simple assertions Constraints: obs-6, obs-7
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 Constraints: ext-1
extension:instantiates		0..1	canonical(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4B(0.1.0) | ObservationDefinition), Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4B(0.1.0) | ObservationDefinition)	R5: Instantiates FHIR ObservationDefinition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.instantiates Constraints: ext-1
extension:triggeredBy		0..*	(Complex)	R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1
extension:value		0..1	Attachment, Reference(Cross-version Profile for R5.MolecularSequence for use in FHIR R4B(0.1.0) | MolecularSequence)	R5: value additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1
extension:bodyStructure		0..1	Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4B(0.1.0) | BodyStructure)	R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.3.0	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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.exists() and ('#'+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(uri) = '#').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	Observation.implicitRules, Observation.extension, Observation.extension:instantiates, Observation.extension:triggeredBy, Observation.extension:value, Observation.extension:bodyStructure, Observation.modifierExtension, Observation.status, Observation.code	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Observation.extension, Observation.extension:instantiates, Observation.extension:triggeredBy, Observation.extension:value, Observation.extension:bodyStructure, Observation.modifierExtension	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: Bindings Constraints Obligations
Observation		0..*	Observation(4.3.0)	Measurements and simple assertions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:instantiates		0..1	canonical(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4B(0.1.0) | ObservationDefinition), Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4B(0.1.0) | ObservationDefinition)	R5: Instantiates FHIR ObservationDefinition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.instantiates
extension:triggeredBy		0..*	(Complex)	R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
extension:value		0..1	Attachment, Reference(Cross-version Profile for R5.MolecularSequence for use in FHIR R4B(0.1.0) | MolecularSequence)	R5: value additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
extension:bodyStructure		0..1	Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4B(0.1.0) | BodyStructure)	R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
partOf
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:partOf		0..*	Reference(Resource)	R5: partOf URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
subject
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:subject		0..1	Reference(Resource)	R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
specimen
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:specimen		0..1	Reference(Resource)	R5: specimen additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
referenceRange
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:normalValue		0..1	CodeableConcept	R5: Normal value, if relevant (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.referenceRange.normalValue Binding: R5ObservationReferencerangeNormalvalueForR4B (0.1.0) (extensible): Codes identifying the normal value of the observation.
derivedFrom
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:derivedFrom		0..*	Reference(Resource)	R5: Related resource from which the observation is made 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	Attachment, Reference(Cross-version Profile for R5.MolecularSequence for use in FHIR R4B(0.1.0) | MolecularSequence)	R5: value additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation(4.3.0)	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): IETF language tag Additional Bindings Purpose AllLanguages 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 Constraints: dom-r4b
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:instantiates		0..1	canonical(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4B(0.1.0) | ObservationDefinition), Reference(Cross-version Profile for R5.ObservationDefinition for use in FHIR R4B(0.1.0) | ObservationDefinition)	R5: Instantiates FHIR ObservationDefinition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.instantiates Constraints: ext-1
extension:triggeredBy		0..*	(Complex)	R5: Triggering observation(s) (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy Constraints: ext-1
extension:value		0..1	Attachment, Reference(Cross-version Profile for R5.MolecularSequence for use in FHIR R4B(0.1.0) | MolecularSequence)	R5: value additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value Constraints: ext-1
extension:bodyStructure		0..1	Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4B(0.1.0) | BodyStructure)	R5: Observed body structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
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
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:partOf		0..1	Reference(Resource)	R5: partOf URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
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: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
subject	Σ	0..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance)	Who and/or what the observation is about
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:subject		0..1	Reference(Resource)	R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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]	ΣC	0..1		Actual 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 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): SNOMED CT Body site concepts
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
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:specimen		0..1	Reference(Resource)	R5: specimen additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:normalValue		0..1	CodeableConcept	R5: Normal value, if relevant (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.referenceRange.normalValue Binding: R5ObservationReferencerangeNormalvalueForR4B (0.1.0) (extensible): Codes identifying the normal value of the observation. Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
low	C	0..1	SimpleQuantity(4.3.0)	Low Range, if relevant
high	C	0..1	SimpleQuantity(4.3.0)	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
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:derivedFrom		0..1	Reference(Resource)	R5: Related resource from which the observation is made URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
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	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:value		0..1	Attachment, Reference(Cross-version Profile for R5.MolecularSequence for use in FHIR R4B(0.1.0) | MolecularSequence)	R5: value additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
Observation.partOf.type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.3.0	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.3.0	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.3.0	FHIR Std.
Observation.subject.​type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.3.0	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.3.0	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.3.0	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.3.0	FHIR Std.
Observation.specimen.​type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.3.0	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.3.0	FHIR Std.
Observation.derivedFrom.​type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.3.0	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.3.0	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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.exists() and ('#'+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(uri) = '#').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()
dom-r4b	warning	Observation.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.extension:instantiates, Observation.extension:triggeredBy, Observation.extension:value, Observation.extension:bodyStructure, Observation.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.partOf.extension, Observation.partOf.extension:partOf, Observation.partOf.reference, Observation.partOf.type, Observation.partOf.identifier, Observation.partOf.display, Observation.status, Observation.category, Observation.code, Observation.subject, Observation.subject.extension, Observation.subject.extension:subject, Observation.subject.reference, Observation.subject.type, Observation.subject.identifier, Observation.subject.display, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.method, Observation.specimen, Observation.specimen.extension, Observation.specimen.extension:specimen, Observation.specimen.reference, Observation.specimen.type, Observation.specimen.identifier, Observation.specimen.display, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.extension:normalValue, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.derivedFrom.extension, Observation.derivedFrom.extension:derivedFrom, Observation.derivedFrom.reference, Observation.derivedFrom.type, Observation.derivedFrom.identifier, Observation.derivedFrom.display, Observation.component, Observation.component.extension, Observation.component.extension:value, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Observation.extension, Observation.extension:instantiates, Observation.extension:triggeredBy, Observation.extension:value, Observation.extension:bodyStructure, Observation.modifierExtension, Observation.partOf.extension, Observation.partOf.extension:partOf, Observation.subject.extension, Observation.subject.extension:subject, Observation.specimen.extension, Observation.specimen.extension:specimen, Observation.referenceRange.extension, Observation.referenceRange.extension:normalValue, Observation.referenceRange.modifierExtension, Observation.derivedFrom.extension, Observation.derivedFrom.extension:derivedFrom, Observation.component.extension, Observation.component.extension:value, Observation.component.modifierExtension	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

Summary

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.instantiates|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure|0.1.0
• http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.referenceRange.normalValue|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.component.value|0.1.0

Maturity: 0

Other representations of profile: CSV, Excel, Schematron