This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
Profile for Describes how the lab report is used for a standard Lipid Profile - Cholesterol, Triglyceride and Cholesterol fractions. Uses LOINC codes
{
"resourceType": "Profile",
"text": {
"status": "generated",
"div": "<div><pre> <span style=\"float: right\"><a title=\"Documentation for this format\" href=\"formats.html\"><img alt=\"doco\" src=\"help.png\"/></a></span>\r\n<span style=\"color: Gray\"><!-- <span style=\"color: Darkviolet\">Resources</span> --></span>\r\n<span style=\"color: Gray\"><!--<a name=\"LipidProfile\"> </a><span style=\"color: Darkviolet\">LipidProfile</span> --></span>\r\n<<span title=\"The findings and interpretation of a general lipd lab profile.\"><b>DiagnosticReport</b></span> xmlns="http://hl7.org/fhir">\r\n <!-- from Element: <a href=\"extensibility.html\">extension</a> -->\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.\"><b>extension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Additional Content defined by implementations</span><span style=\"color: Gray\"> --></span></extension></i>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\"><b>modifierExtension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Extensions that cannot be ignored</span><span style=\"color: Gray\"> --></span></modifierExtension></i>\r\n <i class=\"inherited\"><<span title=\"A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.\"><b>text</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/narrative.html#Narrative\">Narrative</a></span> <span style=\"color: navy\">Text summary of the resource, for human interpretation</span><span style=\"color: Gray\"> --></span></text></i>\r\n <i class=\"inherited\"><<span title=\"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.\"><b>contained</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a></span> <span style=\"color: navy\">Contained, inline Resources</span><span style=\"color: Gray\"> --></span></contained></i>\r\n <<span title=\"LOINC Code for Lipid Panel with LDL.\">name</span>>\r\n <coding>\r\n <code value="http://loinc.org"/>\r\n <system value="57698-3"/>\r\n </coding>\r\n <text value="Lipid panel with direct LDL - Serum or Plasma"/>\r\n </name>\r\n <i class=\"inherited\"><<span title=\"The status of the diagnostic report as a whole.\"><b>status</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#code\">code</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"diagnostic-report-status.html\">registered | partial | final | corrected +</a></span><span style=\"color: Gray\"> --></span></i>\r\n <i class=\"inherited\"><<span title=\"The date and/or time that this version of the report was released from the source diagnostic service.\"><b>issued</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#dateTime\">dateTime</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: navy\">Date this version was released</span><span style=\"color: Gray\"> --></span></i>\r\n <i class=\"inherited\"><<span title=\"The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources.\"><b>subject</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/patient.html#http://hl7.org/fhir/profiles/Patient\">http://hl7.org/fhir/profiles/Patient</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/group.html#http://hl7.org/fhir/profiles/Group\">http://hl7.org/fhir/profiles/Group</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/device.html#http://hl7.org/fhir/profiles/Device\">http://hl7.org/fhir/profiles/Device</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/location.html#http://hl7.org/fhir/profiles/Location\">http://hl7.org/fhir/profiles/Location</a>)</span> <span style=\"color: navy\">\r\n The subject of the report, usually, but not always, the patient</span><span style=\"color: Gray\"> --></span></subject></i>\r\n <i class=\"inherited\"><<span title=\"The diagnostic service that is responsible for issuing the report.\"><b>performer</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/practitioner.html#http://hl7.org/fhir/profiles/Practitioner\">http://hl7.org/fhir/profiles/Practitioner</a>)|\r\n <a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/organization.html#http://hl7.org/fhir/profiles/Organization\">http://hl7.org/fhir/profiles/Organization</a>)</span> <span style=\"color: navy\">Responsible Diagnostic Service</span><span style=\"color: Gray\"> --></span></performer></i>\r\n <i class=\"inherited\"><<span title=\"The local ID assigned to the report by the order filler, usually by the Information System of the diagnostic service provider.\"><b>identifier</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Identifier\">Identifier</a></span> <span style=\"color: navy\">Id for external references to this report</span><span style=\"color: Gray\"> --></span></identifier></i>\r\n <i class=\"inherited\"><<span title=\"Details concerning a test requested.\"><b>requestDetail</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/diagnosticorder.html#http://hl7.org/fhir/profiles/DiagnosticOrder\">http://hl7.org/fhir/profiles/DiagnosticOrder</a>)</span> <span style=\"color: navy\">\r\n What was requested</span><span style=\"color: Gray\"> --></span></requestDetail></i>\r\n <i class=\"inherited\"><<span title=\"The section of the diagnostic service that performs the examination e.g. biochemistry, hematology, MRI.\"><b>serviceCategory</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-diagnostic-service-sections.html\">Biochemistry, Hematology etc.</a></span><span style=\"color: Gray\"> --></span></serviceCategory></i>\r\n <i class=\"inherited\"><<span title=\"The time or time-period the observed values are related to. This is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.\"><b>diagnostic[x]</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#dateTime\">dateTime</a>|<a href=\"http://hl7.org/fhir/datatypes.html#Period\">Period</a></span> <span style=\"color: navy\">\r\n Physiologically Relevant time/time-period for report</span><span style=\"color: Gray\"> --></span></diagnostic[x]></i>\r\n <i class=\"inherited\"><<span title=\"Details about the specimens on which this Disagnostic report is based.\"><b>specimen</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/specimen.html#http://hl7.org/fhir/profiles/Specimen\">http://hl7.org/fhir/profiles/Specimen</a>)</span> <span style=\"color: navy\">\r\n Specimens this report is based on</span><span style=\"color: Gray\"> --></span></specimen></i>\r\n <span style=\"color: Gray\"><!--</span><span style=\"color: blue\">"Cholesterol":</span> <span style=\"color: Gray\"> --></span>\r\n <<span title=\"Reference to Cholesterol Result (this element must be supported)\" style=\"text-decoration: underline\"><b>result</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"#Cholesterol\"><span style=\"color: DarkViolet\">@Cholesterol</span></a>)</span> <span style=\"color: navy\">Cholesterol Result</span><span style=\"color: Gray\"> --></span></result>\r\n <span style=\"color: Gray\"><!--</span><span style=\"color: blue\">"Triglyceride":</span> <span style=\"color: Gray\"> --></span>\r\n <<span title=\"Group of elements for Triglyceride result (this element must be supported)\" style=\"text-decoration: underline\"><b>result</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"#Triglyceride\"><span style=\"color: DarkViolet\">@Triglyceride</span></a>)</span> <span style=\"color: navy\">Triglyceride Result</span><span style=\"color: Gray\"> --></span></result>\r\n <span style=\"color: Gray\"><!--</span><span style=\"color: blue\">"HDL Cholesterol":</span> <span style=\"color: Gray\"> --></span>\r\n <<span title=\"Group of elements for HDL Cholesterol result (this element must be supported)\" style=\"text-decoration: underline\"><b>result</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"#HDLCholesterol\"><span style=\"color: DarkViolet\">@HDLCholesterol</span></a>)</span> <span style=\"color: navy\">HDL Cholesterol Result</span><span style=\"color: Gray\"> --></span></result>\r\n <span style=\"color: Gray\"><!--</span><span style=\"color: blue\">"LDL Cholesterol":</span> <span style=\"color: Gray\"> --></span>\r\n <<span title=\"LDL Cholesterol result, if reported (this element must be supported)\" style=\"text-decoration: underline\"><b>result</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"#LDLCholesterol\"><span style=\"color: DarkViolet\">@LDLCholesterol</span></a>)</span> <span style=\"color: navy\">LDL Cholesterol result, if reported</span><span style=\"color: Gray\"> --></span></result>\r\n <i class=\"inherited\"><<span title=\"One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.\"><b>imagingStudy</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/imagingstudy.html#http://hl7.org/fhir/profiles/ImagingStudy\">http://hl7.org/fhir/profiles/ImagingStudy</a>)</span> <span style=\"color: navy\">\r\n Reference to full details of imaging associated with the diagnostic report</span><span style=\"color: Gray\"> --></span></imagingStudy></i>\r\n <i class=\"inherited\"><<span title=\"A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).\"><b>image</b></span>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..*</b></span> Key images associated with this report --></span>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.\"><b>extension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Additional Content defined by implementations</span><span style=\"color: Gray\"> --></span></extension></i>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\"><b>modifierExtension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Extensions that cannot be ignored</span><span style=\"color: Gray\"> --></span></modifierExtension></i>\r\n <i class=\"inherited\"><<span title=\"A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.\"><b>comment</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#string\">string</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Comment about the image (e.g. explanation)</span><span style=\"color: Gray\"> --></span></i>\r\n <i class=\"inherited\"><<span title=\"Reference to the image source.\"><b>link</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/media.html#http://hl7.org/fhir/profiles/Media\">http://hl7.org/fhir/profiles/Media</a>)</span> <span style=\"color: navy\">Reference to the image source</span><span style=\"color: Gray\"> --></span></link></i>\r\n </image></i>\r\n <<span title=\"May include diagnosis or suggestions for follow up testing (this element must be supported)\" style=\"text-decoration: underline\"><b>conclusion</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#string\">string</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Clinical Interpretation of Lipid Panel</span><span style=\"color: Gray\"> --></span>\r\n <<span title=\"No codes for a lipid panel.\"><b>codedDiagnosis</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..0</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-clinical-findings.html\">No codes for a lipid panel</a></span></span><span style=\"color: Gray\"> --></span></codedDiagnosis>\r\n <i class=\"inherited\"><<span title=\"Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.\"><b>presentedForm</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Attachment\">Attachment</a></span> <span style=\"color: navy\">Entire Report as issued</span><span style=\"color: Gray\"> --></span></presentedForm></i>\r\n</DiagnosticReport>\r\n\r\n<span style=\"color: Gray\"><!--<a name=\"Cholesterol\"> </a><span style=\"color: Darkviolet\">Cholesterol</span> --></span>\r\n<<span title=\"Measurements and simple assertions.\"><b>Observation</b></span> xmlns="http://hl7.org/fhir">\r\n <!-- from Element: <a href=\"extensibility.html\">extension</a> -->\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.\"><b>extension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Additional Content defined by implementations</span><span style=\"color: Gray\"> --></span></extension></i>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\"><b>modifierExtension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Extensions that cannot be ignored</span><span style=\"color: Gray\"> --></span></modifierExtension></i>\r\n <i class=\"inherited\"><<span title=\"A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.\"><b>text</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/narrative.html#Narrative\">Narrative</a></span> <span style=\"color: navy\">Text summary of the resource, for human interpretation</span><span style=\"color: Gray\"> --></span></text></i>\r\n <i class=\"inherited\"><<span title=\"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.\"><b>contained</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a></span> <span style=\"color: navy\">Contained, inline Resources</span><span style=\"color: Gray\"> --></span></contained></i>\r\n <<span title=\"Cholesterol (this element must be supported)\" style=\"text-decoration: underline\">name</span>>\r\n <coding>\r\n <code value="http://loinc.org"/>\r\n <system value="35200-5"/>\r\n </coding>\r\n <text value="Cholesterol"/>\r\n </name>\r\n <<span title=\"Cholesterol value. If a result is not available, use the comments field (this element must be supported)\" style=\"text-decoration: underline\"><b>valueQuantity</b></span>> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Quantity\">Quantity</a></span> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..1</b></span> Cholesterol value --></span>\r\n <<span title=\"Actual numerical value (this element must be supported)\" style=\"text-decoration: underline\"><b>value</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#decimal\">decimal</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Actual numerical value</span><span style=\"color: Gray\"> --></span>\r\n <<span title=\"< | <= | >= | > - how to understand the value.\"><b>comparator</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#code\">code</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..0</b></span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\"><a style=\"color: navy\" href=\"quantity-comparator.html\">< | <= | >= | > - how to understand the value</a></span></span><span style=\"color: Gray\"> --></span>\r\n <<span title=\"Unit representation (this element must be supported)\" style=\"text-decoration: underline\">units</span>>mmol/L<units/>\r\n <<span title=\"System that defines coded unit form (this element must be supported)\" style=\"text-decoration: underline\">system</span>>http://unitsofmeasure.org<system/>\r\n <<span title=\"Coded form of the unit (this element must be supported)\" style=\"text-decoration: underline\">code</span>>mmol/L<code/>\r\n </valueQuantity>\r\n <<span title=\"+ | ++ | +++ | - | -- | --- (this element must be supported)\" style=\"text-decoration: underline\"><b>interpretation</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#code\">code</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-observation-interpretation.html\">+ | ++ | +++ | - | -- | ---</a></span><span style=\"color: Gray\"> --></span>\r\n <<span title=\"May include statements about significant, unexpected or unreliable. values, or information about the source of the value where this may be relevant to the interpretation of the result (this element must be supported)\" style=\"text-decoration: underline\"><b>comments</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#string\">string</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Comments about result</span><span style=\"color: Gray\"> --></span>\r\n <i class=\"inherited\"><<span title=\"The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the "physiologically relevant time". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.\"><b>applies[x]</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#dateTime\">dateTime</a>|<a href=\"http://hl7.org/fhir/datatypes.html#Period\">Period</a></span> <span style=\"color: navy\">\r\n Physiologically Relevant time/time-period for observation</span><span style=\"color: Gray\"> --></span></applies[x]></i>\r\n <i class=\"inherited\"><<span title=\"Date/Time this was made available.\"><b>issued</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#instant\">instant</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Date/Time this was made available</span><span style=\"color: Gray\"> --></span></i>\r\n <i class=\"inherited\"><<span title=\"The status of the result value.\"><b>status</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#code\">code</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"observation-status.html\">registered | preliminary | final | amended +</a></span><span style=\"color: Gray\"> --></span></i>\r\n <<span title=\"Cholesterol values can only be reported when there is no question about their status.\">reliability</span>>ok<reliability/>\r\n <i class=\"inherited\"><<span title=\"Indicates where on the subject's body the observation was made.\"><b>bodySite</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-body-site.html\">Observed body part</a></span><span style=\"color: Gray\"> --></span></bodySite></i>\r\n <i class=\"inherited\"><<span title=\"Indicates the mechanism used to perform the observation.\"><b>method</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-observation-methods.html\">How it was done</a></span><span style=\"color: Gray\"> --></span></method></i>\r\n <i class=\"inherited\"><<span title=\"A unique identifier for the simple observation.\"><b>identifier</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Identifier\">Identifier</a></span> <span style=\"color: navy\">Unique Id for this particular observation</span><span style=\"color: Gray\"> --></span></identifier></i>\r\n <i class=\"inherited\"><<span title=\"The thing the observation is being made about.\"><b>subject</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/patient.html#http://hl7.org/fhir/profiles/Patient\">http://hl7.org/fhir/profiles/Patient</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/group.html#http://hl7.org/fhir/profiles/Group\">http://hl7.org/fhir/profiles/Group</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/device.html#http://hl7.org/fhir/profiles/Device\">http://hl7.org/fhir/profiles/Device</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/location.html#http://hl7.org/fhir/profiles/Location\">http://hl7.org/fhir/profiles/Location</a>)</span> <span style=\"color: navy\">Who and/or what this is about</span><span style=\"color: Gray\"> --></span></subject></i>\r\n <i class=\"inherited\"><<span title=\"The specimen that was used when this observation was made.\"><b>specimen</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/specimen.html#http://hl7.org/fhir/profiles/Specimen\">http://hl7.org/fhir/profiles/Specimen</a>)</span> <span style=\"color: navy\">\r\n Specimen used for this observation</span><span style=\"color: Gray\"> --></span></specimen></i>\r\n <i class=\"inherited\"><<span title=\"Who was responsible for asserting the observed value as "true".\"><b>performer</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/practitioner.html#http://hl7.org/fhir/profiles/Practitioner\">http://hl7.org/fhir/profiles/Practitioner</a>)|\r\n <a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/device.html#http://hl7.org/fhir/profiles/Device\">http://hl7.org/fhir/profiles/Device</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/organization.html#http://hl7.org/fhir/profiles/Organization\">http://hl7.org/fhir/profiles/Organization</a>)</span> <span style=\"color: navy\">Who did the observation</span><span style=\"color: Gray\"> --></span></performer></i>\r\n <<span title=\"Provides guide for interpretation (this element must be supported)\" style=\"text-decoration: underline\"><b>referenceRange</b></span>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>1..1</b></span> Provides guide for interpretation --></span>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.\"><b>extension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Additional Content defined by implementations</span><span style=\"color: Gray\"> --></span></extension></i>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\"><b>modifierExtension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Extensions that cannot be ignored</span><span style=\"color: Gray\"> --></span></modifierExtension></i>\r\n <<span title=\"Low Range, if relevant.\"><b>low</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\">Low Range, if relevant</span></span><span style=\"color: Gray\"> --></span></low>\r\n <<span title=\"<4.5 mmol/L.\">high</span>>4.5 mmol/L<high/>\r\n <<span title=\"Range is a recommended range.\"><b>meaning</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..0</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-referencerange-meaning.html\">Range is a recommended range</a></span></span><span style=\"color: Gray\"> --></span></meaning>\r\n <<span title=\"Applicable age range, if relevant.\"><b>age</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..0</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Period\">Period</a></span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\">Applicable age range, if relevant</span></span><span style=\"color: Gray\"> --></span></age>\r\n </referenceRange>\r\n <<span title=\"Observations related to this observation.\"><b>related</b></span>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..0</b></span><span style=\"text-decoration: line-through\"> Observations related to this observation</span> --></span>\r\n </related>\r\n</Observation>\r\n\r\n<span style=\"color: Gray\"><!--<a name=\"Triglyceride\"> </a><span style=\"color: Darkviolet\">Triglyceride</span> --></span>\r\n<<span title=\"Group of elements for Triglyceride result.\"><b>Observation</b></span> xmlns="http://hl7.org/fhir">\r\n <!-- from Element: <a href=\"extensibility.html\">extension</a> -->\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.\"><b>extension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Additional Content defined by implementations</span><span style=\"color: Gray\"> --></span></extension></i>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\"><b>modifierExtension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Extensions that cannot be ignored</span><span style=\"color: Gray\"> --></span></modifierExtension></i>\r\n <i class=\"inherited\"><<span title=\"A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.\"><b>text</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/narrative.html#Narrative\">Narrative</a></span> <span style=\"color: navy\">Text summary of the resource, for human interpretation</span><span style=\"color: Gray\"> --></span></text></i>\r\n <i class=\"inherited\"><<span title=\"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.\"><b>contained</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a></span> <span style=\"color: navy\">Contained, inline Resources</span><span style=\"color: Gray\"> --></span></contained></i>\r\n <<span title=\"Triglyceride (this element must be supported)\" style=\"text-decoration: underline\">name</span>>\r\n <coding>\r\n <code value="http://loinc.org"/>\r\n <system value="35217-9"/>\r\n </coding>\r\n <text value="Triglyceride"/>\r\n </name>\r\n <<span title=\"Triglyceride value. If a result is not available, use the comments field (this element must be supported)\" style=\"text-decoration: underline\"><b>valueQuantity</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Quantity\">Quantity</a></span> <span style=\"color: navy\">Triglyceride value</span><span style=\"color: Gray\"> --></span></valueQuantity>\r\n <<span title=\"+ | ++ | +++ | - | -- | --- (this element must be supported)\" style=\"text-decoration: underline\"><b>interpretation</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#code\">code</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-observation-interpretation.html\">+ | ++ | +++ | - | -- | ---</a></span><span style=\"color: Gray\"> --></span>\r\n <<span title=\"Comments about result (this element must be supported)\" style=\"text-decoration: underline\"><b>comments</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#string\">string</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Comments about result</span><span style=\"color: Gray\"> --></span>\r\n <i class=\"inherited\"><<span title=\"The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the "physiologically relevant time". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.\"><b>applies[x]</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#dateTime\">dateTime</a>|<a href=\"http://hl7.org/fhir/datatypes.html#Period\">Period</a></span> <span style=\"color: navy\">\r\n Physiologically Relevant time/time-period for observation</span><span style=\"color: Gray\"> --></span></applies[x]></i>\r\n <i class=\"inherited\"><<span title=\"Date/Time this was made available.\"><b>issued</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#instant\">instant</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Date/Time this was made available</span><span style=\"color: Gray\"> --></span></i>\r\n <i class=\"inherited\"><<span title=\"The status of the result value.\"><b>status</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#code\">code</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"observation-status.html\">registered | preliminary | final | amended +</a></span><span style=\"color: Gray\"> --></span></i>\r\n <<span title=\"ok | ongoing | early | questionable | calibrating | error +.\">reliability</span>>ok<reliability/>\r\n <i class=\"inherited\"><<span title=\"Indicates where on the subject's body the observation was made.\"><b>bodySite</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-body-site.html\">Observed body part</a></span><span style=\"color: Gray\"> --></span></bodySite></i>\r\n <i class=\"inherited\"><<span title=\"Indicates the mechanism used to perform the observation.\"><b>method</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-observation-methods.html\">How it was done</a></span><span style=\"color: Gray\"> --></span></method></i>\r\n <i class=\"inherited\"><<span title=\"A unique identifier for the simple observation.\"><b>identifier</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Identifier\">Identifier</a></span> <span style=\"color: navy\">Unique Id for this particular observation</span><span style=\"color: Gray\"> --></span></identifier></i>\r\n <i class=\"inherited\"><<span title=\"The thing the observation is being made about.\"><b>subject</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/patient.html#http://hl7.org/fhir/profiles/Patient\">http://hl7.org/fhir/profiles/Patient</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/group.html#http://hl7.org/fhir/profiles/Group\">http://hl7.org/fhir/profiles/Group</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/device.html#http://hl7.org/fhir/profiles/Device\">http://hl7.org/fhir/profiles/Device</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/location.html#http://hl7.org/fhir/profiles/Location\">http://hl7.org/fhir/profiles/Location</a>)</span> <span style=\"color: navy\">Who and/or what this is about</span><span style=\"color: Gray\"> --></span></subject></i>\r\n <i class=\"inherited\"><<span title=\"The specimen that was used when this observation was made.\"><b>specimen</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/specimen.html#http://hl7.org/fhir/profiles/Specimen\">http://hl7.org/fhir/profiles/Specimen</a>)</span> <span style=\"color: navy\">\r\n Specimen used for this observation</span><span style=\"color: Gray\"> --></span></specimen></i>\r\n <i class=\"inherited\"><<span title=\"Who was responsible for asserting the observed value as "true".\"><b>performer</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/practitioner.html#http://hl7.org/fhir/profiles/Practitioner\">http://hl7.org/fhir/profiles/Practitioner</a>)|\r\n <a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/device.html#http://hl7.org/fhir/profiles/Device\">http://hl7.org/fhir/profiles/Device</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/organization.html#http://hl7.org/fhir/profiles/Organization\">http://hl7.org/fhir/profiles/Organization</a>)</span> <span style=\"color: navy\">Who did the observation</span><span style=\"color: Gray\"> --></span></performer></i>\r\n <<span title=\"Provides guide for interpretation (this element must be supported)\" style=\"text-decoration: underline\"><b>referenceRange</b></span>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>1..1</b></span> Provides guide for interpretation --></span>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.\"><b>extension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Additional Content defined by implementations</span><span style=\"color: Gray\"> --></span></extension></i>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\"><b>modifierExtension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Extensions that cannot be ignored</span><span style=\"color: Gray\"> --></span></modifierExtension></i>\r\n <<span title=\"Low Range, if relevant.\"><b>low</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\">Low Range, if relevant</span></span><span style=\"color: Gray\"> --></span></low>\r\n <<span title=\"High Range, if relevant.\"><b>high</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: navy\">High Range, if relevant</span><span style=\"color: Gray\"> --></span></high>\r\n <<span title=\"Range is a recommended range.\"><b>meaning</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..0</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-referencerange-meaning.html\">Range is a recommended range</a></span></span><span style=\"color: Gray\"> --></span></meaning>\r\n <<span title=\"Applicable age range, if relevant.\"><b>age</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..0</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Period\">Period</a></span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\">Applicable age range, if relevant</span></span><span style=\"color: Gray\"> --></span></age>\r\n </referenceRange>\r\n <<span title=\"Observations related to this observation.\"><b>related</b></span>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..0</b></span><span style=\"text-decoration: line-through\"> Observations related to this observation</span> --></span>\r\n </related>\r\n</Observation>\r\n\r\n<span style=\"color: Gray\"><!--<a name=\"HDLCholesterol\"> </a><span style=\"color: Darkviolet\">HDLCholesterol</span> --></span>\r\n<<span title=\"Group of elements for HDL Cholesterol result.\"><b>Observation</b></span> xmlns="http://hl7.org/fhir">\r\n <!-- from Element: <a href=\"extensibility.html\">extension</a> -->\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.\"><b>extension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Additional Content defined by implementations</span><span style=\"color: Gray\"> --></span></extension></i>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\"><b>modifierExtension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Extensions that cannot be ignored</span><span style=\"color: Gray\"> --></span></modifierExtension></i>\r\n <i class=\"inherited\"><<span title=\"A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.\"><b>text</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/narrative.html#Narrative\">Narrative</a></span> <span style=\"color: navy\">Text summary of the resource, for human interpretation</span><span style=\"color: Gray\"> --></span></text></i>\r\n <i class=\"inherited\"><<span title=\"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.\"><b>contained</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a></span> <span style=\"color: navy\">Contained, inline Resources</span><span style=\"color: Gray\"> --></span></contained></i>\r\n <<span title=\"HDL Cholesterol (this element must be supported)\" style=\"text-decoration: underline\">name</span>>\r\n <coding>\r\n <code value="http://loinc.org"/>\r\n <system value="2085-9"/>\r\n </coding>\r\n <text value="HDL Cholesterol"/>\r\n </name>\r\n <<span title=\"HDL Cholesterol value. If a result is not available, use the comments field (this element must be supported)\" style=\"text-decoration: underline\"><b>valueQuantity</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Quantity\">Quantity</a></span> <span style=\"color: navy\">HDL Cholesterol value</span><span style=\"color: Gray\"> --></span></valueQuantity>\r\n <<span title=\"+ | ++ | +++ | - | -- | --- (this element must be supported)\" style=\"text-decoration: underline\"><b>interpretation</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#code\">code</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-observation-interpretation.html\">+ | ++ | +++ | - | -- | ---</a></span><span style=\"color: Gray\"> --></span>\r\n <<span title=\"Comments about result (this element must be supported)\" style=\"text-decoration: underline\"><b>comments</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#string\">string</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Comments about result</span><span style=\"color: Gray\"> --></span>\r\n <i class=\"inherited\"><<span title=\"The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the "physiologically relevant time". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.\"><b>applies[x]</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#dateTime\">dateTime</a>|<a href=\"http://hl7.org/fhir/datatypes.html#Period\">Period</a></span> <span style=\"color: navy\">\r\n Physiologically Relevant time/time-period for observation</span><span style=\"color: Gray\"> --></span></applies[x]></i>\r\n <i class=\"inherited\"><<span title=\"Date/Time this was made available.\"><b>issued</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#instant\">instant</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Date/Time this was made available</span><span style=\"color: Gray\"> --></span></i>\r\n <i class=\"inherited\"><<span title=\"The status of the result value.\"><b>status</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#code\">code</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"observation-status.html\">registered | preliminary | final | amended +</a></span><span style=\"color: Gray\"> --></span></i>\r\n <<span title=\"ok | ongoing | early | questionable | calibrating | error +.\">reliability</span>>ok<reliability/>\r\n <i class=\"inherited\"><<span title=\"Indicates where on the subject's body the observation was made.\"><b>bodySite</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-body-site.html\">Observed body part</a></span><span style=\"color: Gray\"> --></span></bodySite></i>\r\n <i class=\"inherited\"><<span title=\"Indicates the mechanism used to perform the observation.\"><b>method</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-observation-methods.html\">How it was done</a></span><span style=\"color: Gray\"> --></span></method></i>\r\n <i class=\"inherited\"><<span title=\"A unique identifier for the simple observation.\"><b>identifier</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Identifier\">Identifier</a></span> <span style=\"color: navy\">Unique Id for this particular observation</span><span style=\"color: Gray\"> --></span></identifier></i>\r\n <i class=\"inherited\"><<span title=\"The thing the observation is being made about.\"><b>subject</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/patient.html#http://hl7.org/fhir/profiles/Patient\">http://hl7.org/fhir/profiles/Patient</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/group.html#http://hl7.org/fhir/profiles/Group\">http://hl7.org/fhir/profiles/Group</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/device.html#http://hl7.org/fhir/profiles/Device\">http://hl7.org/fhir/profiles/Device</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/location.html#http://hl7.org/fhir/profiles/Location\">http://hl7.org/fhir/profiles/Location</a>)</span> <span style=\"color: navy\">Who and/or what this is about</span><span style=\"color: Gray\"> --></span></subject></i>\r\n <i class=\"inherited\"><<span title=\"The specimen that was used when this observation was made.\"><b>specimen</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/specimen.html#http://hl7.org/fhir/profiles/Specimen\">http://hl7.org/fhir/profiles/Specimen</a>)</span> <span style=\"color: navy\">\r\n Specimen used for this observation</span><span style=\"color: Gray\"> --></span></specimen></i>\r\n <i class=\"inherited\"><<span title=\"Who was responsible for asserting the observed value as "true".\"><b>performer</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/practitioner.html#http://hl7.org/fhir/profiles/Practitioner\">http://hl7.org/fhir/profiles/Practitioner</a>)|\r\n <a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/device.html#http://hl7.org/fhir/profiles/Device\">http://hl7.org/fhir/profiles/Device</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/organization.html#http://hl7.org/fhir/profiles/Organization\">http://hl7.org/fhir/profiles/Organization</a>)</span> <span style=\"color: navy\">Who did the observation</span><span style=\"color: Gray\"> --></span></performer></i>\r\n <<span title=\"Provides guide for interpretation (this element must be supported)\" style=\"text-decoration: underline\"><b>referenceRange</b></span>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>1..1</b></span> Provides guide for interpretation --></span>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.\"><b>extension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Additional Content defined by implementations</span><span style=\"color: Gray\"> --></span></extension></i>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\"><b>modifierExtension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Extensions that cannot be ignored</span><span style=\"color: Gray\"> --></span></modifierExtension></i>\r\n <<span title=\">1.5 mmol/L.\">low</span>>1.5 mmol/L<low/>\r\n <<span title=\"High Range, if relevant.\"><b>high</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\">High Range, if relevant</span></span><span style=\"color: Gray\"> --></span></high>\r\n <<span title=\"Range is a recommended range.\"><b>meaning</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..0</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-referencerange-meaning.html\">Range is a recommended range</a></span></span><span style=\"color: Gray\"> --></span></meaning>\r\n <<span title=\"Applicable age range, if relevant.\"><b>age</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..0</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Period\">Period</a></span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\">Applicable age range, if relevant</span></span><span style=\"color: Gray\"> --></span></age>\r\n </referenceRange>\r\n <<span title=\"Observations related to this observation.\"><b>related</b></span>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..0</b></span><span style=\"text-decoration: line-through\"> Observations related to this observation</span> --></span>\r\n </related>\r\n</Observation>\r\n\r\n<span style=\"color: Gray\"><!--<a name=\"LDLCholesterol\"> </a><span style=\"color: Darkviolet\">LDLCholesterol</span> --></span>\r\n<<span title=\"Group of elements for LDL Cholesterol result.\"><b>Observation</b></span> xmlns="http://hl7.org/fhir">\r\n <!-- from Element: <a href=\"extensibility.html\">extension</a> -->\r\n <span style=\"color: Gray\"><!--</span><span style=\"color: blue\">"LDLCalculated":</span> <span style=\"color: Gray\"> --></span>\r\n <<span title=\"Whether LDL value is calculated.\"><b>extension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"#calculated\"><span style=\"color: DarkViolet\">@calculated</span></a></span> <span style=\"color: navy\">Whether LDL value is calculated</span><span style=\"color: Gray\"> --></span></extension>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\"><b>modifierExtension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Extensions that cannot be ignored</span><span style=\"color: Gray\"> --></span></modifierExtension></i>\r\n <i class=\"inherited\"><<span title=\"A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.\"><b>text</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/narrative.html#Narrative\">Narrative</a></span> <span style=\"color: navy\">Text summary of the resource, for human interpretation</span><span style=\"color: Gray\"> --></span></text></i>\r\n <i class=\"inherited\"><<span title=\"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.\"><b>contained</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a></span> <span style=\"color: navy\">Contained, inline Resources</span><span style=\"color: Gray\"> --></span></contained></i>\r\n <<span title=\"LDL Cholesterol -measured or calculated per code (this element must be supported)\" style=\"text-decoration: underline\"><b>name</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-observation-codes.html\">LDL Cholesterol -measured or calculated per code</a></span><span style=\"color: Gray\"> --></span></name>\r\n <<span title=\"LDL Cholesterol value. If a result is not available, use the comments field (this element must be supported)\" style=\"text-decoration: underline\"><b>valueQuantity</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Quantity\">Quantity</a></span> <span style=\"color: navy\">LDL Cholesterol value</span><span style=\"color: Gray\"> --></span></valueQuantity>\r\n <<span title=\"+ | ++ | +++ | - | -- | --- (this element must be supported)\" style=\"text-decoration: underline\"><b>interpretation</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#code\">code</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-observation-interpretation.html\">+ | ++ | +++ | - | -- | ---</a></span><span style=\"color: Gray\"> --></span>\r\n <<span title=\"Comments about result (this element must be supported)\" style=\"text-decoration: underline\"><b>comments</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#string\">string</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Comments about result</span><span style=\"color: Gray\"> --></span>\r\n <i class=\"inherited\"><<span title=\"The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the "physiologically relevant time". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.\"><b>applies[x]</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#dateTime\">dateTime</a>|<a href=\"http://hl7.org/fhir/datatypes.html#Period\">Period</a></span> <span style=\"color: navy\">\r\n Physiologically Relevant time/time-period for observation</span><span style=\"color: Gray\"> --></span></applies[x]></i>\r\n <i class=\"inherited\"><<span title=\"Date/Time this was made available.\"><b>issued</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#instant\">instant</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Date/Time this was made available</span><span style=\"color: Gray\"> --></span></i>\r\n <i class=\"inherited\"><<span title=\"The status of the result value.\"><b>status</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#code\">code</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"observation-status.html\">registered | preliminary | final | amended +</a></span><span style=\"color: Gray\"> --></span></i>\r\n <<span title=\"ok | ongoing | early | questionable | calibrating | error +.\">reliability</span>>ok<reliability/>\r\n <i class=\"inherited\"><<span title=\"Indicates where on the subject's body the observation was made.\"><b>bodySite</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-body-site.html\">Observed body part</a></span><span style=\"color: Gray\"> --></span></bodySite></i>\r\n <i class=\"inherited\"><<span title=\"Indicates the mechanism used to perform the observation.\"><b>method</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-observation-methods.html\">How it was done</a></span><span style=\"color: Gray\"> --></span></method></i>\r\n <i class=\"inherited\"><<span title=\"A unique identifier for the simple observation.\"><b>identifier</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Identifier\">Identifier</a></span> <span style=\"color: navy\">Unique Id for this particular observation</span><span style=\"color: Gray\"> --></span></identifier></i>\r\n <i class=\"inherited\"><<span title=\"The thing the observation is being made about.\"><b>subject</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/patient.html#http://hl7.org/fhir/profiles/Patient\">http://hl7.org/fhir/profiles/Patient</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/group.html#http://hl7.org/fhir/profiles/Group\">http://hl7.org/fhir/profiles/Group</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/device.html#http://hl7.org/fhir/profiles/Device\">http://hl7.org/fhir/profiles/Device</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/location.html#http://hl7.org/fhir/profiles/Location\">http://hl7.org/fhir/profiles/Location</a>)</span> <span style=\"color: navy\">Who and/or what this is about</span><span style=\"color: Gray\"> --></span></subject></i>\r\n <i class=\"inherited\"><<span title=\"The specimen that was used when this observation was made.\"><b>specimen</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/specimen.html#http://hl7.org/fhir/profiles/Specimen\">http://hl7.org/fhir/profiles/Specimen</a>)</span> <span style=\"color: navy\">\r\n Specimen used for this observation</span><span style=\"color: Gray\"> --></span></specimen></i>\r\n <i class=\"inherited\"><<span title=\"Who was responsible for asserting the observed value as "true".\"><b>performer</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/practitioner.html#http://hl7.org/fhir/profiles/Practitioner\">http://hl7.org/fhir/profiles/Practitioner</a>)|\r\n <a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(<a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/device.html#http://hl7.org/fhir/profiles/Device\">http://hl7.org/fhir/profiles/Device</a>)|<a href=\"http://hl7.org/fhir/references.html#Resource\">Resource</a>(\r\n <a href=\"http://hl7.org/fhir/http://hl7.org/fhir/profiles/organization.html#http://hl7.org/fhir/profiles/Organization\">http://hl7.org/fhir/profiles/Organization</a>)</span> <span style=\"color: navy\">Who did the observation</span><span style=\"color: Gray\"> --></span></performer></i>\r\n <<span title=\"Provides guide for interpretation (this element must be supported)\" style=\"text-decoration: underline\"><b>referenceRange</b></span>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>1..1</b></span> Provides guide for interpretation --></span>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.\"><b>extension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Additional Content defined by implementations</span><span style=\"color: Gray\"> --></span></extension></i>\r\n <i class=\"inherited\"><<span title=\"May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\"><b>modifierExtension</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/extensibility.html#Extension\">Extension</a></span> <span style=\"color: navy\">Extensions that cannot be ignored</span><span style=\"color: Gray\"> --></span></modifierExtension></i>\r\n <<span title=\"Low Range, if relevant.\"><b>low</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\">Low Range, if relevant</span></span><span style=\"color: Gray\"> --></span></low>\r\n <<span title=\"<3.0 mmol/L.\">high</span>>3.0 mmol/L<high/>\r\n <<span title=\"Range is a recommended range.\"><b>meaning</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..0</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-referencerange-meaning.html\">Range is a recommended range</a></span></span><span style=\"color: Gray\"> --></span></meaning>\r\n <<span title=\"Applicable age range, if relevant.\"><b>age</b></span>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..0</b></span> <span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#Period\">Period</a></span> <span style=\"text-decoration: line-through\"><span style=\"color: navy\">Applicable age range, if relevant</span></span><span style=\"color: Gray\"> --></span></age>\r\n </referenceRange>\r\n <<span title=\"Observations related to this observation.\"><b>related</b></span>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..0</b></span><span style=\"text-decoration: line-through\"> Observations related to this observation</span> --></span>\r\n </related>\r\n</Observation>\r\n\r\n<span style=\" color: Gray\"><!-- <span style=\"color: Darkviolet\">Extensions</span> --></span>\r\n<<span title=\"True if the LDL value is calculated from Chol, Trig, and HDLC.\"><b>extension</b></span>><a name=\"calculated\"> </a><!-- <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Context: Resource = Observation</span> -->\r\n <<b>url</b> value="<span style=\"color: maroon\">http://hl7.org/fhir/Profilelipid-lab-profile#calculated</span>"/>\r\n <<span title=\"True if the LDL value is calculated from Chol, Trig, and HDLC.\"><b>valueBoolean</b></span> value="[<span style=\"color: darkgreen\"><a href=\"http://hl7.org/fhir/datatypes.html#boolean\">boolean</a></span>]"/><span style=\" color: Gray\"><!-- </span><span style=\"color: navy\">LDL is Calculated</span><span style=\" color: Gray\"> --></span>\r\n</extension>\r\n\r\n</pre></div>"
},
"name": "Example Lipid Profile",
"publisher": "Grahame Grieve",
"telecom": [
{
"system": "url",
"value": "grahame@healthintersections.com.au"
}
],
"description": "Describes how the lab report is used for a standard Lipid Profile - Cholesterol, Triglyceride and Cholesterol fractions. Uses LOINC codes",
"status": "draft",
"date": "2012-05-12",
"structure": [
{
"type": "DiagnosticReport",
"name": "LipidProfile",
"publish": true,
"element": [
{
"path": "DiagnosticReport",
"name": "LipidProfile",
"definition": {
"short": "Lipid Lab Report",
"formal": "The findings and interpretation of a general lipd lab profile.",
"comments": "In this profile, mustSupport means that authoring systems must include the ability to report these elements, and processing systems must cater for them by either displaying them to the user or considering them appropriately in decision support systems.",
"min": 1,
"max": "1",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "DiagnosticReport.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "DiagnosticReport.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.text",
"definition": {
"short": "Text summary of the resource, for human interpretation",
"formal": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"synonym": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.contained",
"definition": {
"short": "Contained, inline Resources",
"formal": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"synonym": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.text",
"definition": {
"short": "Text summary of the resource, for human interpretation",
"formal": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.contained",
"definition": {
"short": "Contained, inline Resources",
"formal": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.name",
"definition": {
"short": "LOINC Code for Lipid Panel with LDL",
"formal": "LOINC Code for Lipid Panel with LDL.",
"comments": "LOINC code includes \"direct\" LDL - does this mean LDL derived by measuring VLDL by ultracentrifugation? This panel includes both measured and calculated LDL.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "DiagnosticReportNames",
"isExtensible": true,
"conformance": "preferred",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/report-names"
}
}
}
},
{
"path": "DiagnosticReport.status",
"definition": {
"short": "registered | partial | final | corrected +",
"formal": "The status of the diagnostic report as a whole.",
"comments": "This is labeled as \"Is Modifier\" because applications need to take appropriate action if a report is withdrawn.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "DiagnosticReportStatus",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/diagnostic-report-status"
}
}
}
},
{
"path": "DiagnosticReport.issued",
"definition": {
"short": "Date this version was released",
"formal": "The date and/or time that this version of the report was released from the source diagnostic service.",
"comments": "May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.",
"min": 1,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.subject",
"definition": {
"short": "The subject of the report, usually, but not always, the patient",
"formal": "The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources.",
"min": 1,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Patient"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Group"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Device"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Location"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.performer",
"definition": {
"short": "Responsible Diagnostic Service",
"formal": "The diagnostic service that is responsible for issuing the report.",
"comments": "This is not necessarily the source of the atomic data items - it is the entity that takes responsibility for the clinical report.",
"min": 1,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Practitioner"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Organization"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.identifier",
"definition": {
"short": "Id for external references to this report",
"formal": "The local ID assigned to the report by the order filler, usually by the Information System of the diagnostic service provider.",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.requestDetail",
"definition": {
"short": "What was requested",
"formal": "Details concerning a test requested.",
"comments": "Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.",
"min": 0,
"max": "*",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/DiagnosticOrder"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.serviceCategory",
"definition": {
"short": "Biochemistry, Hematology etc.",
"formal": "The section of the diagnostic service that performs the examination e.g. biochemistry, hematology, MRI.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "DiagnosticServiceSection",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/diagnostic-service-sections"
}
}
}
},
{
"path": "DiagnosticReport.diagnostic[x]",
"definition": {
"short": "Physiologically Relevant time/time-period for report",
"formal": "The time or time-period the observed values are related to. This is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.",
"comments": "If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.",
"min": 1,
"max": "1",
"type": [
{
"code": "dateTime"
},
{
"code": "Period"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.specimen",
"definition": {
"short": "Specimens this report is based on",
"formal": "Details about the specimens on which this Disagnostic report is based.",
"comments": "If the specimen is sufficiently specified with a code in the Test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per Observation or group.",
"min": 0,
"max": "*",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Specimen"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.result",
"slicing": {
"discriminator": "name",
"ordered": false,
"rules": "open"
}
},
{
"path": "DiagnosticReport.result",
"name": "Cholesterol",
"definition": {
"short": "Cholesterol Result",
"formal": "Reference to Cholesterol Result.",
"min": 1,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Observation"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.result",
"name": "Triglyceride",
"definition": {
"short": "Triglyceride Result",
"formal": "Group of elements for Triglyceride result.",
"min": 1,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Observation"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.result",
"name": "HDL Cholesterol",
"definition": {
"short": "HDL Cholesterol Result",
"formal": "Group of elements for HDL Cholesterol result.",
"min": 1,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Observation"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.result",
"name": "LDL Cholesterol",
"definition": {
"short": "LDL Cholesterol result, if reported",
"formal": "LDL Cholesterol result, if reported.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Observation"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.imagingStudy",
"definition": {
"short": "Reference to full details of imaging associated with the diagnostic report",
"formal": "One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.",
"comments": "ImagingStudy and image are somewhat overlapping - typically, an image in the image list will also be found in the imaging study resource. However the imaging study and image lists cater to different types of displays for different types of purposes. Neither, either, or both may be provided.",
"min": 0,
"max": "*",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/ImagingStudy"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.image",
"definition": {
"short": "Key images associated with this report",
"formal": "A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).",
"min": 0,
"max": "*",
"isModifier": false
}
},
{
"path": "DiagnosticReport.image.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "DiagnosticReport.image.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.image.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.image.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.image.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "DiagnosticReport.image.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.image.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.image.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.image.comment",
"definition": {
"short": "Comment about the image (e.g. explanation)",
"formal": "A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.",
"comments": "The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.image.link",
"definition": {
"short": "Reference to the image source",
"formal": "Reference to the image source.",
"min": 1,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Media"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.conclusion",
"definition": {
"short": "Clinical Interpretation of Lipid Panel",
"formal": "May include diagnosis or suggestions for follow up testing.",
"comments": "It's not unusual for the lab to make some kind of interpretative comment on the set of results.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"isModifier": false
}
},
{
"path": "DiagnosticReport.codedDiagnosis",
"definition": {
"short": "No codes for a lipid panel",
"formal": "No codes for a lipid panel.",
"comments": "Not used in this context.",
"min": 0,
"max": "0",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "AdjunctDiagnosis",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/clinical-findings"
}
}
}
},
{
"path": "DiagnosticReport.presentedForm",
"definition": {
"short": "Entire Report as issued",
"formal": "Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.",
"comments": "Application/pdf is recommended as the most reliable and interoperable in this context.",
"min": 0,
"max": "*",
"type": [
{
"code": "Attachment"
}
],
"isModifier": false
}
}
]
},
{
"type": "Observation",
"name": "Cholesterol",
"publish": true,
"element": [
{
"path": "Observation",
"name": "Cholesterol",
"definition": {
"short": "Measurements and simple assertions",
"formal": "Measurements and simple assertions.",
"comments": "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as Lab reports, etc.",
"min": 1,
"max": "1",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "Observation.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.text",
"definition": {
"short": "Text summary of the resource, for human interpretation",
"formal": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"synonym": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"isModifier": false
}
},
{
"path": "Observation.contained",
"definition": {
"short": "Contained, inline Resources",
"formal": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"synonym": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "Observation.text",
"definition": {
"short": "Text summary of the resource, for human interpretation",
"formal": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"isModifier": false
}
},
{
"path": "Observation.contained",
"definition": {
"short": "Contained, inline Resources",
"formal": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "Observation.name",
"definition": {
"short": "Cholesterol",
"formal": "Cholesterol.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ObservationType",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-codes"
}
}
}
},
{
"path": "Observation.valueQuantity",
"definition": {
"short": "Cholesterol value",
"formal": "Cholesterol value. If a result is not available, use the comments field.",
"comments": "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. apgar store) may have both a value and related observations (for apgar, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.name. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.name defines a coded value. The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (The name format is \"'value' + the type name\" with a capital on the first letter of the type).",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"isModifier": false
}
},
{
"path": "Observation.valueQuantity.value",
"definition": {
"short": "Actual numerical value",
"formal": "Actual numerical value.",
"comments": "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).",
"min": 0,
"max": "1",
"type": [
{
"code": "decimal"
}
],
"isModifier": false
}
},
{
"path": "Observation.valueQuantity.comparator",
"definition": {
"short": "< | <= | >= | > - how to understand the value",
"formal": "< | <= | >= | > - how to understand the value.",
"comments": "No need for this on cholesterol.",
"min": 0,
"max": "0",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "QuantityCompararator",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/quantity-comparator"
}
}
}
},
{
"path": "Observation.valueQuantity.units",
"definition": {
"short": "Unit representation",
"formal": "Unit representation.",
"min": 1,
"max": "1",
"type": [
{
"code": "string"
}
],
"isModifier": false
}
},
{
"path": "Observation.valueQuantity.system",
"definition": {
"short": "System that defines coded unit form",
"formal": "System that defines coded unit form.",
"min": 1,
"max": "1",
"type": [
{
"code": "uri"
}
],
"isModifier": false
}
},
{
"path": "Observation.valueQuantity.code",
"definition": {
"short": "Coded form of the unit",
"formal": "Coded form of the unit.",
"comments": "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.\n\nThe context of use may additionally require a code from a particular system (Unless the Quantity element has a dataAbsentReason flag).",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false
}
},
{
"path": "Observation.interpretation",
"definition": {
"short": "+ | ++ | +++ | - | -- | ---",
"formal": "+ | ++ | +++ | - | -- | ---.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationInterpretation",
"isExtensible": true,
"conformance": "preferred",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-interpretation"
}
}
}
},
{
"path": "Observation.comments",
"definition": {
"short": "Comments about result",
"formal": "May include statements about significant, unexpected or unreliable. values, or information about the source of the value where this may be relevant to the interpretation of the result.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"isModifier": false
}
},
{
"path": "Observation.applies[x]",
"definition": {
"short": "Physiologically Relevant time/time-period for observation",
"formal": "The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the \"physiologically relevant time\". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.",
"comments": "At least a date should be present unless this observation is a historical report.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
},
{
"code": "Period"
}
],
"isModifier": false
}
},
{
"path": "Observation.issued",
"definition": {
"short": "Date/Time this was made available",
"formal": "Date/Time this was made available.",
"comments": "Updated when the result is updated.",
"min": 0,
"max": "1",
"type": [
{
"code": "instant"
}
],
"isModifier": false
}
},
{
"path": "Observation.status",
"definition": {
"short": "registered | preliminary | final | amended +",
"formal": "The status of the result value.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationStatus",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-status"
}
}
}
},
{
"path": "Observation.reliability",
"definition": {
"short": "ok | ongoing | early | questionable | calibrating | error +",
"formal": "Cholesterol values can only be reported when there is no question about their status.",
"comments": "Note that in most contexts, unreliable results are not recorded, deleted, or otherwise excluded, but it's not always possible to exclude them from the record. Interpreters of a result, whether human or machine, SHALL always either be aware of the status, or prevented from using the observation without being unaware that the reliability is not \"ok\".",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationReliability",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-reliability"
}
}
}
},
{
"path": "Observation.bodySite",
"definition": {
"short": "Observed body part",
"formal": "Indicates where on the subject's body the observation was made.",
"comments": "Only used if not implicit in code found in Observation.name.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "BodySite",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/body-site"
}
}
}
},
{
"path": "Observation.method",
"definition": {
"short": "How it was done",
"formal": "Indicates the mechanism used to perform the observation.",
"comments": "Only used if not implicit in code for Observation.name.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ObservationMethod",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-methods"
}
}
}
},
{
"path": "Observation.identifier",
"definition": {
"short": "Unique Id for this particular observation",
"formal": "A unique identifier for the simple observation.",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"isModifier": false
}
},
{
"path": "Observation.subject",
"definition": {
"short": "Who and/or what this is about",
"formal": "The thing the observation is being made about.",
"comments": "The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Patient"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Group"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Device"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Location"
}
],
"isModifier": false
}
},
{
"path": "Observation.specimen",
"definition": {
"short": "Specimen used for this observation",
"formal": "The specimen that was used when this observation was made.",
"comments": "Observations are not made on specimens themselves; they are made on a subject, but usually by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources are often used in contexts that track the specimen explicity (e.g. Diagnostic Report).",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Specimen"
}
],
"isModifier": false
}
},
{
"path": "Observation.performer",
"definition": {
"short": "Who did the observation",
"formal": "Who was responsible for asserting the observed value as \"true\".",
"comments": "This would only be \"Device\" if the device is responsible for the measurement, not to capture the device used by a human to make the measurement. (The latter could be captured as an extension.).",
"min": 0,
"max": "*",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Practitioner"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Device"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Organization"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange",
"definition": {
"short": "Provides guide for interpretation",
"formal": "Provides guide for interpretation.",
"comments": "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.",
"min": 1,
"max": "1",
"isModifier": false
}
},
{
"path": "Observation.referenceRange.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.referenceRange.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.referenceRange.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.low",
"definition": {
"short": "Low Range, if relevant",
"formal": "Low Range, if relevant.",
"comments": "Do not use the comparator for < or >.",
"min": 0,
"max": "0",
"isModifier": false
}
},
{
"path": "Observation.referenceRange.low.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.low.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.high",
"definition": {
"short": "High Range, if relevant",
"formal": "<4.5 mmol/L.",
"comments": "Per Australian NHF Recommendations.",
"min": 1,
"max": "1",
"isModifier": false
}
},
{
"path": "Observation.referenceRange.high.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.high.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.meaning",
"definition": {
"short": "Range is a recommended range",
"formal": "Range is a recommended range.",
"comments": "This SHOULD be populated if there is more than one range.",
"min": 0,
"max": "0",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ObservationRangeMeaning",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/referencerange-meaning"
}
}
}
},
{
"path": "Observation.referenceRange.age",
"definition": {
"short": "Applicable age range, if relevant",
"formal": "Applicable age range, if relevant.",
"min": 0,
"max": "0",
"type": [
{
"code": "Period"
}
],
"isModifier": false
}
},
{
"path": "Observation.related",
"definition": {
"short": "Observations related to this observation",
"formal": "Observations related to this observation.",
"comments": "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. apgar store) may have both a value and related observations (for apgar, the observations from which the measure is derived).",
"min": 0,
"max": "0",
"isModifier": false
}
},
{
"path": "Observation.related.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.related.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.related.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.type",
"definition": {
"short": "has-component | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by",
"formal": "A code specifying the kind of relationship that exists with the target observation.",
"comments": "A relationship type SHOULD be provided. If the relationship type is \"COMP\" (composed), then the observation should not be displayed/interpreted in the absence of the related observations.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationRelationshipType",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-relationshiptypes"
}
}
}
},
{
"path": "Observation.related.target",
"definition": {
"short": "Observation that is related to this one",
"formal": "A reference to the observation that is related to this observation.",
"min": 1,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Observation"
}
],
"isModifier": false
}
}
]
},
{
"type": "Observation",
"name": "Triglyceride",
"publish": true,
"element": [
{
"path": "Observation",
"name": "Triglyceride",
"definition": {
"short": "Triglyceride Result",
"formal": "Group of elements for Triglyceride result.",
"comments": "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as Lab reports, etc.",
"min": 1,
"max": "1",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "Observation.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.text",
"definition": {
"short": "Text summary of the resource, for human interpretation",
"formal": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"synonym": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"isModifier": false
}
},
{
"path": "Observation.contained",
"definition": {
"short": "Contained, inline Resources",
"formal": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"synonym": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "Observation.text",
"definition": {
"short": "Text summary of the resource, for human interpretation",
"formal": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"isModifier": false
}
},
{
"path": "Observation.contained",
"definition": {
"short": "Contained, inline Resources",
"formal": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "Observation.name",
"definition": {
"short": "Triglyceride",
"formal": "Triglyceride.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ObservationType",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-codes"
}
}
}
},
{
"path": "Observation.value[x]",
"definition": {
"short": "Triglyceride value",
"formal": "Triglyceride value. If a result is not available, use the comments field.",
"comments": "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. apgar store) may have both a value and related observations (for apgar, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.name. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.name defines a coded value. The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (The name format is \"'value' + the type name\" with a capital on the first letter of the type).",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"isModifier": false
}
},
{
"path": "Observation.interpretation",
"definition": {
"short": "+ | ++ | +++ | - | -- | ---",
"formal": "+ | ++ | +++ | - | -- | ---.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationInterpretation",
"isExtensible": true,
"conformance": "preferred",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-interpretation"
}
}
}
},
{
"path": "Observation.comments",
"definition": {
"short": "Comments about result",
"formal": "Comments about result.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"isModifier": false
}
},
{
"path": "Observation.applies[x]",
"definition": {
"short": "Physiologically Relevant time/time-period for observation",
"formal": "The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the \"physiologically relevant time\". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.",
"comments": "At least a date should be present unless this observation is a historical report.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
},
{
"code": "Period"
}
],
"isModifier": false
}
},
{
"path": "Observation.issued",
"definition": {
"short": "Date/Time this was made available",
"formal": "Date/Time this was made available.",
"comments": "Updated when the result is updated.",
"min": 0,
"max": "1",
"type": [
{
"code": "instant"
}
],
"isModifier": false
}
},
{
"path": "Observation.status",
"definition": {
"short": "registered | preliminary | final | amended +",
"formal": "The status of the result value.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationStatus",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-status"
}
}
}
},
{
"path": "Observation.reliability",
"definition": {
"short": "ok | ongoing | early | questionable | calibrating | error +",
"formal": "ok | ongoing | early | questionable | calibrating | error +.",
"comments": "Note that in most contexts, unreliable results are not recorded, deleted, or otherwise excluded, but it's not always possible to exclude them from the record. Interpreters of a result, whether human or machine, SHALL always either be aware of the status, or prevented from using the observation without being unaware that the reliability is not \"ok\".",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationReliability",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-reliability"
}
}
}
},
{
"path": "Observation.bodySite",
"definition": {
"short": "Observed body part",
"formal": "Indicates where on the subject's body the observation was made.",
"comments": "Only used if not implicit in code found in Observation.name.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "BodySite",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/body-site"
}
}
}
},
{
"path": "Observation.method",
"definition": {
"short": "How it was done",
"formal": "Indicates the mechanism used to perform the observation.",
"comments": "Only used if not implicit in code for Observation.name.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ObservationMethod",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-methods"
}
}
}
},
{
"path": "Observation.identifier",
"definition": {
"short": "Unique Id for this particular observation",
"formal": "A unique identifier for the simple observation.",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"isModifier": false
}
},
{
"path": "Observation.subject",
"definition": {
"short": "Who and/or what this is about",
"formal": "The thing the observation is being made about.",
"comments": "The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Patient"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Group"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Device"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Location"
}
],
"isModifier": false
}
},
{
"path": "Observation.specimen",
"definition": {
"short": "Specimen used for this observation",
"formal": "The specimen that was used when this observation was made.",
"comments": "Observations are not made on specimens themselves; they are made on a subject, but usually by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources are often used in contexts that track the specimen explicity (e.g. Diagnostic Report).",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Specimen"
}
],
"isModifier": false
}
},
{
"path": "Observation.performer",
"definition": {
"short": "Who did the observation",
"formal": "Who was responsible for asserting the observed value as \"true\".",
"comments": "This would only be \"Device\" if the device is responsible for the measurement, not to capture the device used by a human to make the measurement. (The latter could be captured as an extension.).",
"min": 0,
"max": "*",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Practitioner"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Device"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Organization"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange",
"definition": {
"short": "Provides guide for interpretation",
"formal": "Provides guide for interpretation.",
"comments": "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.",
"min": 1,
"max": "1",
"isModifier": false
}
},
{
"path": "Observation.referenceRange.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.referenceRange.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.referenceRange.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.low",
"definition": {
"short": "Low Range, if relevant",
"formal": "Low Range, if relevant.",
"comments": "Do not use the comparator for < or >.",
"min": 0,
"max": "0",
"isModifier": false
}
},
{
"path": "Observation.referenceRange.low.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.low.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.high",
"definition": {
"short": "High Range, if relevant",
"formal": "High Range, if relevant.",
"comments": "Per Australian NHF Recommendations.",
"min": 1,
"max": "1",
"isModifier": false
}
},
{
"path": "Observation.referenceRange.high.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.high.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.meaning",
"definition": {
"short": "Range is a recommended range",
"formal": "Range is a recommended range.",
"comments": "This SHOULD be populated if there is more than one range.",
"min": 0,
"max": "0",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ObservationRangeMeaning",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/referencerange-meaning"
}
}
}
},
{
"path": "Observation.referenceRange.age",
"definition": {
"short": "Applicable age range, if relevant",
"formal": "Applicable age range, if relevant.",
"min": 0,
"max": "0",
"type": [
{
"code": "Period"
}
],
"isModifier": false
}
},
{
"path": "Observation.related",
"definition": {
"short": "Observations related to this observation",
"formal": "Observations related to this observation.",
"comments": "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. apgar store) may have both a value and related observations (for apgar, the observations from which the measure is derived).",
"min": 0,
"max": "0",
"isModifier": false
}
},
{
"path": "Observation.related.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.related.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.related.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.type",
"definition": {
"short": "has-component | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by",
"formal": "A code specifying the kind of relationship that exists with the target observation.",
"comments": "A relationship type SHOULD be provided. If the relationship type is \"COMP\" (composed), then the observation should not be displayed/interpreted in the absence of the related observations.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationRelationshipType",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-relationshiptypes"
}
}
}
},
{
"path": "Observation.related.target",
"definition": {
"short": "Observation that is related to this one",
"formal": "A reference to the observation that is related to this observation.",
"min": 1,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Observation"
}
],
"isModifier": false
}
}
]
},
{
"type": "Observation",
"name": "HDLCholesterol",
"publish": true,
"element": [
{
"path": "Observation",
"name": "HDLCholesterol",
"definition": {
"short": "HDL Cholesterol Result",
"formal": "Group of elements for HDL Cholesterol result.",
"comments": "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as Lab reports, etc.",
"min": 1,
"max": "1",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "Observation.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.text",
"definition": {
"short": "Text summary of the resource, for human interpretation",
"formal": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"synonym": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"isModifier": false
}
},
{
"path": "Observation.contained",
"definition": {
"short": "Contained, inline Resources",
"formal": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"synonym": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "Observation.text",
"definition": {
"short": "Text summary of the resource, for human interpretation",
"formal": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"isModifier": false
}
},
{
"path": "Observation.contained",
"definition": {
"short": "Contained, inline Resources",
"formal": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "Observation.name",
"definition": {
"short": "HDL Cholesterol",
"formal": "HDL Cholesterol.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ObservationType",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-codes"
}
}
}
},
{
"path": "Observation.value[x]",
"definition": {
"short": "HDL Cholesterol value",
"formal": "HDL Cholesterol value. If a result is not available, use the comments field.",
"comments": "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. apgar store) may have both a value and related observations (for apgar, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.name. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.name defines a coded value. The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (The name format is \"'value' + the type name\" with a capital on the first letter of the type).",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"isModifier": false
}
},
{
"path": "Observation.interpretation",
"definition": {
"short": "+ | ++ | +++ | - | -- | ---",
"formal": "+ | ++ | +++ | - | -- | ---.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationInterpretation",
"isExtensible": true,
"conformance": "preferred",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-interpretation"
}
}
}
},
{
"path": "Observation.comments",
"definition": {
"short": "Comments about result",
"formal": "Comments about result.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"isModifier": false
}
},
{
"path": "Observation.applies[x]",
"definition": {
"short": "Physiologically Relevant time/time-period for observation",
"formal": "The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the \"physiologically relevant time\". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.",
"comments": "At least a date should be present unless this observation is a historical report.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
},
{
"code": "Period"
}
],
"isModifier": false
}
},
{
"path": "Observation.issued",
"definition": {
"short": "Date/Time this was made available",
"formal": "Date/Time this was made available.",
"comments": "Updated when the result is updated.",
"min": 0,
"max": "1",
"type": [
{
"code": "instant"
}
],
"isModifier": false
}
},
{
"path": "Observation.status",
"definition": {
"short": "registered | preliminary | final | amended +",
"formal": "The status of the result value.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationStatus",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-status"
}
}
}
},
{
"path": "Observation.reliability",
"definition": {
"short": "ok | ongoing | early | questionable | calibrating | error +",
"formal": "ok | ongoing | early | questionable | calibrating | error +.",
"comments": "Note that in most contexts, unreliable results are not recorded, deleted, or otherwise excluded, but it's not always possible to exclude them from the record. Interpreters of a result, whether human or machine, SHALL always either be aware of the status, or prevented from using the observation without being unaware that the reliability is not \"ok\".",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationReliability",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-reliability"
}
}
}
},
{
"path": "Observation.bodySite",
"definition": {
"short": "Observed body part",
"formal": "Indicates where on the subject's body the observation was made.",
"comments": "Only used if not implicit in code found in Observation.name.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "BodySite",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/body-site"
}
}
}
},
{
"path": "Observation.method",
"definition": {
"short": "How it was done",
"formal": "Indicates the mechanism used to perform the observation.",
"comments": "Only used if not implicit in code for Observation.name.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ObservationMethod",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-methods"
}
}
}
},
{
"path": "Observation.identifier",
"definition": {
"short": "Unique Id for this particular observation",
"formal": "A unique identifier for the simple observation.",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"isModifier": false
}
},
{
"path": "Observation.subject",
"definition": {
"short": "Who and/or what this is about",
"formal": "The thing the observation is being made about.",
"comments": "The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Patient"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Group"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Device"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Location"
}
],
"isModifier": false
}
},
{
"path": "Observation.specimen",
"definition": {
"short": "Specimen used for this observation",
"formal": "The specimen that was used when this observation was made.",
"comments": "Observations are not made on specimens themselves; they are made on a subject, but usually by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources are often used in contexts that track the specimen explicity (e.g. Diagnostic Report).",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Specimen"
}
],
"isModifier": false
}
},
{
"path": "Observation.performer",
"definition": {
"short": "Who did the observation",
"formal": "Who was responsible for asserting the observed value as \"true\".",
"comments": "This would only be \"Device\" if the device is responsible for the measurement, not to capture the device used by a human to make the measurement. (The latter could be captured as an extension.).",
"min": 0,
"max": "*",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Practitioner"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Device"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Organization"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange",
"definition": {
"short": "Provides guide for interpretation",
"formal": "Provides guide for interpretation.",
"comments": "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.",
"min": 1,
"max": "1",
"isModifier": false
}
},
{
"path": "Observation.referenceRange.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.referenceRange.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.referenceRange.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.low",
"definition": {
"short": "Low Range, if relevant",
"formal": ">1.5 mmol/L.",
"comments": "Do not use the comparator for < or >.",
"min": 1,
"max": "1",
"isModifier": false
}
},
{
"path": "Observation.referenceRange.low.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.low.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.high",
"definition": {
"short": "High Range, if relevant",
"formal": "High Range, if relevant.",
"comments": "Per Australian NHF Recommendations.",
"min": 0,
"max": "0",
"isModifier": false
}
},
{
"path": "Observation.referenceRange.high.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.high.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.meaning",
"definition": {
"short": "Range is a recommended range",
"formal": "Range is a recommended range.",
"comments": "This SHOULD be populated if there is more than one range.",
"min": 0,
"max": "0",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ObservationRangeMeaning",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/referencerange-meaning"
}
}
}
},
{
"path": "Observation.referenceRange.age",
"definition": {
"short": "Applicable age range, if relevant",
"formal": "Applicable age range, if relevant.",
"min": 0,
"max": "0",
"type": [
{
"code": "Period"
}
],
"isModifier": false
}
},
{
"path": "Observation.related",
"definition": {
"short": "Observations related to this observation",
"formal": "Observations related to this observation.",
"comments": "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. apgar store) may have both a value and related observations (for apgar, the observations from which the measure is derived).",
"min": 0,
"max": "0",
"isModifier": false
}
},
{
"path": "Observation.related.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.related.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.related.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.type",
"definition": {
"short": "has-component | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by",
"formal": "A code specifying the kind of relationship that exists with the target observation.",
"comments": "A relationship type SHOULD be provided. If the relationship type is \"COMP\" (composed), then the observation should not be displayed/interpreted in the absence of the related observations.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationRelationshipType",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-relationshiptypes"
}
}
}
},
{
"path": "Observation.related.target",
"definition": {
"short": "Observation that is related to this one",
"formal": "A reference to the observation that is related to this observation.",
"min": 1,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Observation"
}
],
"isModifier": false
}
}
]
},
{
"type": "Observation",
"name": "LDLCholesterol",
"publish": true,
"element": [
{
"path": "Observation",
"name": "LDLCholesterol",
"definition": {
"short": "LDL Cholesterol Result",
"formal": "Group of elements for LDL Cholesterol result.",
"comments": "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as Lab reports, etc.",
"min": 1,
"max": "1",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "Observation.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.extension",
"name": "LDLCalculated",
"definition": {
"short": "Whether LDL value is calculated",
"formal": "Whether LDL value is calculated.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": "#calculated"
}
],
"isModifier": false
}
},
{
"path": "Observation.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.text",
"definition": {
"short": "Text summary of the resource, for human interpretation",
"formal": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"synonym": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"isModifier": false
}
},
{
"path": "Observation.contained",
"definition": {
"short": "Contained, inline Resources",
"formal": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"synonym": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "Observation.text",
"definition": {
"short": "Text summary of the resource, for human interpretation",
"formal": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"isModifier": false
}
},
{
"path": "Observation.contained",
"definition": {
"short": "Contained, inline Resources",
"formal": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "Observation.name",
"definition": {
"short": "LDL Cholesterol -measured or calculated per code",
"formal": "LDL Cholesterol -measured or calculated per code.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ObservationType",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-codes"
}
}
}
},
{
"path": "Observation.value[x]",
"definition": {
"short": "LDL Cholesterol value",
"formal": "LDL Cholesterol value. If a result is not available, use the comments field.",
"comments": "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. apgar store) may have both a value and related observations (for apgar, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.name. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.name defines a coded value. The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (The name format is \"'value' + the type name\" with a capital on the first letter of the type).",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"isModifier": false
}
},
{
"path": "Observation.interpretation",
"definition": {
"short": "+ | ++ | +++ | - | -- | ---",
"formal": "+ | ++ | +++ | - | -- | ---.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationInterpretation",
"isExtensible": true,
"conformance": "preferred",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-interpretation"
}
}
}
},
{
"path": "Observation.comments",
"definition": {
"short": "Comments about result",
"formal": "Comments about result.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"isModifier": false
}
},
{
"path": "Observation.applies[x]",
"definition": {
"short": "Physiologically Relevant time/time-period for observation",
"formal": "The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the \"physiologically relevant time\". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.",
"comments": "At least a date should be present unless this observation is a historical report.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
},
{
"code": "Period"
}
],
"isModifier": false
}
},
{
"path": "Observation.issued",
"definition": {
"short": "Date/Time this was made available",
"formal": "Date/Time this was made available.",
"comments": "Updated when the result is updated.",
"min": 0,
"max": "1",
"type": [
{
"code": "instant"
}
],
"isModifier": false
}
},
{
"path": "Observation.status",
"definition": {
"short": "registered | preliminary | final | amended +",
"formal": "The status of the result value.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationStatus",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-status"
}
}
}
},
{
"path": "Observation.reliability",
"definition": {
"short": "ok | ongoing | early | questionable | calibrating | error +",
"formal": "ok | ongoing | early | questionable | calibrating | error +.",
"comments": "Note that in most contexts, unreliable results are not recorded, deleted, or otherwise excluded, but it's not always possible to exclude them from the record. Interpreters of a result, whether human or machine, SHALL always either be aware of the status, or prevented from using the observation without being unaware that the reliability is not \"ok\".",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationReliability",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-reliability"
}
}
}
},
{
"path": "Observation.bodySite",
"definition": {
"short": "Observed body part",
"formal": "Indicates where on the subject's body the observation was made.",
"comments": "Only used if not implicit in code found in Observation.name.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "BodySite",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/body-site"
}
}
}
},
{
"path": "Observation.method",
"definition": {
"short": "How it was done",
"formal": "Indicates the mechanism used to perform the observation.",
"comments": "Only used if not implicit in code for Observation.name.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ObservationMethod",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-methods"
}
}
}
},
{
"path": "Observation.identifier",
"definition": {
"short": "Unique Id for this particular observation",
"formal": "A unique identifier for the simple observation.",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"isModifier": false
}
},
{
"path": "Observation.subject",
"definition": {
"short": "Who and/or what this is about",
"formal": "The thing the observation is being made about.",
"comments": "The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Patient"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Group"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Device"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Location"
}
],
"isModifier": false
}
},
{
"path": "Observation.specimen",
"definition": {
"short": "Specimen used for this observation",
"formal": "The specimen that was used when this observation was made.",
"comments": "Observations are not made on specimens themselves; they are made on a subject, but usually by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources are often used in contexts that track the specimen explicity (e.g. Diagnostic Report).",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Specimen"
}
],
"isModifier": false
}
},
{
"path": "Observation.performer",
"definition": {
"short": "Who did the observation",
"formal": "Who was responsible for asserting the observed value as \"true\".",
"comments": "This would only be \"Device\" if the device is responsible for the measurement, not to capture the device used by a human to make the measurement. (The latter could be captured as an extension.).",
"min": 0,
"max": "*",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Practitioner"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Device"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Organization"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange",
"definition": {
"short": "Provides guide for interpretation",
"formal": "Provides guide for interpretation.",
"comments": "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.",
"min": 1,
"max": "1",
"isModifier": false
}
},
{
"path": "Observation.referenceRange.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.referenceRange.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.referenceRange.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.low",
"definition": {
"short": "Low Range, if relevant",
"formal": "Low Range, if relevant.",
"comments": "Do not use the comparator for < or >.",
"min": 0,
"max": "0",
"isModifier": false
}
},
{
"path": "Observation.referenceRange.low.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.low.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.high",
"definition": {
"short": "High Range, if relevant",
"formal": "<3.0 mmol/L.",
"comments": "Per Australian NHF Recommendations.",
"min": 1,
"max": "1",
"isModifier": false
}
},
{
"path": "Observation.referenceRange.high.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.high.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.referenceRange.meaning",
"definition": {
"short": "Range is a recommended range",
"formal": "Range is a recommended range.",
"comments": "This SHOULD be populated if there is more than one range.",
"min": 0,
"max": "0",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ObservationRangeMeaning",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/referencerange-meaning"
}
}
}
},
{
"path": "Observation.referenceRange.age",
"definition": {
"short": "Applicable age range, if relevant",
"formal": "Applicable age range, if relevant.",
"min": 0,
"max": "0",
"type": [
{
"code": "Period"
}
],
"isModifier": false
}
},
{
"path": "Observation.related",
"definition": {
"short": "Observations related to this observation",
"formal": "Observations related to this observation.",
"comments": "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. apgar store) may have both a value and related observations (for apgar, the observations from which the measure is derived).",
"min": 0,
"max": "0",
"isModifier": false
}
},
{
"path": "Observation.related.extension",
"name": "base extension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.related.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.extension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.extension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.modifierExtension",
"name": "base modifierExtension",
"slicing": {
"discriminator": "url",
"ordered": false,
"rules": "open"
}
},
{
"path": "Observation.related.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.modifierExtension.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.modifierExtension.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Observation.related.type",
"definition": {
"short": "has-component | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by",
"formal": "A code specifying the kind of relationship that exists with the target observation.",
"comments": "A relationship type SHOULD be provided. If the relationship type is \"COMP\" (composed), then the observation should not be displayed/interpreted in the absence of the related observations.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ObservationRelationshipType",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/observation-relationshiptypes"
}
}
}
},
{
"path": "Observation.related.target",
"definition": {
"short": "Observation that is related to this one",
"formal": "A reference to the observation that is related to this observation.",
"min": 1,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Observation"
}
],
"isModifier": false
}
}
]
}
],
"extensionDefn": [
{
"code": "calculated",
"display": "LDL is Calculated",
"contextType": "resource",
"context": [
"Observation"
],
"definition": {
"short": "LDL is Calculated",
"formal": "True if the LDL value is calculated from Chol, Trig, and HDLC.",
"comments": "It's definitely better that whether the LDL was calculated or not comes from the LOINC code. But this is defined to exercise the extension machinery in the publication tooling, and to make this comment. Actually, the location is odd too - it would probably be on the root observation, but this is for testing purposes.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"mustSupport": false,
"isModifier": false
}
}
]
}
© HL7.org 2011+. FHIR DSTU (v0.0.82.2943) generated on Tue, Sep 30, 2014 18:09+1000.
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