2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). 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: CCDAAgeObservation

The official URL for this profile is: 

http://hl7.org/fhir/Profile/observation-ccda-age-ccdaageobservation

. CCDA Age Observation template to FHIR Profile mapping : C-CDA Age Observation

This profile was published on Sat, Sep 20, 2014 00:00+1000 as a draft by HL7 International - Orders and Observations WG.

Summary

Terminology Bindings

  • Observation.valueQuantity.code must come from A valueSet of UCUM codes for representing age value units

Required/Prohibited Elements

  • The element Observation is required
  • The element Observation.code is required
  • The element Observation.valueQuantity is required
  • The element Observation.valueQuantity.value is required
  • The element Observation.valueQuantity.comparator is prohibited
  • The element Observation.valueQuantity.system is required
  • The element Observation.valueQuantity.code is required
  • The element Observation.interpretation is prohibited
  • The element Observation.applies[x] is prohibited
  • The element Observation.issued is prohibited
  • The element Observation.status is required
  • The element Observation.bodySite[x] is prohibited
  • The element Observation.method is prohibited
  • The element Observation.subject is required
  • The element Observation.specimen is prohibited
  • The element Observation.device is prohibited
  • The element Observation.referenceRange is prohibited

Fixed Values

  • The element Observation.code value must match SNOMED CT code 445518008("Age at onset of clinical finding")
  • The element Observation.valueQuantity.system value has been fixed to http://unitsofmeasure.org
  • The element Observation.status value has been fixed to final

Formal Views of Profile Content

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

Differential View

This structure is derived from Observation.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1
... code 1..1CodeableConceptAge at Onset: SNOMED CT 445518008 = Age at onset of clinical finding
Required Pattern: {"coding":[{"system":"http://snomed.info/sct","code":"445518008","display":"Age at onset of clinical finding"}]}
... valueQuantity 1..1QuantityAge Value with UCUM age value units
.... value 1..1Actual numerical value
.... comparator 0..0
.... system 1..1uriFixed Value: http://unitsofmeasure.org
.... code 1..1codeBinding: CCDAAgeCodes (required, not extensible)
... interpretation 0..0
... applies[x] 0..0
... issued 0..0
... status 1..1codeFixed Value: final
... bodySite[x] 0..0
... method 0..0
... subject 1..1Patient
... specimen 0..0
... device 0..0
... referenceRange 0..0

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I1..1Measurements and simple assertions
obs-6: Shall only be present if Observation.value[x] is not present
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... code 1..1CodeableConceptAge at Onset: SNOMED CT 445518008 = Age at onset of clinical finding
Binding: ObservationType (example, extensible)
Required Pattern: {"coding":[{"system":"http://snomed.info/sct","code":"445518008","display":"Age at onset of clinical finding"}]}
... valueQuantity 1..1QuantityAge Value with UCUM age value units
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... value 1..1decimalActual numerical value
.... units 0..1stringUnit representation
.... system I1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... code 1..1codeCoded form of the unit
Binding: CCDAAgeCodes (required, not extensible)
... dataAbsentReason I0..1codeunknown | asked | temp | notasked +
Binding: DataAbsentReason (required, not extensible)
Example: unknown
... comments 0..1stringComments about result
... status M1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required, not extensible)
Fixed Value: final
... reliability M0..1codeok | ongoing | early | questionable | calibrating | error +
Binding: ObservationReliability (required, not extensible)
... identifier 0..1IdentifierUnique Id for this particular observation
... subject 1..1PatientWho and/or what this is about
... performer 0..*Practitioner, Organization, Patient, RelatedPersonWho did the observation
... encounter 0..1EncounterHealthcare event during which this observation is made
... related 0..*Observations related to this observation
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-component | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required, not extensible)
.... target 1..1ObservationObservation that is related to this one

XML Template

JSON Template

todo

Differential View

This structure is derived from Observation.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1
... code 1..1CodeableConceptAge at Onset: SNOMED CT 445518008 = Age at onset of clinical finding
Required Pattern: {"coding":[{"system":"http://snomed.info/sct","code":"445518008","display":"Age at onset of clinical finding"}]}
... valueQuantity 1..1QuantityAge Value with UCUM age value units
.... value 1..1Actual numerical value
.... comparator 0..0
.... system 1..1uriFixed Value: http://unitsofmeasure.org
.... code 1..1codeBinding: CCDAAgeCodes (required, not extensible)
... interpretation 0..0
... applies[x] 0..0
... issued 0..0
... status 1..1codeFixed Value: final
... bodySite[x] 0..0
... method 0..0
... subject 1..1Patient
... specimen 0..0
... device 0..0
... referenceRange 0..0

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I1..1Measurements and simple assertions
obs-6: Shall only be present if Observation.value[x] is not present
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... code 1..1CodeableConceptAge at Onset: SNOMED CT 445518008 = Age at onset of clinical finding
Binding: ObservationType (example, extensible)
Required Pattern: {"coding":[{"system":"http://snomed.info/sct","code":"445518008","display":"Age at onset of clinical finding"}]}
... valueQuantity 1..1QuantityAge Value with UCUM age value units
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... value 1..1decimalActual numerical value
.... units 0..1stringUnit representation
.... system I1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... code 1..1codeCoded form of the unit
Binding: CCDAAgeCodes (required, not extensible)
... dataAbsentReason I0..1codeunknown | asked | temp | notasked +
Binding: DataAbsentReason (required, not extensible)
Example: unknown
... comments 0..1stringComments about result
... status M1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required, not extensible)
Fixed Value: final
... reliability M0..1codeok | ongoing | early | questionable | calibrating | error +
Binding: ObservationReliability (required, not extensible)
... identifier 0..1IdentifierUnique Id for this particular observation
... subject 1..1PatientWho and/or what this is about
... performer 0..*Practitioner, Organization, Patient, RelatedPersonWho did the observation
... encounter 0..1EncounterHealthcare event during which this observation is made
... related 0..*Observations related to this observation
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-component | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required, not extensible)
.... target 1..1ObservationObservation that is related to this one

XML Template

JSON Template

todo

 

Other definitions: (todo)

Terminology Bindings

PathNameConformanceValueSet
Observation.languageLanguagerequiredhttp://tools.ietf.org/html/bcp47
Observation.codeObservationTypeexample (extensible)LOINC Codes
Observation.valueQuantity.comparatorQuantityComparatorrequiredQuantityComparator
Observation.valueQuantity.codeCCDAAgeCodesrequiredCCDAAgeCodes
Observation.dataAbsentReasonDataAbsentReasonrequiredDataAbsentReason
Observation.interpretationObservationInterpretationpreferred (extensible)Observation Interpretation Codes
Observation.statusObservationStatusrequiredObservationStatus
Observation.reliabilityObservationReliabilityrequiredObservationReliability
Observation.bodySite[x]BodySiteexample (extensible)SNOMED CT Body Structures
Observation.methodObservationMethodexample (extensible)Observation Methods
Observation.referenceRange.meaningObservationRangeMeaningexample (extensible)Observation Reference Range Meaning Codes
Observation.related.typeObservationRelationshipTyperequiredObservationRelationshipType

Constraints

IdPathNameDetails
obs-6Observationdata absent reasonShall only be present if Observation.value[x] is not present
XPath: not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))
obs-3Observation.referenceRangereference rangeMust have at least a low or a high or text
XPath: (exists(f:low) or exists(f:high)or exists(f:text))
obs-4Observation.referenceRange.lowlow range comparatorsLow range comparators can only be '>' or '>=' or empty
XPath: not(exists(f:comparator)) or boolean(f:comparator/@value = '<') or boolean(f:comparator/@value = '<=')
obs-5Observation.referenceRange.highhigh range comparatorsHigh range comparators can only be '<' or '<=' or empty
XPath: not(exists(f:comparator)) or boolean(f:comparator/@value = '>') or boolean(f:comparator/@value = '>=')
.