MyHealth@EU Core
1.0.0 - trial-use 150

MyHealth@EU Core - Downloaded Version 1.0.0 See the Directory of published versions

Resource Profile: Observation: Medical Test Result (Core)

Official URL: http://fhir.ehdsi.eu/core/StructureDefinition/medicalTestResult-myhealtheu-core Version: 1.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: MedicalTestResultMyHealthCore

This profile introduces essential constraints and extensions for the Observation resource for Medical Test Results that apply across multiple use cases.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MedicalTestResultEuCore Measurements and simple assertions
Constraints: obs-6, obs-7, obs-value-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the observation
Binding: eHDSI Language (required)
... Slices for extension Content/Rules for all slices
.... extension:bodyStructure 0..1 Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) R5: Observed body structure (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
Constraints: ext-1
.... extension:triggeredBy 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:observation 1..1 Extension Extension
Constraints: ext-1
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation: Medical Test Result (Core)) Triggering observation
...... extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
Constraints: ext-1
....... url 1..1 uri "type"
....... value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
Constraints: ext-1
....... url 1..1 uri "reason"
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 1..* CodeableConcept Classification of type of observation
Binding: eHDSI Observation category (extensible)
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: eHDSI Observation Code With Exceptions (required)
... subject Σ 1..1 Reference(Patient (Core)) Who and/or what the observation is about
... focus Σ 0..* Reference(Patient (Core) | RelatedPerson | Location (Core)) What the observation is about, when it is not about the subject of record
... effective[x] Σ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 0..* Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) Who is responsible for the observation
.... Slices for extension Content/Rules for all slices
..... extension:performerFunction 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 QuantityMyHealth Actual result
..... Slices for extension Content/Rules for all slices
...... extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: eHDSI Observation Results Coded Value With Exceptions (required)
.... value[x]:valueRatio ΣC 0..1 RatioMyHealth Actual result
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: eHDSI Data Absent Reason (extensible)
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: eHDSI Observation Interpretation With Exceptions (required)
... bodySite 0..1 CodeableConcept Observed body part
Binding: eHDSI Body Site With Exceptions (required)
.... Slices for extension Content/Rules for all slices
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
...... value[x] 1..1 Reference(BodyStructure (Core)) Value of extension
... method 0..1 CodeableConcept How it was done
Binding: eHDSI Observation Method With Exceptions (required)
... hasMember Σ 0..* Reference(Observation: Medical Test Result (Core)) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(Observation: Medical Test Result (Core) | ImagingStudy) Related measurements the observation is made from

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base extensible eHDSI Observation category 📦9.1.0 MyHealthEu MVC package v9.1
Observation.code Base required eHDSI Observation Code With Exceptions 📦1.0.0 This IG
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base required eHDSI Observation Results Coded Value With Exceptions 📦1.0.0 This IG
Observation.dataAbsentReason Base extensible eHDSI Data Absent Reason 📦9.1.0 MyHealthEu MVC package v9.1
Observation.interpretation Base required eHDSI Observation Interpretation With Exceptions 📦1.0.0 This IG
Observation.bodySite Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
Observation.method Base required eHDSI Observation Method With Exceptions 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension:bodyStructure, Observation.extension:triggeredBy, Observation.extension:triggeredBy.extension, Observation.extension:triggeredBy.extension:observation, Observation.extension:triggeredBy.extension:type, Observation.extension:triggeredBy.extension:reason, Observation.extension:value-r5, Observation.modifierExtension, Observation.performer.extension:performerFunction, Observation.value[x]:valueQuantity.extension:uncertainty, Observation.bodySite.extension:bodySite Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-value-1 error Observation The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()

This structure is derived from MedicalTestResultEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* MedicalTestResultEuCore Measurements and simple assertions
... language 0..1 code Language of the observation
Binding: eHDSI Language (required)
... Slices for extension Content/Rules for all slices
.... extension:triggeredBy 0..* R5 Observation.triggeredBy R5: Triggering observation(s) (new)
..... Slices for extension Content/Rules for all slices
...... extension:observation 1..1 Extension Extension
....... value[x] 1..1 Reference(Observation: Medical Test Result (Core)) Triggering observation
... category 1..* CodeableConcept Classification of type of observation
Binding: eHDSI Observation category (extensible)
... subject 1..1 Reference(Patient (Core)) Who and/or what the observation is about
... focus 0..* Reference(Patient (Core) | RelatedPerson | Location (Core)) What the observation is about, when it is not about the subject of record
... performer 0..* Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) Who is responsible for the observation
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueQuantity 0..1 QuantityMyHealth Actual result
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual result
Binding: eHDSI Observation Results Coded Value With Exceptions (required)
.... value[x]:valueRatio 0..1 RatioMyHealth Actual result
... dataAbsentReason 0..1 CodeableConcept Why the result is missing
Binding: eHDSI Data Absent Reason (extensible)
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: eHDSI Observation Interpretation With Exceptions (required)
... bodySite 0..1 CodeableConcept Observed body part
Binding: eHDSI Body Site With Exceptions (required)
.... Slices for extension Content/Rules for all slices
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
...... value[x] 1..1 Reference(BodyStructure (Core)) Value of extension
... method 0..1 CodeableConcept How it was done
Binding: eHDSI Observation Method With Exceptions (required)
... referenceRange
.... type 0..1 CodeableConcept Reference range qualifier
Binding: eHDSI Reference Range Meaning With Exceptions (required)
.... appliesTo 0..* CodeableConcept Reference range population
Binding: eHDSI Reference Range Applies To With Exceptions (required)
... hasMember 0..* Reference(Observation: Medical Test Result (Core)) Related resource that belongs to the Observation group
... derivedFrom 0..* Reference(Observation: Medical Test Result (Core) | ImagingStudy) Related measurements the observation is made from
... component
.... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: eHDSI Observation Code With Exceptions (required)
.... Slices for value[x] Content/Rules for all slices
..... value[x]:valueQuantity 0..1 QuantityMyHealth Actual component result
..... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
Binding: eHDSI Observation Results Coded Value With Exceptions (required)
..... value[x]:valueRatio 0..1 RatioMyHealth Actual component result
.... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: eHDSI Data Absent Reason (extensible)
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: eHDSI Observation Interpretation With Exceptions (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
Observation.category Base extensible eHDSI Observation category 📦9.1.0 MyHealthEu MVC package v9.1
Observation.code Base required eHDSI Observation Code With Exceptions 📦1.0.0 This IG
Observation.value[x]:valueCodeableConcept Base required eHDSI Observation Results Coded Value With Exceptions 📦1.0.0 This IG
Observation.dataAbsentReason Base extensible eHDSI Data Absent Reason 📦9.1.0 MyHealthEu MVC package v9.1
Observation.interpretation Base required eHDSI Observation Interpretation With Exceptions 📦1.0.0 This IG
Observation.bodySite Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
Observation.method Base required eHDSI Observation Method With Exceptions 📦1.0.0 This IG
Observation.referenceRange.​type Base required eHDSI Reference Range Meaning With Exceptions 📦1.0.0 This IG
Observation.referenceRange.​appliesTo Base required eHDSI Reference Range Applies To With Exceptions 📦1.0.0 This IG
Observation.component.​code Base required eHDSI Observation Code With Exceptions 📦1.0.0 This IG
Observation.component.​value[x]:valueCodeableConcept Base required eHDSI Observation Results Coded Value With Exceptions 📦1.0.0 This IG
Observation.component.​dataAbsentReason Base extensible eHDSI Data Absent Reason 📦9.1.0 MyHealthEu MVC package v9.1
Observation.component.​interpretation Base required eHDSI Observation Interpretation With Exceptions 📦1.0.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MedicalTestResultEuCore Measurements and simple assertions
Constraints: obs-6, obs-7, obs-value-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the observation
Binding: eHDSI Language (required)
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:bodyStructure 0..1 Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) R5: Observed body structure (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
Constraints: ext-1
.... extension:triggeredBy 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:observation 1..1 Extension Extension
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation: Medical Test Result (Core)) Triggering observation
...... extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "type"
....... value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "reason"
....... value[x] 0..1 string Reason that the observation was triggered
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] 0..1 Attachment Actual result
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 1..* CodeableConcept Classification of type of observation
Binding: eHDSI Observation category (extensible)
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: eHDSI Observation Code With Exceptions (required)
... subject Σ 1..1 Reference(Patient (Core)) Who and/or what the observation is about
... focus Σ 0..* Reference(Patient (Core) | RelatedPerson | Location (Core)) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] Σ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) Who is responsible for the observation
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:performerFunction 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 QuantityMyHealth Actual result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: eHDSI Observation Results Coded Value With Exceptions (required)
.... value[x]:valueRatio ΣC 0..1 RatioMyHealth Actual result
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: eHDSI Data Absent Reason (extensible)
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: eHDSI Observation Interpretation With Exceptions (required)
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: eHDSI Body Site With Exceptions (required)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
...... value[x] 1..1 Reference(BodyStructure (Core)) Value of extension
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... method 0..1 CodeableConcept How it was done
Binding: eHDSI Observation Method With Exceptions (required)
... specimen 0..1 Reference(Specimen) Specimen used for the observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: eHDSI Reference Range Meaning With Exceptions (required)
.... appliesTo 0..* CodeableConcept Reference range population
Binding: eHDSI Reference Range Applies To With Exceptions (required)
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation: Medical Test Result (Core)) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(Observation: Medical Test Result (Core) | ImagingStudy) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
...... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
...... value[x] 0..1 Attachment Actual result
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: eHDSI Observation Code With Exceptions (required)
.... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Closed by type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueQuantity Σ 0..1 QuantityMyHealth Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
..... value[x]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
Binding: eHDSI Observation Results Coded Value With Exceptions (required)
..... value[x]:valueRatio Σ 0..1 RatioMyHealth Actual component result
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: eHDSI Data Absent Reason (extensible)
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: eHDSI Observation Interpretation With Exceptions (required)
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base extensible eHDSI Observation category 📦9.1.0 MyHealthEu MVC package v9.1
Observation.code Base required eHDSI Observation Code With Exceptions 📦1.0.0 This IG
Observation.performer.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base required eHDSI Observation Results Coded Value With Exceptions 📦1.0.0 This IG
Observation.dataAbsentReason Base extensible eHDSI Data Absent Reason 📦9.1.0 MyHealthEu MVC package v9.1
Observation.interpretation Base required eHDSI Observation Interpretation With Exceptions 📦1.0.0 This IG
Observation.bodySite Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
Observation.method Base required eHDSI Observation Method With Exceptions 📦1.0.0 This IG
Observation.referenceRange.​type Base required eHDSI Reference Range Meaning With Exceptions 📦1.0.0 This IG
Observation.referenceRange.​appliesTo Base required eHDSI Reference Range Applies To With Exceptions 📦1.0.0 This IG
Observation.component.​code Base required eHDSI Observation Code With Exceptions 📦1.0.0 This IG
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueCodeableConcept Base required eHDSI Observation Results Coded Value With Exceptions 📦1.0.0 This IG
Observation.component.​dataAbsentReason Base extensible eHDSI Data Absent Reason 📦9.1.0 MyHealthEu MVC package v9.1
Observation.component.​interpretation Base required eHDSI Observation Interpretation With Exceptions 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-value-1 error Observation The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MedicalTestResultEuCore Measurements and simple assertions
Constraints: obs-6, obs-7, obs-value-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the observation
Binding: eHDSI Language (required)
... Slices for extension Content/Rules for all slices
.... extension:bodyStructure 0..1 Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) R5: Observed body structure (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
Constraints: ext-1
.... extension:triggeredBy 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:observation 1..1 Extension Extension
Constraints: ext-1
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation: Medical Test Result (Core)) Triggering observation
...... extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
Constraints: ext-1
....... url 1..1 uri "type"
....... value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
Constraints: ext-1
....... url 1..1 uri "reason"
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 1..* CodeableConcept Classification of type of observation
Binding: eHDSI Observation category (extensible)
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: eHDSI Observation Code With Exceptions (required)
... subject Σ 1..1 Reference(Patient (Core)) Who and/or what the observation is about
... focus Σ 0..* Reference(Patient (Core) | RelatedPerson | Location (Core)) What the observation is about, when it is not about the subject of record
... effective[x] Σ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 0..* Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) Who is responsible for the observation
.... Slices for extension Content/Rules for all slices
..... extension:performerFunction 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 QuantityMyHealth Actual result
..... Slices for extension Content/Rules for all slices
...... extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: eHDSI Observation Results Coded Value With Exceptions (required)
.... value[x]:valueRatio ΣC 0..1 RatioMyHealth Actual result
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: eHDSI Data Absent Reason (extensible)
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: eHDSI Observation Interpretation With Exceptions (required)
... bodySite 0..1 CodeableConcept Observed body part
Binding: eHDSI Body Site With Exceptions (required)
.... Slices for extension Content/Rules for all slices
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
...... value[x] 1..1 Reference(BodyStructure (Core)) Value of extension
... method 0..1 CodeableConcept How it was done
Binding: eHDSI Observation Method With Exceptions (required)
... hasMember Σ 0..* Reference(Observation: Medical Test Result (Core)) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(Observation: Medical Test Result (Core) | ImagingStudy) Related measurements the observation is made from

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base extensible eHDSI Observation category 📦9.1.0 MyHealthEu MVC package v9.1
Observation.code Base required eHDSI Observation Code With Exceptions 📦1.0.0 This IG
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base required eHDSI Observation Results Coded Value With Exceptions 📦1.0.0 This IG
Observation.dataAbsentReason Base extensible eHDSI Data Absent Reason 📦9.1.0 MyHealthEu MVC package v9.1
Observation.interpretation Base required eHDSI Observation Interpretation With Exceptions 📦1.0.0 This IG
Observation.bodySite Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
Observation.method Base required eHDSI Observation Method With Exceptions 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension:bodyStructure, Observation.extension:triggeredBy, Observation.extension:triggeredBy.extension, Observation.extension:triggeredBy.extension:observation, Observation.extension:triggeredBy.extension:type, Observation.extension:triggeredBy.extension:reason, Observation.extension:value-r5, Observation.modifierExtension, Observation.performer.extension:performerFunction, Observation.value[x]:valueQuantity.extension:uncertainty, Observation.bodySite.extension:bodySite Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-value-1 error Observation The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()

Differential View

This structure is derived from MedicalTestResultEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* MedicalTestResultEuCore Measurements and simple assertions
... language 0..1 code Language of the observation
Binding: eHDSI Language (required)
... Slices for extension Content/Rules for all slices
.... extension:triggeredBy 0..* R5 Observation.triggeredBy R5: Triggering observation(s) (new)
..... Slices for extension Content/Rules for all slices
...... extension:observation 1..1 Extension Extension
....... value[x] 1..1 Reference(Observation: Medical Test Result (Core)) Triggering observation
... category 1..* CodeableConcept Classification of type of observation
Binding: eHDSI Observation category (extensible)
... subject 1..1 Reference(Patient (Core)) Who and/or what the observation is about
... focus 0..* Reference(Patient (Core) | RelatedPerson | Location (Core)) What the observation is about, when it is not about the subject of record
... performer 0..* Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) Who is responsible for the observation
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueQuantity 0..1 QuantityMyHealth Actual result
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual result
Binding: eHDSI Observation Results Coded Value With Exceptions (required)
.... value[x]:valueRatio 0..1 RatioMyHealth Actual result
... dataAbsentReason 0..1 CodeableConcept Why the result is missing
Binding: eHDSI Data Absent Reason (extensible)
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: eHDSI Observation Interpretation With Exceptions (required)
... bodySite 0..1 CodeableConcept Observed body part
Binding: eHDSI Body Site With Exceptions (required)
.... Slices for extension Content/Rules for all slices
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
...... value[x] 1..1 Reference(BodyStructure (Core)) Value of extension
... method 0..1 CodeableConcept How it was done
Binding: eHDSI Observation Method With Exceptions (required)
... referenceRange
.... type 0..1 CodeableConcept Reference range qualifier
Binding: eHDSI Reference Range Meaning With Exceptions (required)
.... appliesTo 0..* CodeableConcept Reference range population
Binding: eHDSI Reference Range Applies To With Exceptions (required)
... hasMember 0..* Reference(Observation: Medical Test Result (Core)) Related resource that belongs to the Observation group
... derivedFrom 0..* Reference(Observation: Medical Test Result (Core) | ImagingStudy) Related measurements the observation is made from
... component
.... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: eHDSI Observation Code With Exceptions (required)
.... Slices for value[x] Content/Rules for all slices
..... value[x]:valueQuantity 0..1 QuantityMyHealth Actual component result
..... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
Binding: eHDSI Observation Results Coded Value With Exceptions (required)
..... value[x]:valueRatio 0..1 RatioMyHealth Actual component result
.... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: eHDSI Data Absent Reason (extensible)
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: eHDSI Observation Interpretation With Exceptions (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
Observation.category Base extensible eHDSI Observation category 📦9.1.0 MyHealthEu MVC package v9.1
Observation.code Base required eHDSI Observation Code With Exceptions 📦1.0.0 This IG
Observation.value[x]:valueCodeableConcept Base required eHDSI Observation Results Coded Value With Exceptions 📦1.0.0 This IG
Observation.dataAbsentReason Base extensible eHDSI Data Absent Reason 📦9.1.0 MyHealthEu MVC package v9.1
Observation.interpretation Base required eHDSI Observation Interpretation With Exceptions 📦1.0.0 This IG
Observation.bodySite Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
Observation.method Base required eHDSI Observation Method With Exceptions 📦1.0.0 This IG
Observation.referenceRange.​type Base required eHDSI Reference Range Meaning With Exceptions 📦1.0.0 This IG
Observation.referenceRange.​appliesTo Base required eHDSI Reference Range Applies To With Exceptions 📦1.0.0 This IG
Observation.component.​code Base required eHDSI Observation Code With Exceptions 📦1.0.0 This IG
Observation.component.​value[x]:valueCodeableConcept Base required eHDSI Observation Results Coded Value With Exceptions 📦1.0.0 This IG
Observation.component.​dataAbsentReason Base extensible eHDSI Data Absent Reason 📦9.1.0 MyHealthEu MVC package v9.1
Observation.component.​interpretation Base required eHDSI Observation Interpretation With Exceptions 📦1.0.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MedicalTestResultEuCore Measurements and simple assertions
Constraints: obs-6, obs-7, obs-value-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the observation
Binding: eHDSI Language (required)
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:bodyStructure 0..1 Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) R5: Observed body structure (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
Constraints: ext-1
.... extension:triggeredBy 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:observation 1..1 Extension Extension
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation: Medical Test Result (Core)) Triggering observation
...... extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "type"
....... value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "reason"
....... value[x] 0..1 string Reason that the observation was triggered
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] 0..1 Attachment Actual result
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 1..* CodeableConcept Classification of type of observation
Binding: eHDSI Observation category (extensible)
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: eHDSI Observation Code With Exceptions (required)
... subject Σ 1..1 Reference(Patient (Core)) Who and/or what the observation is about
... focus Σ 0..* Reference(Patient (Core) | RelatedPerson | Location (Core)) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] Σ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core)) Who is responsible for the observation
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:performerFunction 0..1 CodeableConcept Type of performance
URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed by type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 QuantityMyHealth Actual result
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: eHDSI Observation Results Coded Value With Exceptions (required)
.... value[x]:valueRatio ΣC 0..1 RatioMyHealth Actual result
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: eHDSI Data Absent Reason (extensible)
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: eHDSI Observation Interpretation With Exceptions (required)
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: eHDSI Body Site With Exceptions (required)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
...... value[x] 1..1 Reference(BodyStructure (Core)) Value of extension
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... method 0..1 CodeableConcept How it was done
Binding: eHDSI Observation Method With Exceptions (required)
... specimen 0..1 Reference(Specimen) Specimen used for the observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: eHDSI Reference Range Meaning With Exceptions (required)
.... appliesTo 0..* CodeableConcept Reference range population
Binding: eHDSI Reference Range Applies To With Exceptions (required)
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation: Medical Test Result (Core)) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(Observation: Medical Test Result (Core) | ImagingStudy) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
...... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
...... value[x] 0..1 Attachment Actual result
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: eHDSI Observation Code With Exceptions (required)
.... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Closed by type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueQuantity Σ 0..1 QuantityMyHealth Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
URL: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
..... value[x]:valueCodeableConcept Σ 0..1 CodeableConcept Actual component result
Binding: eHDSI Observation Results Coded Value With Exceptions (required)
..... value[x]:valueRatio Σ 0..1 RatioMyHealth Actual component result
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: eHDSI Data Absent Reason (extensible)
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: eHDSI Observation Interpretation With Exceptions (required)
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base extensible eHDSI Observation category 📦9.1.0 MyHealthEu MVC package v9.1
Observation.code Base required eHDSI Observation Code With Exceptions 📦1.0.0 This IG
Observation.performer.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base required eHDSI Observation Results Coded Value With Exceptions 📦1.0.0 This IG
Observation.dataAbsentReason Base extensible eHDSI Data Absent Reason 📦9.1.0 MyHealthEu MVC package v9.1
Observation.interpretation Base required eHDSI Observation Interpretation With Exceptions 📦1.0.0 This IG
Observation.bodySite Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
Observation.method Base required eHDSI Observation Method With Exceptions 📦1.0.0 This IG
Observation.referenceRange.​type Base required eHDSI Reference Range Meaning With Exceptions 📦1.0.0 This IG
Observation.referenceRange.​appliesTo Base required eHDSI Reference Range Applies To With Exceptions 📦1.0.0 This IG
Observation.component.​code Base required eHDSI Observation Code With Exceptions 📦1.0.0 This IG
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueCodeableConcept Base required eHDSI Observation Results Coded Value With Exceptions 📦1.0.0 This IG
Observation.component.​dataAbsentReason Base extensible eHDSI Data Absent Reason 📦9.1.0 MyHealthEu MVC package v9.1
Observation.component.​interpretation Base required eHDSI Observation Interpretation With Exceptions 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-value-1 error Observation The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()

 

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