Interweave Implementation Guide
0.1.0 - ci-build
Interweave Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the STU3 profiles here.
Official URL: https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-VitalSigns-BodyWeight | Version: | |||
Active as of 2023-09-12 | Computable Name: UKCoreObservationVitalSignsBodyWeight | |||
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Defines the additional constraints and extensions on the UK Core Observation Vital Signs profile, for the recording of the clinical observation of a patients weight
To provide implementers with additional support when implementing weight measuring and to provide a consistent structure to how the data is presented.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from UKCoreObservationVitalSigns
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | 0..* | UKCoreObservationVitalSigns | Measurements and simple assertions | |
code | ||||
Slices for coding | Content/Rules for all slices | |||
coding:loinc | 1..1 | Coding | A LOINC "magic code" describing the type of observation SHALL be present. | |
code | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 29463-7 | |
coding:snomedCT | 1..* | Coding | A SNOMED CT concept describing the type of observation SHALL be present. Binding: UK Core Body Weight Measurements (preferred): A code from the SNOMED CT UK coding system for weight measurements. | |
value[x] | 1..1 | Quantity | The actual observed result. | |
unit | 0..1 | string | Unit representation Fixed Value: kilogram | |
system | 0..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
code | 0..1 | code | Coded form of the unit Fixed Value: kg | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.code.coding:snomedCT | preferred | UKCoreBodyWeightMeasurementshttps://fhir.hl7.org.uk/ValueSet/UKCore-BodyWeightMeasurements from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | UKCoreObservationVitalSigns | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ukcore-obs-vs-001: `code.coding` SHALL include a LOINC "magic code" |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | Content/Rules for all slices | |||
triggeredByR5 | 0..* | (Complex) | Triggering observation(s). This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |
Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |
extension:observation | 1..1 | Extension | Extension | |
extension | 0..0 | |||
url | 1..1 | uri | "observation" | |
value[x] | 1..1 | Reference(Observation) | Triggering observation. | |
extension:type | 1..1 | Extension | Extension | |
extension | 0..0 | |||
url | 1..1 | uri | "type" | |
value[x] | 1..1 | code | The type of trigger. Reflex | Repeat | Re-run Binding: observation-triggeredbytype (required) | |
extension:reason | 0..1 | Extension | Extension | |
extension | 0..0 | |||
url | 1..1 | uri | "reason" | |
value[x] | 1..1 | string | Reason that the observation was triggered. | |
url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |
bodyStructureR5 | 0..1 | Reference(BodyStructure) | Observed body structure. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure | |
bodyPosition | 0..1 | (Complex) | The patients body position when the vital signs observation was recorded. URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | |
extension | 0..0 | |||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: UK Core Body Position (preferred) | |
recordingSetting | 0..* | CodeableConcept | Records whether the vital signs observation was performed in a clinical or non clinical setting. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RecordingSetting | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | A status of `final` SHALL be present. Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final |
category | S | 1..1 | CodeableConcept | A category of `vital-signs` SHALL be present. Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
code | SΣ | 1..1 | CodeableConcept | The type of vital signs observation (code / type). Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation |
Slices for coding | Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
coding:loinc | Σ | 1..1 | Coding | A LOINC "magic code" describing the type of observation SHALL be present. Binding: VitalSigns (extensible) |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 29463-7 |
coding:snomedCT | Σ | 1..* | Coding | A SNOMED CT concept describing the type of observation SHALL be present. Binding: UK Core Body Weight Measurements (preferred): A code from the SNOMED CT UK coding system for weight measurements. |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
subject | SΣ | 1..1 | Reference(Patient | Group | Device | Location) | Who or what the observation relates to SHALL be present. |
effective[x] | SΣ | 1..1 | A clinically relevant time / time-period for observation SHALL be present. | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
effectiveTiming | Timing | |||
effectiveInstant | instant | |||
performer | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation. |
value[x] | SΣC | 1..1 | Quantity | The actual observed result. |
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 Fixed Value: kilogram |
system | ΣC | 0..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
code | Σ | 0..1 | code | Coded form of the unit Fixed Value: kg |
component | SΣ | 0..* | BackboneElement | Component / sub results. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.extension:triggeredByR5.extension:type.value[x] | required | http://hl7.org/fhir/ValueSet/observation-triggeredbytypehttp://hl7.org/fhir/ValueSet/observation-triggeredbytype | |
Observation.extension:bodyPosition.value[x] | preferred | UKCoreBodyPositionhttps://fhir.hl7.org.uk/ValueSet/UKCore-BodyPosition from this IG | |
Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType from this IG | |
Observation.code.coding:loinc | extensible | Fixed Value: LOINC Code 29463-7http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | |
Observation.code.coding:snomedCT | preferred | UKCoreBodyWeightMeasurementshttps://fhir.hl7.org.uk/ValueSet/UKCore-BodyWeightMeasurements from this IG | |
Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | |
Observation.component.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType from this IG |
Id | Grade | Path(s) | Details | Requirements |
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-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() | |
ukcore-obs-vs-001 | error | Observation | `code.coding` SHALL include a LOINC "magic code" : code.coding.where(system='http://loinc.org').exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | UKCoreObservationVitalSigns | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ukcore-obs-vs-001: `code.coding` SHALL include a LOINC "magic code" | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
triggeredByR5 | 0..* | (Complex) | Triggering observation(s). This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
extension:observation | 1..1 | Extension | Extension | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "observation" | |||||
value[x] | 1..1 | Reference(Observation) | Triggering observation. | |||||
extension:type | 1..1 | Extension | Extension | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "type" | |||||
value[x] | 1..1 | code | The type of trigger. Reflex | Repeat | Re-run Binding: observation-triggeredbytype (required) | |||||
extension:reason | 0..1 | Extension | Extension | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "reason" | |||||
value[x] | 1..1 | string | Reason that the observation was triggered. | |||||
url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||
bodyStructureR5 | 0..1 | Reference(BodyStructure) | Observed body structure. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure | |||||
bodyPosition | 0..1 | (Complex) | The patients body position when the vital signs observation was recorded. URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | |||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |||||
value[x] | 1..1 | CodeableConcept | Value of extension Binding: UK Core Body Position (preferred) | |||||
recordingSetting | 0..* | CodeableConcept | Records whether the vital signs observation was performed in a clinical or non clinical setting. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RecordingSetting | |||||
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 | ?!SΣ | 1..1 | code | A status of `final` SHALL be present. Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||
category | S | 1..1 | CodeableConcept | A category of `vital-signs` SHALL be present. Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
code | SΣ | 1..1 | CodeableConcept | The type of vital signs observation (code / type). Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
coding:loinc | Σ | 1..1 | Coding | A LOINC "magic code" describing the type of observation SHALL be present. Binding: VitalSigns (extensible) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 29463-7 | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:snomedCT | Σ | 1..* | Coding | A SNOMED CT concept describing the type of observation SHALL be present. Binding: UK Core Body Weight Measurements (preferred): A code from the SNOMED CT UK coding system for weight measurements. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
subject | SΣ | 1..1 | Reference(Patient | Group | Device | Location) | Who or what the observation relates to SHALL be present. | ||||
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
effective[x] | SΣ | 1..1 | A clinically relevant time / time-period for observation SHALL be present. | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
effectiveTiming | Timing | |||||||
effectiveInstant | instant | |||||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
performer | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation. | ||||
value[x] | SΣC | 1..1 | Quantity | The actual observed result. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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 Fixed Value: kilogram | ||||
system | ΣC | 0..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
code | Σ | 0..1 | code | Coded form of the unit Fixed Value: kg | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
note | 0..* | Annotation | Comments about the observation | |||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality. | |||||
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (preferred): Methods for simple observations. | |||||
specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
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 | Low Range, if relevant | ||||
high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
age | 0..1 | Range | Applicable age range, if relevant | |||||
text | 0..1 | string | Text based reference range in an observation | |||||
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
component | SΣ | 0..* | BackboneElement | Component / sub results. | ||||
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 | ||||
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation | ||||
value[x] | Σ | 0..1 | Actual component result | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Observation.extension:triggeredByR5.extension:type.value[x] | required | http://hl7.org/fhir/ValueSet/observation-triggeredbytypehttp://hl7.org/fhir/ValueSet/observation-triggeredbytype | ||||
Observation.extension:bodyPosition.value[x] | preferred | UKCoreBodyPositionhttps://fhir.hl7.org.uk/ValueSet/UKCore-BodyPosition from this IG | ||||
Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType from this IG | ||||
Observation.code.coding:loinc | extensible | Fixed Value: LOINC Code 29463-7http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | ||||
Observation.code.coding:snomedCT | preferred | UKCoreBodyWeightMeasurementshttps://fhir.hl7.org.uk/ValueSet/UKCore-BodyWeightMeasurements from this IG | ||||
Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | preferred | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | preferred | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType from this IG | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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() | |
ukcore-obs-vs-001 | error | Observation | `code.coding` SHALL include a LOINC "magic code" : code.coding.where(system='http://loinc.org').exists() |
This structure is derived from UKCoreObservationVitalSigns
Differential View
This structure is derived from UKCoreObservationVitalSigns
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | 0..* | UKCoreObservationVitalSigns | Measurements and simple assertions | |
code | ||||
Slices for coding | Content/Rules for all slices | |||
coding:loinc | 1..1 | Coding | A LOINC "magic code" describing the type of observation SHALL be present. | |
code | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 29463-7 | |
coding:snomedCT | 1..* | Coding | A SNOMED CT concept describing the type of observation SHALL be present. Binding: UK Core Body Weight Measurements (preferred): A code from the SNOMED CT UK coding system for weight measurements. | |
value[x] | 1..1 | Quantity | The actual observed result. | |
unit | 0..1 | string | Unit representation Fixed Value: kilogram | |
system | 0..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
code | 0..1 | code | Coded form of the unit Fixed Value: kg | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.code.coding:snomedCT | preferred | UKCoreBodyWeightMeasurementshttps://fhir.hl7.org.uk/ValueSet/UKCore-BodyWeightMeasurements from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | UKCoreObservationVitalSigns | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ukcore-obs-vs-001: `code.coding` SHALL include a LOINC "magic code" |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | Content/Rules for all slices | |||
triggeredByR5 | 0..* | (Complex) | Triggering observation(s). This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |
Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |
extension:observation | 1..1 | Extension | Extension | |
extension | 0..0 | |||
url | 1..1 | uri | "observation" | |
value[x] | 1..1 | Reference(Observation) | Triggering observation. | |
extension:type | 1..1 | Extension | Extension | |
extension | 0..0 | |||
url | 1..1 | uri | "type" | |
value[x] | 1..1 | code | The type of trigger. Reflex | Repeat | Re-run Binding: observation-triggeredbytype (required) | |
extension:reason | 0..1 | Extension | Extension | |
extension | 0..0 | |||
url | 1..1 | uri | "reason" | |
value[x] | 1..1 | string | Reason that the observation was triggered. | |
url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |
bodyStructureR5 | 0..1 | Reference(BodyStructure) | Observed body structure. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure | |
bodyPosition | 0..1 | (Complex) | The patients body position when the vital signs observation was recorded. URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | |
extension | 0..0 | |||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: UK Core Body Position (preferred) | |
recordingSetting | 0..* | CodeableConcept | Records whether the vital signs observation was performed in a clinical or non clinical setting. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RecordingSetting | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | A status of `final` SHALL be present. Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final |
category | S | 1..1 | CodeableConcept | A category of `vital-signs` SHALL be present. Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
code | SΣ | 1..1 | CodeableConcept | The type of vital signs observation (code / type). Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation |
Slices for coding | Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
coding:loinc | Σ | 1..1 | Coding | A LOINC "magic code" describing the type of observation SHALL be present. Binding: VitalSigns (extensible) |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 29463-7 |
coding:snomedCT | Σ | 1..* | Coding | A SNOMED CT concept describing the type of observation SHALL be present. Binding: UK Core Body Weight Measurements (preferred): A code from the SNOMED CT UK coding system for weight measurements. |
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
subject | SΣ | 1..1 | Reference(Patient | Group | Device | Location) | Who or what the observation relates to SHALL be present. |
effective[x] | SΣ | 1..1 | A clinically relevant time / time-period for observation SHALL be present. | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
effectiveTiming | Timing | |||
effectiveInstant | instant | |||
performer | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation. |
value[x] | SΣC | 1..1 | Quantity | The actual observed result. |
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 Fixed Value: kilogram |
system | ΣC | 0..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
code | Σ | 0..1 | code | Coded form of the unit Fixed Value: kg |
component | SΣ | 0..* | BackboneElement | Component / sub results. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.extension:triggeredByR5.extension:type.value[x] | required | http://hl7.org/fhir/ValueSet/observation-triggeredbytypehttp://hl7.org/fhir/ValueSet/observation-triggeredbytype | |
Observation.extension:bodyPosition.value[x] | preferred | UKCoreBodyPositionhttps://fhir.hl7.org.uk/ValueSet/UKCore-BodyPosition from this IG | |
Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType from this IG | |
Observation.code.coding:loinc | extensible | Fixed Value: LOINC Code 29463-7http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | |
Observation.code.coding:snomedCT | preferred | UKCoreBodyWeightMeasurementshttps://fhir.hl7.org.uk/ValueSet/UKCore-BodyWeightMeasurements from this IG | |
Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | |
Observation.component.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType from this IG |
Id | Grade | Path(s) | Details | Requirements |
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-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() | |
ukcore-obs-vs-001 | error | Observation | `code.coding` SHALL include a LOINC "magic code" : code.coding.where(system='http://loinc.org').exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | UKCoreObservationVitalSigns | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ukcore-obs-vs-001: `code.coding` SHALL include a LOINC "magic code" | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
triggeredByR5 | 0..* | (Complex) | Triggering observation(s). This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
extension:observation | 1..1 | Extension | Extension | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "observation" | |||||
value[x] | 1..1 | Reference(Observation) | Triggering observation. | |||||
extension:type | 1..1 | Extension | Extension | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "type" | |||||
value[x] | 1..1 | code | The type of trigger. Reflex | Repeat | Re-run Binding: observation-triggeredbytype (required) | |||||
extension:reason | 0..1 | Extension | Extension | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "reason" | |||||
value[x] | 1..1 | string | Reason that the observation was triggered. | |||||
url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" | |||||
bodyStructureR5 | 0..1 | Reference(BodyStructure) | Observed body structure. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure | |||||
bodyPosition | 0..1 | (Complex) | The patients body position when the vital signs observation was recorded. URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | |||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |||||
value[x] | 1..1 | CodeableConcept | Value of extension Binding: UK Core Body Position (preferred) | |||||
recordingSetting | 0..* | CodeableConcept | Records whether the vital signs observation was performed in a clinical or non clinical setting. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RecordingSetting | |||||
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 | ?!SΣ | 1..1 | code | A status of `final` SHALL be present. Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||
category | S | 1..1 | CodeableConcept | A category of `vital-signs` SHALL be present. Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
code | SΣ | 1..1 | CodeableConcept | The type of vital signs observation (code / type). Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
coding:loinc | Σ | 1..1 | Coding | A LOINC "magic code" describing the type of observation SHALL be present. Binding: VitalSigns (extensible) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 29463-7 | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:snomedCT | Σ | 1..* | Coding | A SNOMED CT concept describing the type of observation SHALL be present. Binding: UK Core Body Weight Measurements (preferred): A code from the SNOMED CT UK coding system for weight measurements. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
subject | SΣ | 1..1 | Reference(Patient | Group | Device | Location) | Who or what the observation relates to SHALL be present. | ||||
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
effective[x] | SΣ | 1..1 | A clinically relevant time / time-period for observation SHALL be present. | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
effectiveTiming | Timing | |||||||
effectiveInstant | instant | |||||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
performer | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation. | ||||
value[x] | SΣC | 1..1 | Quantity | The actual observed result. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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 Fixed Value: kilogram | ||||
system | ΣC | 0..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
code | Σ | 0..1 | code | Coded form of the unit Fixed Value: kg | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
note | 0..* | Annotation | Comments about the observation | |||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality. | |||||
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (preferred): Methods for simple observations. | |||||
specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
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 | Low Range, if relevant | ||||
high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
age | 0..1 | Range | Applicable age range, if relevant | |||||
text | 0..1 | string | Text based reference range in an observation | |||||
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
component | SΣ | 0..* | BackboneElement | Component / sub results. | ||||
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 | ||||
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: UK Core Observation Type (preferred): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation | ||||
value[x] | Σ | 0..1 | Actual component result | |||||
valueQuantity | Quantity | |||||||
valueCodeableConcept | CodeableConcept | |||||||
valueString | string | |||||||
valueBoolean | boolean | |||||||
valueInteger | integer | |||||||
valueRange | Range | |||||||
valueRatio | Ratio | |||||||
valueSampledData | SampledData | |||||||
valueTime | time | |||||||
valueDateTime | dateTime | |||||||
valuePeriod | Period | |||||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Observation.extension:triggeredByR5.extension:type.value[x] | required | http://hl7.org/fhir/ValueSet/observation-triggeredbytypehttp://hl7.org/fhir/ValueSet/observation-triggeredbytype | ||||
Observation.extension:bodyPosition.value[x] | preferred | UKCoreBodyPositionhttps://fhir.hl7.org.uk/ValueSet/UKCore-BodyPosition from this IG | ||||
Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType from this IG | ||||
Observation.code.coding:loinc | extensible | Fixed Value: LOINC Code 29463-7http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard | ||||
Observation.code.coding:snomedCT | preferred | UKCoreBodyWeightMeasurementshttps://fhir.hl7.org.uk/ValueSet/UKCore-BodyWeightMeasurements from this IG | ||||
Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | preferred | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | preferred | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | preferred | UKCoreObservationTypehttps://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType from this IG | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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() | |
ukcore-obs-vs-001 | error | Observation | `code.coding` SHALL include a LOINC "magic code" : code.coding.where(system='http://loinc.org').exists() |
This structure is derived from UKCoreObservationVitalSigns
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