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 R4 profiles here.

Resource Profile: CareConnectObservation1

Official URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1 Version: 0.1.0
Draft as of 2021-04-27 Computable Name: CareConnect-Observation-1

Copyright/Legal: Copyright © 2016 HL7 UK Licensed under the Apache License, Version 2.0 (the “License”); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an “AS IS” BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html

The Observation resource is used for tracking the current and historical observations that have been made for a patient.

CURATED BY INTEROPen see: http://www.interopen.org/careconnect-curation-methodology/

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationMeasurements and simple assertions
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... reason 0..*CodeableConcept, Reference(CareConnect-Condition-1)Reason resource added/performed/given
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ReasonCondition-1
... identifier
.... system 1..1uriThe namespace for the identifier value
.... value 1..1stringThe value that is unique
.... assigner 0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... code
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... subject 0..1Reference(Group | Device | CareConnectPatient1 | CareConnect-Location-1)Who and/or what this is about
... context 0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Healthcare event during which this observation is made
... performer 0..*Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Organization-1 | CareConnect-Practitioner-1)Who is responsible for the observation
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: CareConnect Observation Interpretation (extensible)
... bodySite
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... method
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... related
.... target 1..1Reference(QuestionnaireResponse | Sequence | CareConnect-Observation-1)Resource that is related to this one
... component
.... code
..... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:snomedCT 0..1CodingCode defined by a terminology system
....... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..0
....... code 1..1codeSymbol in syntax defined by the system
....... display 1..1stringRepresentation defined by the system

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.interpretationextensibleCareConnect Observation Interpretation
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... reason 0..*CodeableConcept, Reference(CareConnect-Condition-1)Reason resource added/performed/given
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ReasonCondition-1
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... code Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.

.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
... subject Σ0..1Reference(Group | Device | CareConnectPatient1 | CareConnect-Location-1)Who and/or what this is about
... context 0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Healthcare event during which this observation is made
... performer Σ0..*Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Organization-1 | CareConnect-Practitioner-1)Who is responsible for the observation
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: CareConnect Observation Interpretation (extensible)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.statusrequiredObservationStatus
Observation.codeexampleLOINC Codes (a valid code from LOINC)
Observation.interpretationextensibleCareConnect Observation Interpretation

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorObservationIf 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()
ele-1errorObservation.extension:reasonAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1errorObservation.extension:reasonMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... reason 0..*CodeableConcept, Reference(CareConnect-Condition-1)Reason resource added/performed/given
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ReasonCondition-1
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)Fulfills plan, proposal or order
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..*CodeableConceptClassification of type of observation
Binding: Observation Category Codes (preferred): Codes for high level observation categories.


.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.

.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ0..1Reference(Group | Device | CareConnectPatient1 | CareConnect-Location-1)Who and/or what this is about
... context 0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Healthcare event during which this observation is made
... effective[x] Σ0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Organization-1 | CareConnect-Practitioner-1)Who is responsible for the observation
... value[x] ΣC0..1Actual result
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueAttachmentAttachment
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: CareConnect Observation Interpretation (extensible)
... comment 0..1stringComments about result
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.

.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... method 0..1CodeableConceptHow it was done
Binding: Observation Methods (example): Methods for simple observations.

.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... related Σ0..*BackboneElementResource related to this observation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.

.... target 1..1Reference(QuestionnaireResponse | Sequence | CareConnect-Observation-1)Resource that is related to this one
... component Σ0..*BackboneElementComponent results
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.

..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:snomedCT Σ0..1CodingCode defined by a terminology system
....... id 0..1stringxml:id (or equivalent in JSON)
....... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... value[x] Σ0..1Actual component result
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueAttachmentAttachment
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.

.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.languageextensibleCommon Languages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.identifier.userequiredIdentifierUse
Observation.identifier.typeextensibleIdentifier Type Codes
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservation Category Codes
Observation.codeexampleLOINC Codes (a valid code from LOINC)
Observation.dataAbsentReasonextensibleObservation Value Absent Reason
Observation.interpretationextensibleCareConnect Observation Interpretation
Observation.bodySiteexampleSNOMED CT Body Structures
Observation.methodexampleObservation Methods
Observation.referenceRange.typeextensibleObservation Reference Range Meaning Codes
Observation.referenceRange.appliesToexampleObservation Reference Range Applies To Codes
Observation.related.typerequiredObservationRelationshipType
Observation.component.codeexampleLOINC Codes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleObservation Value Absent Reason
Observation.component.interpretationextensibleObservation Interpretation Codes

Constraints

IdGradePath(s)DetailsRequirements
ele-1errorObservation.extension:reason, Observation.referenceRange, Observation.related, Observation.componentAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1errorObservation.extension:reasonMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()

This structure is derived from Observation

Summary

Mandatory: 0 element (17 nested mandatory elements)
Fixed Value: 5 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.category.coding is sliced based on the value of value:system
  • The element Observation.code.coding is sliced based on the value of value:system
  • The element Observation.bodySite.coding is sliced based on the value of value:system
  • The element Observation.method.coding is sliced based on the value of value:system
  • The element Observation.component.code.coding is sliced based on the value of value:system

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationMeasurements and simple assertions
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... reason 0..*CodeableConcept, Reference(CareConnect-Condition-1)Reason resource added/performed/given
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ReasonCondition-1
... identifier
.... system 1..1uriThe namespace for the identifier value
.... value 1..1stringThe value that is unique
.... assigner 0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... code
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... subject 0..1Reference(Group | Device | CareConnectPatient1 | CareConnect-Location-1)Who and/or what this is about
... context 0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Healthcare event during which this observation is made
... performer 0..*Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Organization-1 | CareConnect-Practitioner-1)Who is responsible for the observation
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: CareConnect Observation Interpretation (extensible)
... bodySite
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... method
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... related
.... target 1..1Reference(QuestionnaireResponse | Sequence | CareConnect-Observation-1)Resource that is related to this one
... component
.... code
..... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:snomedCT 0..1CodingCode defined by a terminology system
....... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..0
....... code 1..1codeSymbol in syntax defined by the system
....... display 1..1stringRepresentation defined by the system

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.interpretationextensibleCareConnect Observation Interpretation

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... reason 0..*CodeableConcept, Reference(CareConnect-Condition-1)Reason resource added/performed/given
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ReasonCondition-1
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... code Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.

.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
... subject Σ0..1Reference(Group | Device | CareConnectPatient1 | CareConnect-Location-1)Who and/or what this is about
... context 0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Healthcare event during which this observation is made
... performer Σ0..*Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Organization-1 | CareConnect-Practitioner-1)Who is responsible for the observation
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: CareConnect Observation Interpretation (extensible)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.statusrequiredObservationStatus
Observation.codeexampleLOINC Codes (a valid code from LOINC)
Observation.interpretationextensibleCareConnect Observation Interpretation

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorObservationIf 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()
ele-1errorObservation.extension:reasonAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1errorObservation.extension:reasonMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... reason 0..*CodeableConcept, Reference(CareConnect-Condition-1)Reason resource added/performed/given
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ReasonCondition-1
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)Fulfills plan, proposal or order
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..*CodeableConceptClassification of type of observation
Binding: Observation Category Codes (preferred): Codes for high level observation categories.


.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.

.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ0..1Reference(Group | Device | CareConnectPatient1 | CareConnect-Location-1)Who and/or what this is about
... context 0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Healthcare event during which this observation is made
... effective[x] Σ0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Organization-1 | CareConnect-Practitioner-1)Who is responsible for the observation
... value[x] ΣC0..1Actual result
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueAttachmentAttachment
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: CareConnect Observation Interpretation (extensible)
... comment 0..1stringComments about result
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.

.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... method 0..1CodeableConceptHow it was done
Binding: Observation Methods (example): Methods for simple observations.

.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... related Σ0..*BackboneElementResource related to this observation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.

.... target 1..1Reference(QuestionnaireResponse | Sequence | CareConnect-Observation-1)Resource that is related to this one
... component Σ0..*BackboneElementComponent results
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.

..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:snomedCT Σ0..1CodingCode defined by a terminology system
....... id 0..1stringxml:id (or equivalent in JSON)
....... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... value[x] Σ0..1Actual component result
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueAttachmentAttachment
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.

.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Observation.languageextensibleCommon Languages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.identifier.userequiredIdentifierUse
Observation.identifier.typeextensibleIdentifier Type Codes
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservation Category Codes
Observation.codeexampleLOINC Codes (a valid code from LOINC)
Observation.dataAbsentReasonextensibleObservation Value Absent Reason
Observation.interpretationextensibleCareConnect Observation Interpretation
Observation.bodySiteexampleSNOMED CT Body Structures
Observation.methodexampleObservation Methods
Observation.referenceRange.typeextensibleObservation Reference Range Meaning Codes
Observation.referenceRange.appliesToexampleObservation Reference Range Applies To Codes
Observation.related.typerequiredObservationRelationshipType
Observation.component.codeexampleLOINC Codes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleObservation Value Absent Reason
Observation.component.interpretationextensibleObservation Interpretation Codes

Constraints

IdGradePath(s)DetailsRequirements
ele-1errorObservation.extension:reason, Observation.referenceRange, Observation.related, Observation.componentAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1errorObservation.extension:reasonMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()

This structure is derived from Observation

Summary

Mandatory: 0 element (17 nested mandatory elements)
Fixed Value: 5 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.category.coding is sliced based on the value of value:system
  • The element Observation.code.coding is sliced based on the value of value:system
  • The element Observation.bodySite.coding is sliced based on the value of value:system
  • The element Observation.method.coding is sliced based on the value of value:system
  • The element Observation.component.code.coding is sliced based on the value of value:system

 

Other representations of profile: CSV, Excel, Schematron