Name	Flags	Card.	Type	Description & Constraints
​ Observation		0..*	Observation	Measurements and simple assertions
​ identifier
​ system		1..1	uri	The namespace for the identifier value
​ value		1..1	string	The value that is unique
​ assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
​ basedOn		0..*	Reference(CareConnect-CarePlan-1 | DeviceRequest | ImmunizationRecommendation | CareConnect-ReferralRequest-1 | CareConnect-MedicationRequest-1 | NutritionOrder | CareConnect-ProcedureRequest-1)	Fulfills plan, proposal or order
​ status	S	1..1	code	registered | preliminary | final | amended + Fixed Value: final
​ category	S	1..*	CodeableConcept	Classification of type of observation Binding: Observation Category Codes (required)
​ coding		1..1	Coding	Code defined by a terminology system
​ system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/observation-category
version		0..0
​ code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
​ display		0..1	string	Representation defined by the system Fixed Value: Vital Signs
​ code	S	1..1	CodeableConcept	Type of observation (code / type) Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.
​ Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
​ coding:loinc		1..1	Coding	Code defined by a terminology system Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.
​ system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
​ code		1..1	code	Symbol in syntax defined by the system Fixed Value: 9279-1
​ coding:snomedCT		1..1	Coding	Code defined by a terminology system
​ Slices for extension		0..*	Extension	Extension 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..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0
​ code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86290005
​ display		1..1	string	Representation defined by the system Fixed Value: Respiratory rate
​ subject	S	1..1	Reference(CareConnectPatient1)	Who and/or what this is about
​ context		0..1	Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)	Healthcare event during which this observation is made
​ effective[x]	S	1..1	dateTime, Period	Clinically relevant time/time-period for observation
​ performer		0..*	Reference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Organization-1 | CareConnectPatient1)	Who is responsible for the observation
​ valueQuantity:valueQuantity	S	0..1	Quantity	Actual result Binding: Vital Signs Units (required): Common UCUM units for recording Vital Signs
​ value	S	1..1	decimal	Numerical value (with implicit precision)
​ unit	S	1..1	string	Unit representation
​ system	S	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
​ code	S	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: /min
​ dataAbsentReason	S	0..1	CodeableConcept	Why the result is missing Binding: Observation Value Absent Reason (extensible): This value set defines the set of codes for identifying the reason why the expected result in Observation.value[x] is missing.
​ coding
​ code		0..1	code	Symbol in syntax defined by the system
​ interpretation		0..1	CodeableConcept	High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): This value set defines the set of codes that can be used to indicate the meaning/use of a reference range.
​ bodySite
​ Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
​ coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Body Site (preferred): A code from the SNOMED Clinical Terminology UK with the expression (<<442083009 |anatomical or acquired body structure|).
​ Slices for extension		0..*	Extension	Extension 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..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0
​ code		1..1	code	Symbol in syntax defined by the system
​ display		1..1	string	Representation defined by the system
​ method
​ Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
​ coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Observation Method (preferred): A code from SNOMED Clinical Terminology UK
​ Slices for extension		0..*	Extension	Extension 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..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0
​ code		1..1	code	Symbol in syntax defined by the system
​ display		1..1	string	Representation defined by the system
​ specimen		0..1	Reference(CareConnect-Specimen-1)	Specimen used for this observation
​ related	S	0..*	BackboneElement	Resource related to this observation
​ type	S	1..1	code	has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Fixed Value: has-member
​ target	S	1..1	Reference(CareConnect-VitalSigns-Observation-1)	Resource that is related to this one
​ component	S	0..*	BackboneElement	Component results
​ code	S	1..1	CodeableConcept	Type of component observation (code / type) Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.
​ Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
​ coding:loinc		1..1	Coding	Code defined by a terminology system Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types
​ system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
​ code		1..1	code	Symbol in syntax defined by the system
​ coding:snomedCT		1..1	Coding	Code defined by a terminology system
​ Slices for extension		0..*	Extension	Extension 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..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0
​ code		1..1	code	Symbol in syntax defined by the system
​ display		1..1	string	Representation defined by the system
​ valueQuantity:valueQuantity	S	0..1	Quantity	Actual component result Binding: Vital Signs Units (required): Common UCUM units for recording Vital Signs
​ value	S	1..1	decimal	Numerical value (with implicit precision)
​ unit	S	1..1	string	Unit representation
​ system	S	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
​ code	S	1..1	code	Coded form of the unit Binding: Vital Signs Units (required): Common UCUM units for recording Vital Signs
​ dataAbsentReason	S	0..1	CodeableConcept	Why the component result is missing
​ coding		0..*	Coding	Code defined by a terminology system
​ code		0..1	code	Symbol in syntax defined by the system
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.category	required	Observation Category Codes
Observation.code	extensible	Vital Signs
Observation.code.coding:loinc	extensible	Vital Signs
Observation.valueQuantity:valueQuantity	required	Vital Signs Units
Observation.dataAbsentReason	extensible	Observation Value Absent Reason
Observation.interpretation	extensible	Observation Interpretation Codes
Observation.bodySite.coding:snomedCT	preferred	Care Connect Body Site
Observation.method.coding:snomedCT	preferred	Care Connect Observation Method
Observation.component.code	extensible	Vital Signs
Observation.component.code.coding:loinc	extensible	Vital Signs
Observation.component.valueQuantity:valueQuantity	required	Vital Signs Units
Observation.component.valueQuantity:valueQuantity.code	required	Vital Signs Units

Name	Flags	Card.	Type	Description & Constraints
​ Observation	C	0..*	Observation	Measurements and simple assertions
​ implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
​ modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
​ basedOn	Σ	0..*	Reference(CareConnect-CarePlan-1 | DeviceRequest | ImmunizationRecommendation | CareConnect-ReferralRequest-1 | CareConnect-MedicationRequest-1 | NutritionOrder | CareConnect-ProcedureRequest-1)	Fulfills plan, proposal or order
​ status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
​ category	S	1..*	CodeableConcept	Classification of type of observation Binding: Observation Category Codes (required)
​ coding	Σ	1..1	Coding	Code defined by a terminology system
​ system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/observation-category
​ code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
​ display	Σ	0..1	string	Representation defined by the system Fixed Value: Vital Signs
​ code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.
​ Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
​ coding:loinc	Σ	1..1	Coding	Code defined by a terminology system Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.
​ system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
​ code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 9279-1
​ coding:snomedCT	Σ	1..1	Coding	Code defined by a terminology system
​ Slices for extension		0..*	Extension	Extension 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	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
​ code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 86290005
​ display	Σ	1..1	string	Representation defined by the system Fixed Value: Respiratory rate
​ subject	SΣ	1..1	Reference(CareConnectPatient1)	Who and/or what this is about
​ context		0..1	Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)	Healthcare event during which this observation is made
​ effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
​ performer	Σ	0..*	Reference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Organization-1 | CareConnectPatient1)	Who is responsible for the observation
​ Slices for value[x]	ΣC	0..1	Quantity	Actual result Slice: Unordered, Closed by type:$this
​ value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result Binding: Vital Signs Units (required): Common UCUM units for recording Vital Signs
​ value	SΣ	1..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	SΣ	1..1	string	Unit representation
​ system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
​ code	SΣ	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: /min
​ dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: Observation Value Absent Reason (extensible): This value set defines the set of codes for identifying the reason why the expected result in Observation.value[x] is missing.
​ interpretation		0..1	CodeableConcept	High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): This value set defines the set of codes that can be used to indicate the meaning/use of a reference range.
​ specimen		0..1	Reference(CareConnect-Specimen-1)	Specimen used for this observation
​ related	SΣ	0..*	BackboneElement	Resource related to this observation
​ modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
​ type	S	1..1	code	has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType (required): Codes specifying how two observations are related. Fixed Value: has-member
​ target	S	1..1	Reference(CareConnect-VitalSigns-Observation-1)	Resource that is related to this one
​ component	SΣ	0..*	BackboneElement	Component results
​ modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
​ code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.
​ Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
​ coding:loinc	Σ	1..1	Coding	Code defined by a terminology system Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types
​ system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
​ code	Σ	1..1	code	Symbol in syntax defined by the system
​ coding:snomedCT	Σ	1..1	Coding	Code defined by a terminology system
​ Slices for extension		0..*	Extension	Extension 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	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
​ code	Σ	1..1	code	Symbol in syntax defined by the system
​ display	Σ	1..1	string	Representation defined by the system
​ Slices for value[x]	Σ	0..1	Quantity	Actual component result Slice: Unordered, Closed by type:$this
​ value[x]:valueQuantity	SΣ	0..1	Quantity	Actual component result Binding: Vital Signs Units (required): Common UCUM units for recording Vital Signs
​ value	SΣ	1..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	SΣ	1..1	string	Unit representation
​ system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
​ code	SΣ	1..1	code	Coded form of the unit Binding: Vital Signs Units (required): Common UCUM units for recording Vital Signs
​ dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
​ coding	Σ	0..*	Coding	Code defined by a terminology system
​ code	Σ	0..1	code	Symbol in syntax defined by the system
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.status	required	Fixed Value: final
Observation.category	required	Observation Category Codes
Observation.code	extensible	Vital Signs
Observation.code.coding:loinc	extensible	Fixed Value: LOINC code 9279-1
Observation.value[x]:valueQuantity	required	Vital Signs Units
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator
Observation.dataAbsentReason	extensible	Observation Value Absent Reason
Observation.interpretation	extensible	Observation Interpretation Codes
Observation.related.type	required	Fixed Value: has-member
Observation.component.code	extensible	Vital Signs
Observation.component.code.coding:loinc	extensible	Vital Signs
Observation.component.value[x]:valueQuantity	required	Vital Signs Units
Observation.component.value[x]:valueQuantity.comparator	required	QuantityComparator
Observation.component.value[x]:valueQuantity.code	required	Vital Signs Units
Observation.component.dataAbsentReason	extensible	Observation Value Absent Reason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Observation	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
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 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()

Name	Flags	Card.	Type	Description & Constraints
​ Observation	C	0..*	Observation	Measurements and simple assertions
​ 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: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
​ text		0..1	Narrative	Text summary of the resource, for human interpretation
​ contained		0..*	Resource	Contained, inline Resources
​ extension		0..*	Extension	Additional Content defined by implementations
​ modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
​ identifier	Σ	0..*	Identifier	Business Identifier for observation
​ id		0..1	string	xml:id (or equivalent in JSON)
​ extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
​ use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
​ type	Σ	0..1	CodeableConcept	Description 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	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
​ value	Σ	1..1	string	The value that is unique Example General: 123456
​ period	Σ	0..1	Period	Time period when id is/was valid for use
​ assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
​ basedOn	Σ	0..*	Reference(CareConnect-CarePlan-1 | DeviceRequest | ImmunizationRecommendation | CareConnect-ReferralRequest-1 | CareConnect-MedicationRequest-1 | NutritionOrder | CareConnect-ProcedureRequest-1)	Fulfills plan, proposal or order
​ status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
​ category	S	1..*	CodeableConcept	Classification of type of observation Binding: Observation Category Codes (required)
​ id		0..1	string	xml:id (or equivalent in JSON)
​ extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
​ coding	Σ	1..1	Coding	Code defined by a terminology system
​ id		0..1	string	xml:id (or equivalent in JSON)
​ 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://hl7.org/fhir/observation-category
​ code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
​ display	Σ	0..1	string	Representation defined by the system Fixed Value: Vital Signs
​ 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	Type of observation (code / type) Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.
​ id		0..1	string	xml:id (or equivalent in JSON)
​ extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
​ Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
​ coding:loinc	Σ	1..1	Coding	Code defined by a terminology system Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.
​ id		0..1	string	xml:id (or equivalent in JSON)
​ 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	1..1	code	Symbol in syntax defined by the system Fixed Value: 9279-1
​ 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..1	Coding	Code defined by a terminology system
​ id		0..1	string	xml:id (or equivalent in JSON)
​ Slices for extension		0..*	Extension	Extension 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	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
​ code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 86290005
​ display	Σ	1..1	string	Representation defined by the system Fixed Value: Respiratory rate
​ 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(CareConnectPatient1)	Who and/or what this is about
​ context		0..1	Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)	Healthcare event during which this observation is made
​ effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
​ issued	Σ	0..1	instant	Date/Time this was made available
​ performer	Σ	0..*	Reference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Organization-1 | CareConnectPatient1)	Who is responsible for the observation
​ Slices for value[x]	ΣC	0..1	Quantity	Actual result Slice: Unordered, Closed by type:$this
​ value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result Binding: Vital Signs Units (required): Common UCUM units for recording Vital Signs
​ id		0..1	string	xml:id (or equivalent in JSON)
​ extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
​ value	SΣ	1..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	SΣ	1..1	string	Unit representation
​ system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
​ code	SΣ	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: /min
​ dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: Observation Value Absent Reason (extensible): This value set defines the set of codes for identifying the reason why the expected result in Observation.value[x] is missing.
​ id		0..1	string	xml:id (or equivalent in JSON)
​ 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	xml:id (or equivalent in JSON)
​ extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
​ system	Σ	0..1	uri	Identity of the terminology system
​ 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
​ interpretation		0..1	CodeableConcept	High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): This value set defines the set of codes that can be used to indicate the meaning/use of a reference range.
​ comment		0..1	string	Comments about result
​ bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
​ id		0..1	string	xml:id (or equivalent in JSON)
​ extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
​ Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
​ coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Body Site (preferred): A code from the SNOMED Clinical Terminology UK with the expression (<<442083009 |anatomical or acquired body structure|).
​ id		0..1	string	xml:id (or equivalent in JSON)
​ Slices for extension		0..*	Extension	Extension 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	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
​ code	Σ	1..1	code	Symbol in syntax defined by the system
​ display	Σ	1..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
​ method		0..1	CodeableConcept	How it was done Binding: Observation Methods (example): Methods for simple observations.
​ id		0..1	string	xml:id (or equivalent in JSON)
​ extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
​ Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
​ coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Observation Method (preferred): A code from SNOMED Clinical Terminology UK
​ id		0..1	string	xml:id (or equivalent in JSON)
​ Slices for extension		0..*	Extension	Extension 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	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
​ code	Σ	1..1	code	Symbol in syntax defined by the system
​ display	Σ	1..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
​ specimen		0..1	Reference(CareConnect-Specimen-1)	Specimen used for this observation
​ device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
​ referenceRange	C	0..*	BackboneElement	Provides guide for interpretation
​ id		0..1	string	xml:id (or equivalent in JSON)
​ extension		0..*	Extension	Additional Content defined by implementations
​ modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
​ 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: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.
​ appliesTo		0..*	CodeableConcept	Reference range population Binding: Observation Reference Range Applies To Codes (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
​ related	SΣ	0..*	BackboneElement	Resource related to this observation
​ id		0..1	string	xml:id (or equivalent in JSON)
​ extension		0..*	Extension	Additional Content defined by implementations
​ modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
​ type	S	1..1	code	has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType (required): Codes specifying how two observations are related. Fixed Value: has-member
​ target	S	1..1	Reference(CareConnect-VitalSigns-Observation-1)	Resource that is related to this one
​ component	SΣ	0..*	BackboneElement	Component results
​ id		0..1	string	xml:id (or equivalent in JSON)
​ extension		0..*	Extension	Additional Content defined by implementations
​ modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
​ code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.
​ id		0..1	string	xml:id (or equivalent in JSON)
​ extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
​ Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
​ coding:loinc	Σ	1..1	Coding	Code defined by a terminology system Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types
​ id		0..1	string	xml:id (or equivalent in JSON)
​ 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	1..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
​ coding:snomedCT	Σ	1..1	Coding	Code defined by a terminology system
​ id		0..1	string	xml:id (or equivalent in JSON)
​ Slices for extension		0..*	Extension	Extension 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	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
​ code	Σ	1..1	code	Symbol in syntax defined by the system
​ display	Σ	1..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
​ Slices for value[x]	Σ	0..1	Quantity	Actual component result Slice: Unordered, Closed by type:$this
​ value[x]:valueQuantity	SΣ	0..1	Quantity	Actual component result Binding: Vital Signs Units (required): Common UCUM units for recording Vital Signs
​ id		0..1	string	xml:id (or equivalent in JSON)
​ extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
​ value	SΣ	1..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	SΣ	1..1	string	Unit representation
​ system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
​ code	SΣ	1..1	code	Coded form of the unit Binding: Vital Signs Units (required): Common UCUM units for recording Vital Signs
​ dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
​ id		0..1	string	xml:id (or equivalent in JSON)
​ 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	xml:id (or equivalent in JSON)
​ extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
​ system	Σ	0..1	uri	Identity of the terminology system
​ 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
​ interpretation		0..1	CodeableConcept	High, 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Observation.identifier.use	required	IdentifierUse
Observation.identifier.type	extensible	Identifier Type Codes
Observation.status	required	Fixed Value: final
Observation.category	required	Observation Category Codes
Observation.code	extensible	Vital Signs
Observation.code.coding:loinc	extensible	Fixed Value: LOINC code 9279-1
Observation.value[x]:valueQuantity	required	Vital Signs Units
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator
Observation.dataAbsentReason	extensible	Observation Value Absent Reason
Observation.interpretation	extensible	Observation Interpretation Codes
Observation.bodySite	example	SNOMED CT Body Structures
Observation.bodySite.coding:snomedCT	preferred	Care Connect Body Site
Observation.method	example	Observation Methods
Observation.method.coding:snomedCT	preferred	Care Connect Observation Method
Observation.referenceRange.type	extensible	Observation Reference Range Meaning Codes
Observation.referenceRange.appliesTo	example	Observation Reference Range Applies To Codes
Observation.related.type	required	Fixed Value: has-member
Observation.component.code	extensible	Vital Signs
Observation.component.code.coding:loinc	extensible	Vital Signs
Observation.component.value[x]:valueQuantity	required	Vital Signs Units
Observation.component.value[x]:valueQuantity.comparator	required	QuantityComparator
Observation.component.value[x]:valueQuantity.code	required	Vital Signs Units
Observation.component.dataAbsentReason	extensible	Observation Value Absent Reason
Observation.component.interpretation	extensible	Observation Interpretation Codes

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()

Summary

Mandatory: 14 elements (25 nested mandatory elements)
Must-Support: 22 elements
Fixed Value: 17 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

• CareConnect-Organization-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)
• CareConnect-CarePlan-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-CarePlan-1)
• CareConnect-ReferralRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ReferralRequest-1)
• CareConnect-MedicationRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1)
• CareConnect-ProcedureRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ProcedureRequest-1)
• CareConnectPatient1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)
• CareConnect-EpisodeOfCare-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-EpisodeOfCare-1)
• CareConnect-Encounter-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1)
• CareConnect-RelatedPerson-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RelatedPerson-1)
• CareConnect-Practitioner-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)
• CareConnect-Specimen-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Specimen-1)
• CareConnect-VitalSigns-Observation-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-VitalSigns-Observation-1)

Extensions

This structure refers to these extensions:

• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid

Slices

This structure defines the following Slices:

• The element Observation.code.coding is sliced based on the value of value:code
• 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:code

Name	Flags	Card.	Type	Description & Constraints
​ Observation		0..*	Observation	Measurements and simple assertions
​ identifier
​ system		1..1	uri	The namespace for the identifier value
​ value		1..1	string	The value that is unique
​ assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
​ basedOn		0..*	Reference(CareConnect-CarePlan-1 | DeviceRequest | ImmunizationRecommendation | CareConnect-ReferralRequest-1 | CareConnect-MedicationRequest-1 | NutritionOrder | CareConnect-ProcedureRequest-1)	Fulfills plan, proposal or order
​ status	S	1..1	code	registered | preliminary | final | amended + Fixed Value: final
​ category	S	1..*	CodeableConcept	Classification of type of observation Binding: Observation Category Codes (required)
​ coding		1..1	Coding	Code defined by a terminology system
​ system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/observation-category
version		0..0
​ code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
​ display		0..1	string	Representation defined by the system Fixed Value: Vital Signs
​ code	S	1..1	CodeableConcept	Type of observation (code / type) Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.
​ Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
​ coding:loinc		1..1	Coding	Code defined by a terminology system Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.
​ system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
​ code		1..1	code	Symbol in syntax defined by the system Fixed Value: 9279-1
​ coding:snomedCT		1..1	Coding	Code defined by a terminology system
​ Slices for extension		0..*	Extension	Extension 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..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0
​ code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86290005
​ display		1..1	string	Representation defined by the system Fixed Value: Respiratory rate
​ subject	S	1..1	Reference(CareConnectPatient1)	Who and/or what this is about
​ context		0..1	Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)	Healthcare event during which this observation is made
​ effective[x]	S	1..1	dateTime, Period	Clinically relevant time/time-period for observation
​ performer		0..*	Reference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Organization-1 | CareConnectPatient1)	Who is responsible for the observation
​ valueQuantity:valueQuantity	S	0..1	Quantity	Actual result Binding: Vital Signs Units (required): Common UCUM units for recording Vital Signs
​ value	S	1..1	decimal	Numerical value (with implicit precision)
​ unit	S	1..1	string	Unit representation
​ system	S	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
​ code	S	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: /min
​ dataAbsentReason	S	0..1	CodeableConcept	Why the result is missing Binding: Observation Value Absent Reason (extensible): This value set defines the set of codes for identifying the reason why the expected result in Observation.value[x] is missing.
​ coding
​ code		0..1	code	Symbol in syntax defined by the system
​ interpretation		0..1	CodeableConcept	High, low, normal, etc. Binding: Observation Interpretation Codes (extensible): This value set defines the set of codes that can be used to indicate the meaning/use of a reference range.
​ bodySite
​ Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
​ coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Body Site (preferred): A code from the SNOMED Clinical Terminology UK with the expression (<<442083009 |anatomical or acquired body structure|).
​ Slices for extension		0..*	Extension	Extension 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..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0
​ code		1..1	code	Symbol in syntax defined by the system
​ display		1..1	string	Representation defined by the system
​ method
​ Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
​ coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Observation Method (preferred): A code from SNOMED Clinical Terminology UK
​ Slices for extension		0..*	Extension	Extension 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..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0
​ code		1..1	code	Symbol in syntax defined by the system
​ display		1..1	string	Representation defined by the system
​ specimen		0..1	Reference(CareConnect-Specimen-1)	Specimen used for this observation
​ related	S	0..*	BackboneElement	Resource related to this observation
​ type	S	1..1	code	has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Fixed Value: has-member
​ target	S	1..1	Reference(CareConnect-VitalSigns-Observation-1)	Resource that is related to this one
​ component	S	0..*	BackboneElement	Component results
​ code	S	1..1	CodeableConcept	Type of component observation (code / type) Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.
​ Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
​ coding:loinc		1..1	Coding	Code defined by a terminology system Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types
​ system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
​ code		1..1	code	Symbol in syntax defined by the system
​ coding:snomedCT		1..1	Coding	Code defined by a terminology system
​ Slices for extension		0..*	Extension	Extension 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..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0
​ code		1..1	code	Symbol in syntax defined by the system
​ display		1..1	string	Representation defined by the system
​ valueQuantity:valueQuantity	S	0..1	Quantity	Actual component result Binding: Vital Signs Units (required): Common UCUM units for recording Vital Signs
​ value	S	1..1	decimal	Numerical value (with implicit precision)
​ unit	S	1..1	string	Unit representation
​ system	S	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
​ code	S	1..1	code	Coded form of the unit Binding: Vital Signs Units (required): Common UCUM units for recording Vital Signs
​ dataAbsentReason	S	0..1	CodeableConcept	Why the component result is missing
​ coding		0..*	Coding	Code defined by a terminology system
​ code		0..1	code	Symbol in syntax defined by the system
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.category	required	Observation Category Codes
Observation.code	extensible	Vital Signs
Observation.code.coding:loinc	extensible	Vital Signs
Observation.valueQuantity:valueQuantity	required	Vital Signs Units
Observation.dataAbsentReason	extensible	Observation Value Absent Reason
Observation.interpretation	extensible	Observation Interpretation Codes
Observation.bodySite.coding:snomedCT	preferred	Care Connect Body Site
Observation.method.coding:snomedCT	preferred	Care Connect Observation Method
Observation.component.code	extensible	Vital Signs
Observation.component.code.coding:loinc	extensible	Vital Signs
Observation.component.valueQuantity:valueQuantity	required	Vital Signs Units
Observation.component.valueQuantity:valueQuantity.code	required	Vital Signs Units