Medtech ALEX® AU Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/alex-observation | Version: 1.0.0 | |||
| Active as of 2025-10-12 | Computable Name: AlexObservation | |||
The observation exposed by ALEX.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, observation-code-text-length, observation-note-text-length |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final |
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SΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Screening Term Value Set for observation result (extensible) |
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SΣ | 1..1 | string | Plain text representation of the concept |
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SΣ | 1..1 | Reference(Patient | Group | Device | Location) | Who and/or what the observation is about |
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SΣC | 1..1 | string | Reference to Patient resource |
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Σ | 0..1 | string | External Name of Patient |
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Σ | 1..1 | instant | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this |
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SΣ | 1..1 | instant | Clinically relevant time/time-period for observation |
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SΣ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation |
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SΣC | 1..1 | string | Reference to Practitioner resource |
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Σ | 0..1 | string | External Name of Practitioner |
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ΣC | 0..1 | Actual result Slice: Unordered, Closed by type:$this | |
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Quantity | |||
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string | |||
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dateTime | |||
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SΣC | 0..1 | string | Actual result |
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ΣC | 0..1 | Quantity | Actual result |
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SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/value-quantity-unit |
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Σ | 0..1 | code | Coded form of the unit Binding: Unit Value Set for Observation Component (extensible) |
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SΣC | 0..1 | dateTime | Actual result |
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S | 0..* | CodeableConcept | High, low, normal, etc. Binding: Interpretation Value Set for Observation (extensible) |
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Σ | 1..* | Coding | Code defined by a terminology system |
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SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/observation-interpretation |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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SΣ | 0..1 | string | Plain text representation of the concept |
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S | 0..* | Annotation | Comments about the observation |
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SΣ | 1..1 | markdown | The annotation - text content (as markdown) |
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SΣ | 0..* | BackboneElement | Component results |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Prompt Value Set for Measurement (preferred) |
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |
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Quantity | |||
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string | |||
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dateTime | |||
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SΣ | 0..1 | string | Actual component result |
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Σ | 0..1 | Quantity | Actual component result |
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SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/value-quantity-unit |
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Σ | 0..1 | code | Coded form of the unit Binding: Unit Value Set for Observation Component (extensible) |
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SΣ | 0..1 | dateTime | Actual component result |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.code | Base | extensible | Screening Term Value Set for observation result | 📦1.0.0 | This IG |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | extensible | Unit Value Set for Observation Component | 📦1.0.0 | This IG |
| Observation.interpretation | Base | extensible | Interpretation Value Set for Observation | 📦1.0.0 | This IG |
| Observation.component.code | Base | preferred | Prompt Value Set for Measurement | 📦1.0.0 | This IG |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueQuantity.code | Base | extensible | Unit Value Set for Observation Component | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| observation-code-text-length | error | Observation | Code.text cannot be more than 30 characters |
code.text.empty() or code.text.length() <= 30
|
| observation-note-text-length | error | Observation | Note - text size validation |
note.text.empty() or note.text.length() <= 4096
|
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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C | 0..* | Observation | Measurements and simple assertions Constraints: observation-code-text-length, observation-note-text-length |
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||||
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0..* | Coding | Security Labels applied to this resource Binding: Definition of Confidentiality Value Set (required) | |
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0..0 | |||
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0..0 | |||
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0..0 | |||
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0..0 | |||
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1..1 | code | registered | preliminary | final | amended + Required Pattern: final | |
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0..0 | |||
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S | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Screening Term Value Set for observation result (extensible) |
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0..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/screening-term | |
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S | 1..1 | string | Plain text representation of the concept |
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S | 1..1 | Reference(Patient | Group | Device | Location) | Who and/or what the observation is about |
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S | 1..1 | string | Reference to Patient resource |
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0..1 | string | External Name of Patient | |
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0..0 | |||
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1..1 | instant | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
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S | 1..1 | instant | Clinically relevant time/time-period for observation |
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S | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation |
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S | 1..1 | string | Reference to Practitioner resource |
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0..1 | string | External Name of Practitioner | |
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0..1 | Actual result Slice: Unordered, Open by type:$this | ||
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Quantity | |||
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string | |||
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dateTime | |||
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S | 0..1 | string | Actual result |
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0..1 | Quantity | Actual result | |
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S | 1..1 | decimal | Numerical value (with implicit precision) |
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0..1 | uri | System that defines coded unit form Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/value-quantity-unit | |
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0..1 | code | Coded form of the unit Binding: Unit Value Set for Observation Component (extensible) | |
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S | 0..1 | dateTime | Actual result |
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S | 0..* | CodeableConcept | High, low, normal, etc. Binding: Interpretation Value Set for Observation (extensible) |
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1..* | Coding | Code defined by a terminology system | |
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S | 1..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/observation-interpretation |
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S | 1..1 | code | Symbol in syntax defined by the system |
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S | 0..1 | string | Plain text representation of the concept |
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S | 0..* | Annotation | Comments about the observation |
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S | 1..1 | markdown | The annotation - text content (as markdown) |
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0..0 | |||
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S | 0..* | BackboneElement | Component results |
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S | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Prompt Value Set for Measurement (preferred) |
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0..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/measurement-prompt | |
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0..1 | Actual component result Slice: Unordered, Open by type:$this | ||
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Quantity | |||
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string | |||
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dateTime | |||
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S | 0..1 | string | Actual component result |
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0..1 | Quantity | Actual component result | |
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S | 1..1 | decimal | Numerical value (with implicit precision) |
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0..1 | uri | System that defines coded unit form Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/value-quantity-unit | |
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0..1 | code | Coded form of the unit Binding: Unit Value Set for Observation Component (extensible) | |
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S | 0..1 | dateTime | Actual component result |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.meta.security | Base | required | Definition of Confidentiality Value Set | 📦1.0.0 | This IG |
| Observation.code | Base | extensible | Screening Term Value Set for observation result | 📦1.0.0 | This IG |
| Observation.value[x]:valueQuantity.code | Base | extensible | Unit Value Set for Observation Component | 📦1.0.0 | This IG |
| Observation.interpretation | Base | extensible | Interpretation Value Set for Observation | 📦1.0.0 | This IG |
| Observation.component.code | Base | preferred | Prompt Value Set for Measurement | 📦1.0.0 | This IG |
| Observation.component.value[x]:valueQuantity.code | Base | extensible | Unit Value Set for Observation Component | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| observation-code-text-length | error | Observation | Code.text cannot be more than 30 characters |
code.text.empty() or code.text.length() <= 30
|
| observation-note-text-length | error | Observation | Note - text size validation |
note.text.empty() or note.text.length() <= 4096
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, observation-code-text-length, observation-note-text-length |
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Σ | 0..1 | id | Logical id of this artifact |
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Σ | 0..1 | Meta | Metadata about the resource |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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Σ | 0..1 | id | Version specific identifier |
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Σ | 0..1 | instant | When the resource version last changed |
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Σ | 0..1 | uri | Identifies where the resource comes from |
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Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
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Σ | 0..* | Coding | Security Labels applied to this resource Binding: Definition of Confidentiality Value Set (required) |
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Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |
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0..* | Extension | Additional content defined by implementations | |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
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Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
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?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final |
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SΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Screening Term Value Set for observation result (extensible) |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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Σ | 0..* | Coding | Code defined by a terminology system |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/screening-term |
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Σ | 0..1 | string | Version of the system - if relevant |
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Σ | 0..1 | code | Symbol in syntax defined by the system |
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Σ | 0..1 | string | Representation defined by the system |
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Σ | 0..1 | boolean | If this coding was chosen directly by the user |
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SΣ | 1..1 | string | Plain text representation of the concept |
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SΣ | 1..1 | Reference(Patient | Group | Device | Location) | Who and/or what the observation is about |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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SΣC | 1..1 | string | Reference to Patient resource |
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
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Σ | 0..1 | string | External Name of Patient |
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Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
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Σ | 1..1 | instant | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this |
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SΣ | 1..1 | instant | Clinically relevant time/time-period for observation |
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Σ | 0..1 | instant | Date/Time this version was made available |
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SΣ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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SΣC | 1..1 | string | Reference to Practitioner resource |
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
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Σ | 0..1 | string | External Name of Practitioner |
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ΣC | 0..1 | Actual result Slice: Unordered, Closed by type:$this | |
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Quantity | |||
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string | |||
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dateTime | |||
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SΣC | 0..1 | string | Actual result |
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ΣC | 0..1 | Quantity | Actual result |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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Σ | 0..1 | string | Unit representation |
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ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/value-quantity-unit |
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Σ | 0..1 | code | Coded form of the unit Binding: Unit Value Set for Observation Component (extensible) |
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SΣC | 0..1 | dateTime | Actual result |
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C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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S | 0..* | CodeableConcept | High, low, normal, etc. Binding: Interpretation Value Set for Observation (extensible) |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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Σ | 1..* | Coding | Code defined by a terminology system |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/observation-interpretation |
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Σ | 0..1 | string | Version of the system - if relevant |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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Σ | 0..1 | string | Representation defined by the system |
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Σ | 0..1 | boolean | If this coding was chosen directly by the user |
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SΣ | 0..1 | string | Plain text representation of the concept |
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S | 0..* | Annotation | Comments about the observation |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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Σ | 0..1 | Individual responsible for the annotation | |
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Reference(Practitioner | Patient | RelatedPerson | Organization) | |||
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string | |||
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Σ | 0..1 | dateTime | When the annotation was made |
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SΣ | 1..1 | markdown | The annotation - text content (as markdown) |
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0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |
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0..1 | Reference(Specimen) | Specimen used for this observation | |
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0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |
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C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant |
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C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant |
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0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |
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0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |
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0..1 | Range | Applicable age range, if relevant | |
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0..1 | string | Text based reference range in an observation | |
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Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group |
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Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from |
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SΣ | 0..* | BackboneElement | Component results |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Prompt Value Set for Measurement (preferred) |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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Σ | 0..* | Coding | Code defined by a terminology system |
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0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/measurement-prompt |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user |
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept |
![]() ![]() ![]() |
Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |
![]() ![]() ![]() ![]() |
Quantity | |||
![]() ![]() ![]() ![]() |
string | |||
![]() ![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Actual component result |
![]() ![]() ![]() ![]() |
Σ | 0..1 | Quantity | Actual component result |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Unit representation |
![]() ![]() ![]() ![]() ![]() |
ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/value-quantity-unit |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Coded form of the unit Binding: Unit Value Set for Observation Component (extensible) |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | dateTime | Actual component result |
![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
![]() ![]() ![]() |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |
![]() ![]() ![]() |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.meta.security | Base | required | Definition of Confidentiality Value Set | 📦1.0.0 | This IG |
| Observation.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.code | Base | extensible | Screening Term Value Set for observation result | 📦1.0.0 | This IG |
| Observation.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | extensible | Unit Value Set for Observation Component | 📦1.0.0 | This IG |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Interpretation Value Set for Observation | 📦1.0.0 | This IG |
| Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std. |
| Observation.component.code | Base | preferred | Prompt Value Set for Measurement | 📦1.0.0 | This IG |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueQuantity.code | Base | extensible | Unit Value Set for Observation Component | 📦1.0.0 | This IG |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text |
low.exists() or high.exists() or text.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| observation-code-text-length | error | Observation | Code.text cannot be more than 30 characters |
code.text.empty() or code.text.length() <= 30
|
| observation-note-text-length | error | Observation | Note - text size validation |
note.text.empty() or note.text.length() <= 4096
|
This structure is derived from Observation
Summary
Mandatory: 7 elements(5 nested mandatory elements)
Must-Support: 21 elements
Prohibited: 7 elements
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, observation-code-text-length, observation-note-text-length |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final |
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Screening Term Value Set for observation result (extensible) |
![]() ![]() ![]() |
SΣ | 1..1 | string | Plain text representation of the concept |
![]() ![]() |
SΣ | 1..1 | Reference(Patient | Group | Device | Location) | Who and/or what the observation is about |
![]() ![]() ![]() |
SΣC | 1..1 | string | Reference to Patient resource |
![]() ![]() ![]() |
Σ | 0..1 | string | External Name of Patient |
![]() ![]() |
Σ | 1..1 | instant | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this |
![]() ![]() ![]() |
SΣ | 1..1 | instant | Clinically relevant time/time-period for observation |
![]() ![]() |
SΣ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation |
![]() ![]() ![]() |
SΣC | 1..1 | string | Reference to Practitioner resource |
![]() ![]() ![]() |
Σ | 0..1 | string | External Name of Practitioner |
![]() ![]() |
ΣC | 0..1 | Actual result Slice: Unordered, Closed by type:$this | |
![]() ![]() ![]() |
Quantity | |||
![]() ![]() ![]() |
string | |||
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
SΣC | 0..1 | string | Actual result |
![]() ![]() ![]() |
ΣC | 0..1 | Quantity | Actual result |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
![]() ![]() ![]() ![]() |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
![]() ![]() ![]() ![]() |
ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/value-quantity-unit |
![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Coded form of the unit Binding: Unit Value Set for Observation Component (extensible) |
![]() ![]() ![]() |
SΣC | 0..1 | dateTime | Actual result |
![]() ![]() |
S | 0..* | CodeableConcept | High, low, normal, etc. Binding: Interpretation Value Set for Observation (extensible) |
![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/observation-interpretation |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept |
![]() ![]() |
S | 0..* | Annotation | Comments about the observation |
![]() ![]() ![]() |
SΣ | 1..1 | markdown | The annotation - text content (as markdown) |
![]() ![]() |
SΣ | 0..* | BackboneElement | Component results |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Prompt Value Set for Measurement (preferred) |
![]() ![]() ![]() |
Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |
![]() ![]() ![]() ![]() |
Quantity | |||
![]() ![]() ![]() ![]() |
string | |||
![]() ![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Actual component result |
![]() ![]() ![]() ![]() |
Σ | 0..1 | Quantity | Actual component result |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
![]() ![]() ![]() ![]() ![]() |
ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/value-quantity-unit |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Coded form of the unit Binding: Unit Value Set for Observation Component (extensible) |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | dateTime | Actual component result |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.code | Base | extensible | Screening Term Value Set for observation result | 📦1.0.0 | This IG |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | extensible | Unit Value Set for Observation Component | 📦1.0.0 | This IG |
| Observation.interpretation | Base | extensible | Interpretation Value Set for Observation | 📦1.0.0 | This IG |
| Observation.component.code | Base | preferred | Prompt Value Set for Measurement | 📦1.0.0 | This IG |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueQuantity.code | Base | extensible | Unit Value Set for Observation Component | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| observation-code-text-length | error | Observation | Code.text cannot be more than 30 characters |
code.text.empty() or code.text.length() <= 30
|
| observation-note-text-length | error | Observation | Note - text size validation |
note.text.empty() or note.text.length() <= 4096
|
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Observation | Measurements and simple assertions Constraints: observation-code-text-length, observation-note-text-length |
![]() ![]() |
||||
![]() ![]() ![]() |
0..* | Coding | Security Labels applied to this resource Binding: Definition of Confidentiality Value Set (required) | |
![]() ![]() |
0..0 | |||
![]() ![]() |
0..0 | |||
![]() ![]() |
0..0 | |||
![]() ![]() |
0..0 | |||
![]() ![]() |
1..1 | code | registered | preliminary | final | amended + Required Pattern: final | |
![]() ![]() |
0..0 | |||
![]() ![]() |
S | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Screening Term Value Set for observation result (extensible) |
![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() |
0..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/screening-term | |
![]() ![]() ![]() |
S | 1..1 | string | Plain text representation of the concept |
![]() ![]() |
S | 1..1 | Reference(Patient | Group | Device | Location) | Who and/or what the observation is about |
![]() ![]() ![]() |
S | 1..1 | string | Reference to Patient resource |
![]() ![]() ![]() |
0..1 | string | External Name of Patient | |
![]() ![]() |
0..0 | |||
![]() ![]() |
1..1 | instant | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() |
S | 1..1 | instant | Clinically relevant time/time-period for observation |
![]() ![]() |
S | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation |
![]() ![]() ![]() |
S | 1..1 | string | Reference to Practitioner resource |
![]() ![]() ![]() |
0..1 | string | External Name of Practitioner | |
![]() ![]() |
0..1 | Actual result Slice: Unordered, Open by type:$this | ||
![]() ![]() ![]() |
Quantity | |||
![]() ![]() ![]() |
string | |||
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
S | 0..1 | string | Actual result |
![]() ![]() ![]() |
0..1 | Quantity | Actual result | |
![]() ![]() ![]() ![]() |
S | 1..1 | decimal | Numerical value (with implicit precision) |
![]() ![]() ![]() ![]() |
0..1 | uri | System that defines coded unit form Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/value-quantity-unit | |
![]() ![]() ![]() ![]() |
0..1 | code | Coded form of the unit Binding: Unit Value Set for Observation Component (extensible) | |
![]() ![]() ![]() |
S | 0..1 | dateTime | Actual result |
![]() ![]() |
S | 0..* | CodeableConcept | High, low, normal, etc. Binding: Interpretation Value Set for Observation (extensible) |
![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system | |
![]() ![]() ![]() ![]() |
S | 1..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/observation-interpretation |
![]() ![]() ![]() ![]() |
S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() |
S | 0..1 | string | Plain text representation of the concept |
![]() ![]() |
S | 0..* | Annotation | Comments about the observation |
![]() ![]() ![]() |
S | 1..1 | markdown | The annotation - text content (as markdown) |
![]() ![]() |
0..0 | |||
![]() ![]() |
S | 0..* | BackboneElement | Component results |
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Prompt Value Set for Measurement (preferred) |
![]() ![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() ![]() |
0..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/measurement-prompt | |
![]() ![]() ![]() |
0..1 | Actual component result Slice: Unordered, Open by type:$this | ||
![]() ![]() ![]() ![]() |
Quantity | |||
![]() ![]() ![]() ![]() |
string | |||
![]() ![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() ![]() |
S | 0..1 | string | Actual component result |
![]() ![]() ![]() ![]() |
0..1 | Quantity | Actual component result | |
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | decimal | Numerical value (with implicit precision) |
![]() ![]() ![]() ![]() ![]() |
0..1 | uri | System that defines coded unit form Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/value-quantity-unit | |
![]() ![]() ![]() ![]() ![]() |
0..1 | code | Coded form of the unit Binding: Unit Value Set for Observation Component (extensible) | |
![]() ![]() ![]() ![]() |
S | 0..1 | dateTime | Actual component result |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.meta.security | Base | required | Definition of Confidentiality Value Set | 📦1.0.0 | This IG |
| Observation.code | Base | extensible | Screening Term Value Set for observation result | 📦1.0.0 | This IG |
| Observation.value[x]:valueQuantity.code | Base | extensible | Unit Value Set for Observation Component | 📦1.0.0 | This IG |
| Observation.interpretation | Base | extensible | Interpretation Value Set for Observation | 📦1.0.0 | This IG |
| Observation.component.code | Base | preferred | Prompt Value Set for Measurement | 📦1.0.0 | This IG |
| Observation.component.value[x]:valueQuantity.code | Base | extensible | Unit Value Set for Observation Component | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| observation-code-text-length | error | Observation | Code.text cannot be more than 30 characters |
code.text.empty() or code.text.length() <= 30
|
| observation-note-text-length | error | Observation | Note - text size validation |
note.text.empty() or note.text.length() <= 4096
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, observation-code-text-length, observation-note-text-length |
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact |
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource |
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
Σ | 0..1 | id | Version specific identifier |
![]() ![]() ![]() |
Σ | 0..1 | instant | When the resource version last changed |
![]() ![]() ![]() |
Σ | 0..1 | uri | Identifies where the resource comes from |
![]() ![]() ![]() |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
![]() ![]() ![]() |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: Definition of Confidentiality Value Set (required) |
![]() ![]() ![]() |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
![]() ![]() |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
![]() ![]() |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final |
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Screening Term Value Set for observation result (extensible) |
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/screening-term |
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant |
![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system |
![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user |
![]() ![]() ![]() |
SΣ | 1..1 | string | Plain text representation of the concept |
![]() ![]() |
SΣ | 1..1 | Reference(Patient | Group | Device | Location) | Who and/or what the observation is about |
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
SΣC | 1..1 | string | Reference to Patient resource |
![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
![]() ![]() ![]() |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() |
Σ | 0..1 | string | External Name of Patient |
![]() ![]() |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
![]() ![]() |
Σ | 1..1 | instant | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this |
![]() ![]() ![]() |
SΣ | 1..1 | instant | Clinically relevant time/time-period for observation |
![]() ![]() |
Σ | 0..1 | instant | Date/Time this version was made available |
![]() ![]() |
SΣ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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SΣC | 1..1 | string | Reference to Practitioner resource |
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
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Σ | 0..1 | string | External Name of Practitioner |
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ΣC | 0..1 | Actual result Slice: Unordered, Closed by type:$this | |
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Quantity | |||
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string | |||
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dateTime | |||
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SΣC | 0..1 | string | Actual result |
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ΣC | 0..1 | Quantity | Actual result |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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Σ | 0..1 | string | Unit representation |
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ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/value-quantity-unit |
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Σ | 0..1 | code | Coded form of the unit Binding: Unit Value Set for Observation Component (extensible) |
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SΣC | 0..1 | dateTime | Actual result |
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C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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S | 0..* | CodeableConcept | High, low, normal, etc. Binding: Interpretation Value Set for Observation (extensible) |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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Σ | 1..* | Coding | Code defined by a terminology system |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/observation-interpretation |
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Σ | 0..1 | string | Version of the system - if relevant |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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Σ | 0..1 | string | Representation defined by the system |
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Σ | 0..1 | boolean | If this coding was chosen directly by the user |
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SΣ | 0..1 | string | Plain text representation of the concept |
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S | 0..* | Annotation | Comments about the observation |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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Σ | 0..1 | Individual responsible for the annotation | |
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Reference(Practitioner | Patient | RelatedPerson | Organization) | |||
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string | |||
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Σ | 0..1 | dateTime | When the annotation was made |
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SΣ | 1..1 | markdown | The annotation - text content (as markdown) |
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0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |
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0..1 | Reference(Specimen) | Specimen used for this observation | |
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0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |
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C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant |
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C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant |
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0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |
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0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |
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0..1 | Range | Applicable age range, if relevant | |
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0..1 | string | Text based reference range in an observation | |
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Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group |
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Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from |
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SΣ | 0..* | BackboneElement | Component results |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Prompt Value Set for Measurement (preferred) |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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Σ | 0..* | Coding | Code defined by a terminology system |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/measurement-prompt |
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Σ | 0..1 | string | Version of the system - if relevant |
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Σ | 0..1 | code | Symbol in syntax defined by the system |
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Σ | 0..1 | string | Representation defined by the system |
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Σ | 0..1 | boolean | If this coding was chosen directly by the user |
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Σ | 0..1 | string | Plain text representation of the concept |
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Σ | 0..1 | Actual component result Slice: Unordered, Closed by type:$this | |
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Quantity | |||
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string | |||
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dateTime | |||
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SΣ | 0..1 | string | Actual component result |
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Σ | 0..1 | Quantity | Actual component result |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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Σ | 0..1 | string | Unit representation |
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ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: https://alexapi.medtechglobal.com.au/fhir/CodeSystem/value-quantity-unit |
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Σ | 0..1 | code | Coded form of the unit Binding: Unit Value Set for Observation Component (extensible) |
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SΣ | 0..1 | dateTime | Actual component result |
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C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.meta.security | Base | required | Definition of Confidentiality Value Set | 📦1.0.0 | This IG |
| Observation.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.code | Base | extensible | Screening Term Value Set for observation result | 📦1.0.0 | This IG |
| Observation.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | extensible | Unit Value Set for Observation Component | 📦1.0.0 | This IG |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Interpretation Value Set for Observation | 📦1.0.0 | This IG |
| Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std. |
| Observation.component.code | Base | preferred | Prompt Value Set for Measurement | 📦1.0.0 | This IG |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueQuantity.code | Base | extensible | Unit Value Set for Observation Component | 📦1.0.0 | This IG |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text |
low.exists() or high.exists() or text.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| observation-code-text-length | error | Observation | Code.text cannot be more than 30 characters |
code.text.empty() or code.text.length() <= 30
|
| observation-note-text-length | error | Observation | Note - text size validation |
note.text.empty() or note.text.length() <= 4096
|
This structure is derived from Observation
Summary
Mandatory: 7 elements(5 nested mandatory elements)
Must-Support: 21 elements
Prohibited: 7 elements
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron