Standard Death Record

Standard Death Record

ObservationProfile

The official URL for this profile is:

http://nightingaleproject.github.io/fhirDeathRecord/StructureDefinition/shr-base-Observation

Base class for observations (measurements, tests, or questions) and a value containing the result (answer). The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments.

This profile builds on Observation.

This profile was published on Thu Jun 14 00:00:00 EDT 2018 as a draft by The MITRE Corporation: Nightingale Project.

Summary

Mandatory: 0 element (1 nested mandatory element)

Structures

This structure refers to these other structures:

http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient

SDR Mapping Source

This structure represents the following SDR mapping definition:

shr.base.Observation maps to Observation:
  CodeableConcept maps to value[x]
  boolean maps to value[x]
  dateTime maps to value[x]
  string maps to value[x]
  ObservationCode maps to code
  constrain code.coding to 1..*
  Subject maps to subject

Name	Flags	Card.	Type	Description & Constraints
Observation	I	0..*		SDR Observation Profile obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
id	Î£	0..1	id	Logical id of this artifact
meta	Î£	0..1	Meta	Metadata about the resource
implicitRules	?!Î£	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)
text	I	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	Î£	0..*	Identifier	Business Identifier for observation
basedOn	Î£	0..*	Reference(CarePlan \| DeviceRequest \| ImmunizationRecommendation \| MedicationRequest \| NutritionOrder \| ProcedureRequest \| ReferralRequest)	Fulfills plan, proposal or order
status	?!Î£	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required)
category		0..*	CodeableConcept	Classification of type of observation Binding: Observation Category Codes (preferred)
code	Î£	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINC Codes (example)
id		0..1	string	xml:id (or equivalent in JSON)
coding	Î£	1..*	Coding	Code defined by a terminology system
text	Î£	0..1	string	Plain text representation of the concept
subject	Î£	0..1	Reference(US Core Patient Profile)	Who and/or what this is about
context		0..1	Reference(Encounter \| EpisodeOfCare)	Healthcare event during which this observation is made
effective[x]	Î£	0..1	dateTime, Period	Clinically relevant time/time-period for observation
issued	Î£	0..1	instant	Date/Time this was made available
performer	Î£	0..*	Reference(Practitioner \| Organization \| Patient \| RelatedPerson)	Who is responsible for the observation
value[x]	Î£I	0..1	CodeableConcept, string, boolean, dateTime	Actual result
dataAbsentReason	I	0..1	CodeableConcept	Why the result is missing Binding: Observation Value Absent Reason (extensible)
interpretation		0..1	CodeableConcept	High, low, normal, etc. Binding: Observation Interpretation Codes (extensible)
comment		0..1	string	Comments about result
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMED CT Body Structures (example)
method		0..1	CodeableConcept	How it was done Binding: Observation Methods (example)
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device \| DeviceMetric)	(Measurement) Device
referenceRange	I	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Î£	0..*	Extension	Extensions that cannot be ignored
low	I	0..1	SimpleQuantity	Low Range, if relevant
high	I	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: Observation Reference Range Meaning Codes (extensible)
appliesTo		0..*	CodeableConcept	Reference range population Binding: Observation Reference Range Applies To Codes (example)
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
related	Î£I	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	?!Î£	0..*	Extension	Extensions that cannot be ignored
type		0..1	code	has-member \| derived-from \| sequel-to \| replaces \| qualified-by \| interfered-by Binding: ObservationRelationshipType (required)
target		1..1	Reference(Observation \| QuestionnaireResponse \| Sequence)	Resource that is related to this one
component	Î£I	0..*	BackboneElement	Component results
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Î£	0..*	Extension	Extensions that cannot be ignored
code	Î£	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINC Codes (example)
value[x]	Î£	0..1	Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, Period	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: Observation Value Absent Reason (extensible)
interpretation		0..1	CodeableConcept	High, low, normal, etc. Binding: Observation Interpretation Codes (extensible)
referenceRange		0..*		Unknown reference to #Observation.referenceRange Provides guide for interpretation of component result
Documentation for this format

Summary

Mandatory: 0 element (1 nested mandatory element)

Structures

This structure refers to these other structures:

http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient

SDR Mapping Source

This structure represents the following SDR mapping definition:

shr.base.Observation maps to Observation:
  CodeableConcept maps to value[x]
  boolean maps to value[x]
  dateTime maps to value[x]
  string maps to value[x]
  ObservationCode maps to code
  constrain code.coding to 1..*
  Subject maps to subject

Differential View

Name	Card.	Type	Description & Constraints
Observation			SDR Observation Profile
code
coding	1..*
subject		Reference(US Core Patient Profile)
value[x]		CodeableConcept, string, boolean, dateTime
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	I	0..*		SDR Observation Profile obs-7: If code is the same as a component code then the value element associated with the code SHALL NOT be present obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
id	Î£	0..1	id	Logical id of this artifact
meta	Î£	0..1	Meta	Metadata about the resource
implicitRules	?!Î£	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)
text	I	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	Î£	0..*	Identifier	Business Identifier for observation
basedOn	Î£	0..*	Reference(CarePlan \| DeviceRequest \| ImmunizationRecommendation \| MedicationRequest \| NutritionOrder \| ProcedureRequest \| ReferralRequest)	Fulfills plan, proposal or order
status	?!Î£	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required)
category		0..*	CodeableConcept	Classification of type of observation Binding: Observation Category Codes (preferred)
code	Î£	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINC Codes (example)
id		0..1	string	xml:id (or equivalent in JSON)
coding	Î£	1..*	Coding	Code defined by a terminology system
text	Î£	0..1	string	Plain text representation of the concept
subject	Î£	0..1	Reference(US Core Patient Profile)	Who and/or what this is about
context		0..1	Reference(Encounter \| EpisodeOfCare)	Healthcare event during which this observation is made
effective[x]	Î£	0..1	dateTime, Period	Clinically relevant time/time-period for observation
issued	Î£	0..1	instant	Date/Time this was made available
performer	Î£	0..*	Reference(Practitioner \| Organization \| Patient \| RelatedPerson)	Who is responsible for the observation
value[x]	Î£I	0..1	CodeableConcept, string, boolean, dateTime	Actual result
dataAbsentReason	I	0..1	CodeableConcept	Why the result is missing Binding: Observation Value Absent Reason (extensible)
interpretation		0..1	CodeableConcept	High, low, normal, etc. Binding: Observation Interpretation Codes (extensible)
comment		0..1	string	Comments about result
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMED CT Body Structures (example)
method		0..1	CodeableConcept	How it was done Binding: Observation Methods (example)
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device \| DeviceMetric)	(Measurement) Device
referenceRange	I	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Î£	0..*	Extension	Extensions that cannot be ignored
low	I	0..1	SimpleQuantity	Low Range, if relevant
high	I	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: Observation Reference Range Meaning Codes (extensible)
appliesTo		0..*	CodeableConcept	Reference range population Binding: Observation Reference Range Applies To Codes (example)
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
related	Î£I	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	?!Î£	0..*	Extension	Extensions that cannot be ignored
type		0..1	code	has-member \| derived-from \| sequel-to \| replaces \| qualified-by \| interfered-by Binding: ObservationRelationshipType (required)
target		1..1	Reference(Observation \| QuestionnaireResponse \| Sequence)	Resource that is related to this one
component	Î£I	0..*	BackboneElement	Component results
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Î£	0..*	Extension	Extensions that cannot be ignored
code	Î£	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINC Codes (example)
value[x]	Î£	0..1	Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, Period	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: Observation Value Absent Reason (extensible)
interpretation		0..1	CodeableConcept	High, low, normal, etc. Binding: Observation Interpretation Codes (extensible)
referenceRange		0..*		Unknown reference to #Observation.referenceRange Provides guide for interpretation of component result
Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

Terminology Bindings

Path	Name	Conformance	ValueSet
Observation.language	Common Languages	extensible	Common Languages
Observation.status	ObservationStatus	required	ObservationStatus
Observation.category	Observation Category Codes	preferred	Observation Category Codes
Observation.code	LOINC Codes	example	LOINC Codes
Observation.dataAbsentReason	Observation Value Absent Reason	extensible	Observation Value Absent Reason
Observation.interpretation	Observation Interpretation Codes	extensible	Observation Interpretation Codes
Observation.bodySite	SNOMED CT Body Structures	example	SNOMED CT Body Structures
Observation.method	Observation Methods	example	Observation Methods
Observation.referenceRange.type	Observation Reference Range Meaning Codes	extensible	Observation Reference Range Meaning Codes
Observation.referenceRange.appliesTo	Observation Reference Range Applies To Codes	example	Observation Reference Range Applies To Codes
Observation.related.type	ObservationRelationshipType	required	ObservationRelationshipType
Observation.component.code	LOINC Codes	example	LOINC Codes
Observation.component.dataAbsentReason	Observation Value Absent Reason	extensible	Observation Value Absent Reason
Observation.component.interpretation	Observation Interpretation Codes	extensible	Observation Interpretation Codes

Constraints

Id	Path	Details	Requirements
dom-2	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-1	Observation	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-4	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-3	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()
obs-7	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 code!=component.code
obs-6	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
ele-1	Observation.referenceRange	All FHIR elements must have a @value or children : hasValue() \| (children().count() > id.count())
obs-3	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
ele-1	Observation.related	All FHIR elements must have a @value or children : hasValue() \| (children().count() > id.count())
ele-1	Observation.component	All FHIR elements must have a @value or children : hasValue() \| (children().count() > id.count())

Standard Death Record, Version: 0.1.0 © ; FHIR Version: 3.0.1 (IG Publisher v3.0.1-11917) ; Generated on Thu, Jun 14, 2018 15:34-0400.