CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
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CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v2.0.0-cibuild) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: QICore Simple Observation (Substitute) ( Abstract )

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/qicore-simple-observation-substitute Version: 2.0.0-cibuild
Standards status: Trial-use Maturity Level: 1 Computable Name: QICoreSimpleObservationSubstitute

Profile of Simple Observation for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors. The profile is a recration of the QICore Simple Observation profile, but without a slice on valueCodeableConcept. This is intended to be used as a substitute for the QICore Simple Observation profile in because the slice is causing an error when the Observation needs to include a valueCodeableConcept.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.0.0:

  • New Content

    • Formal Views of Profile Content

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

    Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
    .. Observation C 0..* USCoreSimpleObservationProfile(6.1.0) This is an abstract profile. Child profiles: AcuteCareHospitalDailyEventObservation, AcuteCareHospitalMonthlyReportingObservation
    assessment observation
    Constraints: obs-6, obs-7
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!SΣ 1..1 code (USCDI) registered | preliminary | final | amended +
    Binding: Non-Negative Observation Status (required)
    .... category:us-core S 0..* CodeableConcept (USCDI) Classification of type of observation
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
    ... code SΣ 1..1 CodeableConcept (QI-Core)(USCDI) Type of observation (code / type)
    Binding: LOINCCodes (preferred): This value set specifies the type of observation
    ... subject SΣ 1..1 Reference(QICore Patient) (QI-Core)(USCDI) Who and/or what the observation is about
    ... effective[x] SΣ 0..1 (QI-Core)(USCDI) Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime S
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    ... performer SΣ 0..* Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore CareTeam | QICore RelatedPerson) (QI-Core)(USCDI) Who is responsible for the observation
    ... value[x] SΣC 0..1 (QI-Core)(USCDI) Actual result
    .... valueQuantity Quantity S
    .... valueCodeableConcept CodeableConcept S
    .... valueString string S
    .... valueBoolean boolean S
    .... valueInteger integer
    .... valueRange Range
    .... valueRatio Ratio
    .... valueSampledData SampledData
    .... valueTime time
    .... valueDateTime dateTime
    .... valuePeriod Period
    ... interpretation 0..* CodeableConcept (QI-Core) High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible)
    ... derivedFrom Σ 0..* Reference(QICore Simple Observation (Substitute) | QICore QuestionnaireResponse | QICore ImagingStudy | US Core DocumentReference Profile(6.1.0) | Media | MolecularSequence) (QI-Core)(USCDI) US Core Profiles or other resource the observation is made from

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.status Base required Non-Negative Observation Status 📦6.0.0 QI-Core Implementation Guide v6.0
    Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
    Observation.category:us-core Base required US Core Simple Observation Category 📦6.1.0 US Core v6.1
    Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
    Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

    Constraints

    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()

    This structure is derived from USCoreSimpleObservationProfile

    Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
    .. Observation 0..* USCoreSimpleObservationProfile(6.1.0) This is an abstract profile. Child profiles: AcuteCareHospitalDailyEventObservation, AcuteCareHospitalMonthlyReportingObservation
    assessment observation
    ... status 1..1 code (USCDI) registered | preliminary | final | amended +
    Binding: Non-Negative Observation Status (required)
    ... category 1..* CodeableConcept (QI-Core)(USCDI) Classification of type of observation
    ... code 1..1 CodeableConcept (QI-Core)(USCDI) Type of observation (code / type)
    Binding: LOINCCodes (preferred): This value set specifies the type of observation
    ... effective[x] 0..1 (QI-Core)(USCDI) Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    ... performer 0..* Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore CareTeam | QICore RelatedPerson) (QI-Core)(USCDI) Who is responsible for the observation
    ... value[x] 0..1 (QI-Core)(USCDI) Actual result
    .... valueQuantity Quantity
    .... valueCodeableConcept CodeableConcept
    .... valueString string
    .... valueBoolean boolean
    .... valueInteger integer
    .... valueRange Range
    .... valueRatio Ratio
    .... valueSampledData SampledData
    .... valueTime time
    .... valueDateTime dateTime
    .... valuePeriod Period
    ... interpretation 0..* CodeableConcept (QI-Core) High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible)
    ... derivedFrom 0..* Reference(QICore Simple Observation (Substitute) | QICore QuestionnaireResponse | QICore ImagingStudy | US Core DocumentReference Profile(6.1.0) | Media | MolecularSequence) (QI-Core)(USCDI) US Core Profiles or other resource the observation is made from

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Observation.status Base required Non-Negative Observation Status 📦6.0.0 QI-Core Implementation Guide v6.0
    Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
    Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
    Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
    .. Observation C 0..* USCoreSimpleObservationProfile(6.1.0) This is an abstract profile. Child profiles: AcuteCareHospitalDailyEventObservation, AcuteCareHospitalMonthlyReportingObservation
    assessment observation
    Constraints: obs-6, obs-7
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional Bindings Purpose
    AllLanguages Max Binding
    ... text 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
    ... 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
    ... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
    ... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
    ... status ?!SΣ 1..1 code (USCDI) registered | preliminary | final | amended +
    Binding: Non-Negative Observation Status (required)
    ... Slices for category S 1..* CodeableConcept (QI-Core)(USCDI) Classification of type of observation
    Slice: Unordered, Open by pattern:$this
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
    .... category:us-core S 0..* CodeableConcept (USCDI) Classification of type of observation
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
    ... code SΣ 1..1 CodeableConcept (QI-Core)(USCDI) Type of observation (code / type)
    Binding: LOINCCodes (preferred): This value set specifies the type of observation
    ... subject SΣ 1..1 Reference(QICore Patient) (QI-Core)(USCDI) Who and/or what the observation is about
    ... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
    ... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
    ... effective[x] SΣ 0..1 (QI-Core)(USCDI) Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime S
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    ... issued Σ 0..1 instant Date/Time this version was made available
    ... performer SΣ 0..* Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore CareTeam | QICore RelatedPerson) (QI-Core)(USCDI) Who is responsible for the observation
    ... value[x] SΣC 0..1 (QI-Core)(USCDI) Actual result
    .... valueQuantity Quantity S
    .... valueCodeableConcept CodeableConcept S
    .... valueString string S
    .... valueBoolean boolean S
    .... valueInteger integer
    .... valueRange Range
    .... valueRatio Ratio
    .... valueSampledData SampledData
    .... valueTime time
    .... valueDateTime dateTime
    .... valuePeriod Period
    ... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    ... interpretation 0..* CodeableConcept (QI-Core) High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible)
    ... note 0..* Annotation Comments about the observation
    ... bodySite 0..1 CodeableConcept Observed body part
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
    ... method 0..1 CodeableConcept How it was done
    Binding: ObservationMethods (example): Methods for simple observations.
    ... specimen 0..1 Reference(Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
    ... referenceRange C 0..* BackboneElement Provides guide for interpretation
    Constraints: obs-3
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... low C 0..1 SimpleQuantity Low Range, if relevant
    .... high C 0..1 SimpleQuantity High Range, if relevant
    .... type 0..1 CodeableConcept Reference range qualifier
    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
    .... appliesTo 0..* CodeableConcept Reference range population
    Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
    .... age 0..1 Range Applicable age range, if relevant
    .... text 0..1 string Text based reference range in an observation
    ... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
    ... derivedFrom Σ 0..* Reference(QICore Simple Observation (Substitute) | QICore QuestionnaireResponse | QICore ImagingStudy | US Core DocumentReference Profile(6.1.0) | Media | MolecularSequence) (QI-Core)(USCDI) US Core Profiles or other resource the observation is made from
    ... component Σ 0..* BackboneElement Component results
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINCCodes (example): Codes identifying names of simple observations.
    .... value[x] Σ 0..1 Actual component result
    ..... valueQuantity Quantity
    ..... valueCodeableConcept CodeableConcept
    ..... valueString string
    ..... valueBoolean boolean
    ..... valueInteger integer
    ..... valueRange Range
    ..... valueRatio Ratio
    ..... valueSampledData SampledData
    ..... valueTime time
    ..... valueDateTime dateTime
    ..... valuePeriod Period
    .... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    .... interpretation 0..* CodeableConcept High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
    .... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
    Observation.status Base required Non-Negative Observation Status 📦6.0.0 QI-Core Implementation Guide v6.0
    Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
    Observation.category:us-core Base required US Core Simple Observation Category 📦6.1.0 US Core v6.1
    Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
    Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
    Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
    Observation.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
    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 example LOINC Codes 📦4.0.1 FHIR Std.
    Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
    Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

    Constraints

    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()

    Key Elements View

    Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
    .. Observation C 0..* USCoreSimpleObservationProfile(6.1.0) This is an abstract profile. Child profiles: AcuteCareHospitalDailyEventObservation, AcuteCareHospitalMonthlyReportingObservation
    assessment observation
    Constraints: obs-6, obs-7
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!SΣ 1..1 code (USCDI) registered | preliminary | final | amended +
    Binding: Non-Negative Observation Status (required)
    .... category:us-core S 0..* CodeableConcept (USCDI) Classification of type of observation
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
    ... code SΣ 1..1 CodeableConcept (QI-Core)(USCDI) Type of observation (code / type)
    Binding: LOINCCodes (preferred): This value set specifies the type of observation
    ... subject SΣ 1..1 Reference(QICore Patient) (QI-Core)(USCDI) Who and/or what the observation is about
    ... effective[x] SΣ 0..1 (QI-Core)(USCDI) Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime S
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    ... performer SΣ 0..* Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore CareTeam | QICore RelatedPerson) (QI-Core)(USCDI) Who is responsible for the observation
    ... value[x] SΣC 0..1 (QI-Core)(USCDI) Actual result
    .... valueQuantity Quantity S
    .... valueCodeableConcept CodeableConcept S
    .... valueString string S
    .... valueBoolean boolean S
    .... valueInteger integer
    .... valueRange Range
    .... valueRatio Ratio
    .... valueSampledData SampledData
    .... valueTime time
    .... valueDateTime dateTime
    .... valuePeriod Period
    ... interpretation 0..* CodeableConcept (QI-Core) High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible)
    ... derivedFrom Σ 0..* Reference(QICore Simple Observation (Substitute) | QICore QuestionnaireResponse | QICore ImagingStudy | US Core DocumentReference Profile(6.1.0) | Media | MolecularSequence) (QI-Core)(USCDI) US Core Profiles or other resource the observation is made from

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.status Base required Non-Negative Observation Status 📦6.0.0 QI-Core Implementation Guide v6.0
    Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
    Observation.category:us-core Base required US Core Simple Observation Category 📦6.1.0 US Core v6.1
    Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
    Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

    Constraints

    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()

    Differential View

    This structure is derived from USCoreSimpleObservationProfile

    Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
    .. Observation 0..* USCoreSimpleObservationProfile(6.1.0) This is an abstract profile. Child profiles: AcuteCareHospitalDailyEventObservation, AcuteCareHospitalMonthlyReportingObservation
    assessment observation
    ... status 1..1 code (USCDI) registered | preliminary | final | amended +
    Binding: Non-Negative Observation Status (required)
    ... category 1..* CodeableConcept (QI-Core)(USCDI) Classification of type of observation
    ... code 1..1 CodeableConcept (QI-Core)(USCDI) Type of observation (code / type)
    Binding: LOINCCodes (preferred): This value set specifies the type of observation
    ... effective[x] 0..1 (QI-Core)(USCDI) Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    ... performer 0..* Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore CareTeam | QICore RelatedPerson) (QI-Core)(USCDI) Who is responsible for the observation
    ... value[x] 0..1 (QI-Core)(USCDI) Actual result
    .... valueQuantity Quantity
    .... valueCodeableConcept CodeableConcept
    .... valueString string
    .... valueBoolean boolean
    .... valueInteger integer
    .... valueRange Range
    .... valueRatio Ratio
    .... valueSampledData SampledData
    .... valueTime time
    .... valueDateTime dateTime
    .... valuePeriod Period
    ... interpretation 0..* CodeableConcept (QI-Core) High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible)
    ... derivedFrom 0..* Reference(QICore Simple Observation (Substitute) | QICore QuestionnaireResponse | QICore ImagingStudy | US Core DocumentReference Profile(6.1.0) | Media | MolecularSequence) (QI-Core)(USCDI) US Core Profiles or other resource the observation is made from

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Observation.status Base required Non-Negative Observation Status 📦6.0.0 QI-Core Implementation Guide v6.0
    Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
    Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

    Snapshot View

    Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
    .. Observation C 0..* USCoreSimpleObservationProfile(6.1.0) This is an abstract profile. Child profiles: AcuteCareHospitalDailyEventObservation, AcuteCareHospitalMonthlyReportingObservation
    assessment observation
    Constraints: obs-6, obs-7
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional Bindings Purpose
    AllLanguages Max Binding
    ... text 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
    ... 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
    ... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
    ... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
    ... status ?!SΣ 1..1 code (USCDI) registered | preliminary | final | amended +
    Binding: Non-Negative Observation Status (required)
    ... Slices for category S 1..* CodeableConcept (QI-Core)(USCDI) Classification of type of observation
    Slice: Unordered, Open by pattern:$this
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
    .... category:us-core S 0..* CodeableConcept (USCDI) Classification of type of observation
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
    ... code SΣ 1..1 CodeableConcept (QI-Core)(USCDI) Type of observation (code / type)
    Binding: LOINCCodes (preferred): This value set specifies the type of observation
    ... subject SΣ 1..1 Reference(QICore Patient) (QI-Core)(USCDI) Who and/or what the observation is about
    ... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
    ... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
    ... effective[x] SΣ 0..1 (QI-Core)(USCDI) Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime S
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    ... issued Σ 0..1 instant Date/Time this version was made available
    ... performer SΣ 0..* Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore CareTeam | QICore RelatedPerson) (QI-Core)(USCDI) Who is responsible for the observation
    ... value[x] SΣC 0..1 (QI-Core)(USCDI) Actual result
    .... valueQuantity Quantity S
    .... valueCodeableConcept CodeableConcept S
    .... valueString string S
    .... valueBoolean boolean S
    .... valueInteger integer
    .... valueRange Range
    .... valueRatio Ratio
    .... valueSampledData SampledData
    .... valueTime time
    .... valueDateTime dateTime
    .... valuePeriod Period
    ... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    ... interpretation 0..* CodeableConcept (QI-Core) High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible)
    ... note 0..* Annotation Comments about the observation
    ... bodySite 0..1 CodeableConcept Observed body part
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
    ... method 0..1 CodeableConcept How it was done
    Binding: ObservationMethods (example): Methods for simple observations.
    ... specimen 0..1 Reference(Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
    ... referenceRange C 0..* BackboneElement Provides guide for interpretation
    Constraints: obs-3
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... low C 0..1 SimpleQuantity Low Range, if relevant
    .... high C 0..1 SimpleQuantity High Range, if relevant
    .... type 0..1 CodeableConcept Reference range qualifier
    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
    .... appliesTo 0..* CodeableConcept Reference range population
    Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
    .... age 0..1 Range Applicable age range, if relevant
    .... text 0..1 string Text based reference range in an observation
    ... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
    ... derivedFrom Σ 0..* Reference(QICore Simple Observation (Substitute) | QICore QuestionnaireResponse | QICore ImagingStudy | US Core DocumentReference Profile(6.1.0) | Media | MolecularSequence) (QI-Core)(USCDI) US Core Profiles or other resource the observation is made from
    ... component Σ 0..* BackboneElement Component results
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINCCodes (example): Codes identifying names of simple observations.
    .... value[x] Σ 0..1 Actual component result
    ..... valueQuantity Quantity
    ..... valueCodeableConcept CodeableConcept
    ..... valueString string
    ..... valueBoolean boolean
    ..... valueInteger integer
    ..... valueRange Range
    ..... valueRatio Ratio
    ..... valueSampledData SampledData
    ..... valueTime time
    ..... valueDateTime dateTime
    ..... valuePeriod Period
    .... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
    .... interpretation 0..* CodeableConcept High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
    .... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
    Observation.status Base required Non-Negative Observation Status 📦6.0.0 QI-Core Implementation Guide v6.0
    Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
    Observation.category:us-core Base required US Core Simple Observation Category 📦6.1.0 US Core v6.1
    Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
    Observation.dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
    Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
    Observation.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
    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 example LOINC Codes 📦4.0.1 FHIR Std.
    Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
    Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.

    Constraints

    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()

     

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