<status value="active" /> <date value="2023-04-28" /> <publisher value="HL7 UK" /> <contact> <name value="HL7 UK" /> <telecom> <system value="email" /> <value value="ukcore@hl7.org.uk" /> <use value="work" /> <rank value="1" /> </telecom> </contact> <description value="This profile defines the UK constraints and extensions on the International FHIR resource [Observation](https://hl7.org/fhir/R4/Observation.html)." /> <purpose value="This profile allows exchange of information of Measurements and simple assertions made about an individual, device or other subject. Note: this profile SHALL NOT be used where a more specific UK Core profile exists." /> <copyright value="Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="sct-concept" /> <uri value="http://snomed.info/conceptdomain" /> <name value="SNOMED CT Concept Domain Binding" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="sct-attr" /> <uri value="http://snomed.org/attributebinding" /> <name value="SNOMED CT Attribute Binding" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation.extension"> <path value="Observation.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Observation.extension:triggeredByR5"> <path value="Observation.extension" /> <sliceName value="triggeredByR5" /> <short value="Triggering observation(s). This is a R5 backport." /> <min value="0" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" /> </type> </element> <element id="Observation.extension:triggeredByR5.extension"> <path value="Observation.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="2" /> </element> <element id="Observation.extension:triggeredByR5.extension:observation"> <path value="Observation.extension.extension" /> <sliceName value="observation" /> <min value="1" /> </element> <element id="Observation.extension:triggeredByR5.extension:observation.value[x]"> <path value="Observation.extension.extension.value[x]" /> <short value="Triggering observation." /> <definition value="A reference to the triggering observation." /> </element> <element id="Observation.extension:triggeredByR5.extension:type"> <path value="Observation.extension.extension" /> <sliceName value="type" /> <min value="1" /> </element> <element id="Observation.extension:triggeredByR5.extension:type.value[x]"> <path value="Observation.extension.extension.value[x]" /> <short value="The type of trigger. Reflex | Repeat | Re-run" /> <definition value="The type of trigger. Reflex | Repeat | Re-run" /> </element> <element id="Observation.extension:triggeredByR5.extension:reason"> <path value="Observation.extension.extension" /> <sliceName value="reason" /> <min value="0" /> </element> <element id="Observation.extension:triggeredByR5.extension:reason.value[x]"> <path value="Observation.extension.extension.value[x]" /> <short value="Reason that the observation was triggered." /> <definition value="Provides the reason why this observation was performed as a result of the observation referenced." /> </element> <element id="Observation.identifier.assigner"> <path value="Observation.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Observation.basedOn"> <path value="Observation.basedOn" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceRequest" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest" /> </type> </element> <element id="Observation.basedOn.identifier.assigner"> <path value="Observation.basedOn.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Observation.partOf"> <path value="Observation.partOf" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ImagingStudy" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Immunization" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationAdministration" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationStatement" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure" /> </type> </element> <element id="Observation.partOf.identifier.assigner"> <path value="Observation.partOf.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Observation.code"> <path value="Observation.code" /> <binding> <strength value="preferred" /> <description value="A code from the SNOMED Clinical Terminology UK coding system describing a type of observation" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType" /> </binding> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> </type> </element> <element id="Observation.subject.identifier.assigner"> <path value="Observation.subject.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Observation.focus.identifier.assigner"> <path value="Observation.focus.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Observation.encounter"> <path value="Observation.encounter" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter" /> </type> </element> <element id="Observation.encounter.identifier.assigner"> <path value="Observation.encounter.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Observation.performer"> <path value="Observation.performer" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-CareTeam" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" /> </type> </element> <element id="Observation.performer.identifier.assigner"> <path value="Observation.performer.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Observation.note.author[x]"> <path value="Observation.note.author[x]" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" /> </type> <type> <code value="string" /> </type> </element> <element id="Observation.bodySite"> <path value="Observation.bodySite" /> <binding> <strength value="preferred" /> </binding> </element> <element id="Observation.method"> <path value="Observation.method" /> <binding> <strength value="extensible" /> </binding> </element> <element id="Observation.specimen"> <path value="Observation.specimen" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen" /> </type> </element> <element id="Observation.specimen.identifier.assigner"> <path value="Observation.specimen.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Observation.device"> <path value="Observation.device" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceMetric" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device" /> </type> </element> <element id="Observation.device.identifier.assigner"> <path value="Observation.device.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Observation.hasMember"> <path value="Observation.hasMember" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-QuestionnaireResponse" /> </type> </element> <element id="Observation.hasMember.identifier.assigner"> <path value="Observation.hasMember.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Observation.derivedFrom"> <path value="Observation.derivedFrom" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-DocumentReference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ImagingStudy" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-QuestionnaireResponse" /> </type> </element> <element id="Observation.derivedFrom.identifier.assigner"> <path value="Observation.derivedFrom.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Observation.component.code"> <path value="Observation.component.code" /> <binding> <strength value="preferred" /> <description value="A code from the SNOMED Clinical Terminology UK coding system describing a type of observation" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ObservationType" /> </binding> </element> </differential> </StructureDefinition>