AMA-IHMI-observation-blood-pressure-3
This includes observations related to blood pressure taken at the uppser arm with an automatic monitor with body position, exertional status and cuff size specified. Body position and exertional status are included as extensions of the base resource.
Tree
| AMA-IHMI-observation-blood-pressure-3 (Observation) | C | http://hl7.org/fhir/StructureDefinition/Observation | There are no (further) constraints on this element Element idObservationShort description Measurements and simple assertions Alternate namesVital Signs, Measurement, Results, Tests DefinitionMeasurements and simple assertions made about a patient, device or other subject. Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as lab reports, etc. http://hl7.org/fhir/StructureDefinition/Observation Constraints
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| id | Σ | 0..1 | id | There are no (further) constraints on this element Element idObservation.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. id ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idObservation.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. Meta ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idObservation.implicitRulesShort description A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idObservation.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). code BindingA human language. http://hl7.org/fhir/ValueSet/languages (extensible) Binding extensions
The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | C | 0..1 | Narrative | There are no (further) constraints on this element Element idObservation.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. Narrative ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, dom-1 Constraints
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idObservation.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Resource Mappings
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| bodyPosition | C | 1..1 | Extension | There are no (further) constraints on this element Element idObservation.extension:bodyPositionShort description The body position during the observation. Alternate namesextensions, user content DefinitionThe position of the body when the observation was done, e.g. standing, sitting. To be used only when the body position is not precoordinated in the observation code. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension Extension URLhttp://hl7.org/fhir/StructureDefinition/observation-bodyPosition ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://hl7.org/fhir/StructureDefinition/observation-bodyPositionMappings
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| valueCodeableConcept | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConceptShort description Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded CodeableConcept ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.value[x]:valueCodeableConcept.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.value[x]:valueCodeableConcept.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.value[x]:valueCodeableConcept.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.value[x]:valueCodeableConcept.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://ihmi.termspace.com/api/uri?uri=http://snomed.info/sct/3881000207102Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.value[x]:valueCodeableConcept.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
33586001Mappings
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| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Sitting position (finding)Mappings
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| userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| exertionalStatus | C | 1..1 | Extension | There are no (further) constraints on this element Element idObservation.extension:exertionalStatusShort description The state of exertion preceding or during the observation. Alternate namesextensions, user content DefinitionThe state of exertion (e.g., resting state) preceding and/or during the observation. To be used only when the exertional state is not precoordinated in the observation code. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension Extension URLhttp://www.ama-ihmi.org/fhir/StructureDefinition/observation-exertionalStatus ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://www.ama-ihmi.org/fhir/StructureDefinition/observation-exertionalStatusMappings
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| valueCodeableConcept | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConceptShort description Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded CodeableConcept ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.value[x]:valueCodeableConcept.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.value[x]:valueCodeableConcept.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.value[x]:valueCodeableConcept.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.value[x]:valueCodeableConcept.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://ihmi.termspace.com/api/uri?uri=http://snomed.info/sct/3881000207102Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.value[x]:valueCodeableConcept.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
128975004Mappings
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| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Resting state (finding)Mappings
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| userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idObservation.identifierShort description Business Identifier for observation DefinitionA unique identifier assigned to this observation. Allows observations to be distinguished and referenced. Identifier ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| basedOn | Σ C | 0..0 | Reference(http://hl7.org/fhir/StructureDefinition/CarePlan | http://hl7.org/fhir/StructureDefinition/DeviceRequest | http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation | http://hl7.org/fhir/StructureDefinition/MedicationRequest | http://hl7.org/fhir/StructureDefinition/NutritionOrder | http://hl7.org/fhir/StructureDefinition/ProcedureRequest | http://hl7.org/fhir/StructureDefinition/ReferralRequest) | There are no (further) constraints on this element Element idObservation.basedOnShort description Fulfills plan, proposal or order Alternate namesFulfills DefinitionA plan, proposal or order that is fulfilled in whole or in part by this event. Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(http://hl7.org/fhir/StructureDefinition/CarePlan | http://hl7.org/fhir/StructureDefinition/DeviceRequest | http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation | http://hl7.org/fhir/StructureDefinition/MedicationRequest | http://hl7.org/fhir/StructureDefinition/NutritionOrder | http://hl7.org/fhir/StructureDefinition/ProcedureRequest | http://hl7.org/fhir/StructureDefinition/ReferralRequest) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| status | Σ ?! | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element idObservation.statusShort description registered | preliminary | final | amended + DefinitionThe status of the result value. Need to track the status of individual results. Some results are finalized before the whole report is finalized. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. code BindingCodes providing the status of an observation. http://hl7.org/fhir/ValueSet/observation-status (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
finalMappings
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| category | 1..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.categoryShort description Classification of type of observation DefinitionA code that classifies the general type of observation being made. Used for filtering what observations are retrieved and displayed. In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set. CodeableConcept SlicingUnordered, Open, by coding.system(Value), coding.code(Value) BindingCodes for high level observation categories. http://hl7.org/fhir/ValueSet/observation-category (preferred) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| vitalSigns | 1..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.category:vitalSignsShort description Classification of type of observation DefinitionA code that classifies the general type of observation being made. Used for filtering what observations are retrieved and displayed. In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set. CodeableConcept BindingCodes for high level observation categories. http://hl7.org/fhir/ValueSet/observation-category (preferred) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.category:vitalSigns.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.category:vitalSigns.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 1..* | Coding | There are no (further) constraints on this element Element idObservation.category:vitalSigns.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://hl7.org/fhir/observation-categoryMappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
vital-signsMappings
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| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Vital SignsMappings
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| userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.category:vitalSigns.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.codeShort description Type of observation (code / type) Alternate namesName DefinitionDescribes what was observed. Sometimes this is called the observation "name". Knowing what kind of observation is being made is essential to understanding the observation. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. CodeableConcept BindingCodes identifying names of simple observations. http://hl7.org/fhir/ValueSet/observation-codes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.code.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.code.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idObservation.code.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.code.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.code.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.code.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://ihmi.termspace.com/api/uri?uri=http://snomed.info/sct/3881000207102Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.code.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.code.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
4011000207100Mappings
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| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.code.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Measurement of blood pressure (procedure)Mappings
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| userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idObservation.code.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.code.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| subject | Σ C | 1..1 | Reference(http://hl7.org/fhir/StructureDefinition/Patient) | There are no (further) constraints on this element Element idObservation.subjectShort description Who this is about DefinitionThe patient whose characteristics (direct or indirect) are described by the observation and into whose record the observation is placed. Comments: Indirect characteristics may be those of a specimen, fetus, donor, other observer (for example a relative or EMT), or any observation made about the subject. Observations have no value if you don't know who or what they're about. One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated. If the target of the observation is different than the subject, the general extension observation-focal-subject. may be used. However, the distinction between the patient's own value for an observation versus that of the fetus, or the donor or blood product unit, etc., are often specified in the observation code. Reference(http://hl7.org/fhir/StructureDefinition/Patient) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| context | C | 0..1 | Reference(http://hl7.org/fhir/StructureDefinition/Encounter) | There are no (further) constraints on this element Element idObservation.contextShort description Healthcare event during which this observation is made Alternate namesEncounter DefinitionThe healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made. For some observations it may be important to know the link between an observation and a particular encounter. This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests). Reference(http://hl7.org/fhir/StructureDefinition/Encounter) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| effectiveDateTime | Σ | 1..1 | dateTime | There are no (further) constraints on this element Element idObservation.effective[x]:effectiveDateTimeShort description Clinically relevant time/time-period for observation Alternate namesOccurrence DefinitionThe time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the "physiologically relevant time". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself. Knowing when an observation was deemed true is important to its relevance as well as determining trends. At least a date should be present unless this observation is a historical report. dateTime ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| issued | Σ | 0..0 | instant | There are no (further) constraints on this element Element idObservation.issuedShort description Date/Time this was made available DefinitionThe date and time this observation was made available to providers, typically after the results have been reviewed and verified. Updated when the result is updated. instant ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| performer | Σ C | 0..* | Reference(http://hl7.org/fhir/StructureDefinition/Practitioner | http://hl7.org/fhir/StructureDefinition/Organization | http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/StructureDefinition/RelatedPerson) | There are no (further) constraints on this element Element idObservation.performerShort description Who/what is responsible for the observation DefinitionWho or what was responsible for asserting the observed value as "true". May give a degree of confidence in the observation and also indicates where follow-up questions should be directed. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(http://hl7.org/fhir/StructureDefinition/Practitioner | http://hl7.org/fhir/StructureDefinition/Organization | http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/StructureDefinition/RelatedPerson) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| value[x] | Σ C | 0..0 | There are no (further) constraints on this element Element idObservation.value[x]Short description Actual result DefinitionThe information determined as a result of making the observation, if the information has a simple value. An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations. Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is "'value' + the type name" with a capital on the first letter of the type). If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For further discussion and examples see the notes section below. The cardinality or value of this element may be affected by these constraints: ele-1, obs-7 Constraints
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| dataAbsentReason | C | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.dataAbsentReasonShort description Why the result is missing DefinitionProvides a reason why the expected value in the element Observation.value[x] is missing. For many results it is necessary to handle exceptional values in measurements. Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "specimen unsatisfactory". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values. CodeableConcept BindingCodes specifying why the result (Observation.value[x]) is missing. http://hl7.org/fhir/ValueSet/observation-valueabsentreason (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, obs-6 Constraints
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| interpretation | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.interpretationShort description High, low, normal, etc. Alternate namesAbnormal Flag DefinitionThe assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag. For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. CodeableConcept BindingCodes identifying interpretations of observations. http://hl7.org/fhir/ValueSet/observation-interpretation (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| comment | 0..0 | string | There are no (further) constraints on this element Element idObservation.commentShort description Comments about result DefinitionMay include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result. Need to be able to provide free text additional information. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| bodySite | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.bodySiteShort description Observed body part DefinitionIndicates the site on the subject's body where the observation was made (i.e. the target site). Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension body-site-instance. CodeableConcept BindingCodes describing anatomical locations. May include laterality. http://hl7.org/fhir/ValueSet/body-site (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.bodySite.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.bodySite.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idObservation.bodySite.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.bodySite.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.bodySite.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.bodySite.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://ihmi.termspace.com/api/uri?uri=http://snomed.info/sct/3881000207102Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.bodySite.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element idObservation.bodySite.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code Bindinghttp://www.ama-ihmi.org/fhir/ValueSet/AMA-IHMI-valueSet-body-structure-1-instance (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.bodySite.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
American Medical Association Integrated Health Model Initiative, body structure, refset 1, simple type reference set (foundation metadata concept)Mappings
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idObservation.bodySite.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.bodySite.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| method | 0..0 | CodeableConcept | There are no (further) constraints on this element Element idObservation.methodShort description How it was done DefinitionIndicates the mechanism used to perform the observation. In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results. Only used if not implicit in code for Observation.code. CodeableConcept BindingMethods for simple observations. http://hl7.org/fhir/ValueSet/observation-methods (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| specimen | C | 0..0 | Reference(http://hl7.org/fhir/StructureDefinition/Specimen) | There are no (further) constraints on this element Element idObservation.specimenShort description Specimen used for this observation DefinitionThe specimen that was used when this observation was made. Should only be used if not implicit in code found in Reference(http://hl7.org/fhir/StructureDefinition/Specimen) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| device | C | 1..1 | Reference(http://www.ama-ihmi.org/fhir/StructureDefinition/AMA-IHMI-device-blood-pressure-1) | There are no (further) constraints on this element Element idObservation.deviceShort description (Measurement) Device DefinitionThe device used to generate the observation data. An extension should be used if further typing of the device is needed. Devices used to support obtaining an observation can be represented using either an extension or through the Observation.related element. Reference(http://www.ama-ihmi.org/fhir/StructureDefinition/AMA-IHMI-device-blood-pressure-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| referenceRange | C | 0..0 | BackboneElement | There are no (further) constraints on this element Element idObservation.referenceRangeShort description Provides guide for interpretation DefinitionGuidance on how to interpret the value by comparison to a normal or recommended range. Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts. Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties. BackboneElement ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| related | Σ | 0..0 | BackboneElement | There are no (further) constraints on this element Element idObservation.relatedShort description Resource related to this observation DefinitionA reference to another resource (usually another Observation) whose relationship is defined by the relationship type code. Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and a set of related observations or sometimes a QuestionnaireResponse from which the measure is derived. For a discussion on the ways Observations can assembled in groups together see Notes below. BackboneElement ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| component | Σ | 2..2 | BackboneElement | There are no (further) constraints on this element Element idObservation.componentShort description Component results DefinitionSome observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations. Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation. For a discussion on the ways Observations can be assembled in groups together see Notes below. BackboneElement SlicingUnordered, Open, by code(Value) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| (All Slices) | The requirements in this element apply to all slices | |||||
| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.component.codeShort description Type of component observation (code / type) DefinitionDescribes what was observed. Sometimes this is called the observation "code". Knowing what kind of observation is being made is essential to understanding the observation. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. CodeableConcept BindingCodes identifying names of simple observations. http://hl7.org/fhir/ValueSet/observation-codes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| value[x] | Σ C | 0..1 | There are no (further) constraints on this element Element idObservation.component.value[x]Short description Actual component result DefinitionThe information determined as a result of making the observation, if the information has a simple value. An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations. Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from http://hl7.org/fhir/ValueSet/v2-0136 (these "yes/no" concepts can be mapped to the display name "true/false" or other mutually exclusive terms that may be needed"). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (the name format is "'value' + the type name" with a capital on the first letter of the type). The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| valueQuantity | Quantity | There are no (further) constraints on this element Data typeQuantity | ||||
| valueCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data typeCodeableConcept | ||||
| valueString | string | There are no (further) constraints on this element Data typestring | ||||
| valueRange | Range | There are no (further) constraints on this element Data typeRange | ||||
| valueRatio | Ratio | There are no (further) constraints on this element Data typeRatio | ||||
| valueSampledData | SampledData | There are no (further) constraints on this element Data typeSampledData | ||||
| valueAttachment | Attachment | There are no (further) constraints on this element Data typeAttachment | ||||
| valueTime | time | There are no (further) constraints on this element Data typetime | ||||
| valueDateTime | dateTime | There are no (further) constraints on this element Data typedateTime | ||||
| valuePeriod | Period | There are no (further) constraints on this element Data typePeriod | ||||
| dataAbsentReason | C | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.component.dataAbsentReasonShort description Why the component result is missing DefinitionProvides a reason why the expected value in the element Observation.value[x] is missing. For many results it is necessary to handle exceptional values in measurements. "Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "test not done". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values. CodeableConcept BindingCodes specifying why the result (Observation.value[x]) is missing. http://hl7.org/fhir/ValueSet/observation-valueabsentreason (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, obs-6 Constraints
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| interpretation | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.component.interpretationShort description High, low, normal, etc. Alternate namesAbnormal Flag DefinitionThe assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag. For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result. The component interpretation applies only to the individual component value. For an overall interpretation all components together use thes Observation.interpretation element. CodeableConcept BindingCodes identifying interpretations of observations. http://hl7.org/fhir/ValueSet/observation-interpretation (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| referenceRange | 0..* | see (referenceRange) | There are no (further) constraints on this element Element idObservation.component.referenceRangeShort description Provides guide for interpretation of component result DefinitionGuidance on how to interpret the value by comparison to a normal or recommended range. Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts. Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.
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| SBP | Σ | 1..1 | BackboneElement | There are no (further) constraints on this element Element idObservation.component:SBPShort description Component results DefinitionSome observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations. Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation. For a discussion on the ways Observations can be assembled in groups together see Notes below. BackboneElement ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:SBP.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:SBP.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:SBP.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.component:SBP.codeShort description Type of component observation (code / type) DefinitionDescribes what was observed. Sometimes this is called the observation "code". Knowing what kind of observation is being made is essential to understanding the observation. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. CodeableConcept BindingCodes identifying names of simple observations. http://hl7.org/fhir/ValueSet/observation-codes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:SBP.code.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:SBP.code.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idObservation.component:SBP.code.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://ihmi.termspace.com/api/uri?uri=http://snomed.info/sct/3881000207102Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
4351000207102Mappings
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| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Measurement of systolic blood pressure (procedure)Mappings
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| userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.component:SBP.code.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| valueQuantity | Σ C | 1..1 | Quantity | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantityShort description Actual component result DefinitionThe information determined as a result of making the observation, if the information has a simple value. An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations. Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from http://hl7.org/fhir/ValueSet/v2-0136 (these "yes/no" concepts can be mapped to the display name "true/false" or other mutually exclusive terms that may be needed"). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (the name format is "'value' + the type name" with a capital on the first letter of the type). Quantity ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| value | Σ | 1..1 | decimal | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.valueShort description Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). decimal ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.comparatorShort description < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value. If there is no comparator, then there is no modification of the value code BindingHow the Quantity should be understood and represented. http://hl7.org/fhir/ValueSet/quantity-comparator (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| unit | Σ | 1..1 | string | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.unitShort description Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ C | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.systemShort description System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, qty-3 Constraints
http://unitsofmeasure.orgMappings
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| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.codeShort description Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
mm[Hg]Mappings
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| dataAbsentReason | C | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.component:SBP.dataAbsentReasonShort description Why the component result is missing DefinitionProvides a reason why the expected value in the element Observation.value[x] is missing. For many results it is necessary to handle exceptional values in measurements. "Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "test not done". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values. CodeableConcept BindingCodes specifying why the result (Observation.value[x]) is missing. http://hl7.org/fhir/ValueSet/observation-valueabsentreason (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, obs-6 Constraints
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| interpretation | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.component:SBP.interpretationShort description High, low, normal, etc. Alternate namesAbnormal Flag DefinitionThe assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag. For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result. The component interpretation applies only to the individual component value. For an overall interpretation all components together use thes Observation.interpretation element. CodeableConcept BindingCodes identifying interpretations of observations. http://hl7.org/fhir/ValueSet/observation-interpretation (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| referenceRange | 0..0 | see (referenceRange) | There are no (further) constraints on this element Element idObservation.component:SBP.referenceRangeShort description Provides guide for interpretation of component result DefinitionGuidance on how to interpret the value by comparison to a normal or recommended range. Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts. Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.
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| DBP | Σ | 1..1 | BackboneElement | There are no (further) constraints on this element Element idObservation.component:DBPShort description Component results DefinitionSome observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations. Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation. For a discussion on the ways Observations can be assembled in groups together see Notes below. BackboneElement ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:DBP.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:DBP.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:DBP.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.component:DBP.codeShort description Type of component observation (code / type) DefinitionDescribes what was observed. Sometimes this is called the observation "code". Knowing what kind of observation is being made is essential to understanding the observation. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. CodeableConcept BindingCodes identifying names of simple observations. http://hl7.org/fhir/ValueSet/observation-codes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:DBP.code.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:DBP.code.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idObservation.component:DBP.code.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://ihmi.termspace.com/api/uri?uri=http://snomed.info/sct/3881000207102Mappings
| ||
| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
4131000207105Mappings
| ||
| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Measurement of diastolic blood pressure (procedure)Mappings
| ||
| userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.component:DBP.code.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| valueQuantity | Σ C | 1..1 | Quantity | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantityShort description Actual component result DefinitionThe information determined as a result of making the observation, if the information has a simple value. An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations. Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from http://hl7.org/fhir/ValueSet/v2-0136 (these "yes/no" concepts can be mapped to the display name "true/false" or other mutually exclusive terms that may be needed"). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (the name format is "'value' + the type name" with a capital on the first letter of the type). Quantity ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| value | Σ | 1..1 | decimal | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.valueShort description Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). decimal ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.comparatorShort description < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value. If there is no comparator, then there is no modification of the value code BindingHow the Quantity should be understood and represented. http://hl7.org/fhir/ValueSet/quantity-comparator (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| unit | Σ | 1..1 | string | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.unitShort description Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| system | Σ C | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.systemShort description System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, qty-3 Constraints
http://unitsofmeasure.orgMappings
| ||
| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.codeShort description Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
mm[Hg]Mappings
| ||
| dataAbsentReason | C | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.component:DBP.dataAbsentReasonShort description Why the component result is missing DefinitionProvides a reason why the expected value in the element Observation.value[x] is missing. For many results it is necessary to handle exceptional values in measurements. "Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "test not done". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values. CodeableConcept BindingCodes specifying why the result (Observation.value[x]) is missing. http://hl7.org/fhir/ValueSet/observation-valueabsentreason (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, obs-6 Constraints
| ||
| interpretation | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.component:DBP.interpretationShort description High, low, normal, etc. Alternate namesAbnormal Flag DefinitionThe assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag. For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result. The component interpretation applies only to the individual component value. For an overall interpretation all components together use thes Observation.interpretation element. CodeableConcept BindingCodes identifying interpretations of observations. http://hl7.org/fhir/ValueSet/observation-interpretation (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| referenceRange | 0..0 | see (referenceRange) | There are no (further) constraints on this element Element idObservation.component:DBP.referenceRangeShort description Provides guide for interpretation of component result DefinitionGuidance on how to interpret the value by comparison to a normal or recommended range. Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts. Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.
|
Table
| Observation | 0..* | |
| Observation.id | id | 0..1 |
| Observation.meta | Meta | 0..1 |
| Observation.implicitRules | uri | 0..1 |
| Observation.language | code | 0..1 |
| Observation.text | Narrative | 0..1 |
| Observation.contained | Resource | 0..* |
| Observation.extension | Extension | 0..* |
| Observation.extension:bodyPosition | Extension | 1..1 |
| Observation.extension:bodyPosition.id | string | 0..1 |
| Observation.extension:bodyPosition.extension | Extension | 0..* |
| Observation.extension:bodyPosition.url | uri | 1..1 |
| Observation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept | CodeableConcept | 1..1 |
| Observation.extension:bodyPosition.value[x]:valueCodeableConcept.id | string | 0..1 |
| Observation.extension:bodyPosition.value[x]:valueCodeableConcept.extension | Extension | 0..* |
| Observation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.coding | Coding | 1..1 |
| Observation.extension:bodyPosition.value[x]:valueCodeableConcept.coding.id | string | 0..1 |
| Observation.extension:bodyPosition.value[x]:valueCodeableConcept.coding.extension | Extension | 0..* |
| Observation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.coding.system | uri | 1..1 |
| Observation.extension:bodyPosition.value[x]:valueCodeableConcept.coding.version | string | 0..1 |
| Observation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.coding.code | code | 1..1 |
| Observation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.coding.display | string | 1..1 |
| Observation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.coding.userSelected | boolean | 0..0 |
| Observation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.text | string | 0..0 |
| Observation.extension:exertionalStatus | Extension | 1..1 |
| Observation.extension:exertionalStatus.id | string | 0..1 |
| Observation.extension:exertionalStatus.extension | Extension | 0..* |
| Observation.extension:exertionalStatus.url | uri | 1..1 |
| Observation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept | CodeableConcept | 1..1 |
| Observation.extension:exertionalStatus.value[x]:valueCodeableConcept.id | string | 0..1 |
| Observation.extension:exertionalStatus.value[x]:valueCodeableConcept.extension | Extension | 0..* |
| Observation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.coding | Coding | 1..1 |
| Observation.extension:exertionalStatus.value[x]:valueCodeableConcept.coding.id | string | 0..1 |
| Observation.extension:exertionalStatus.value[x]:valueCodeableConcept.coding.extension | Extension | 0..* |
| Observation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.coding.system | uri | 1..1 |
| Observation.extension:exertionalStatus.value[x]:valueCodeableConcept.coding.version | string | 0..1 |
| Observation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.coding.code | code | 1..1 |
| Observation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.coding.display | string | 1..1 |
| Observation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.coding.userSelected | boolean | 0..0 |
| Observation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.text | string | 0..0 |
| Observation.modifierExtension | Extension | 0..* |
| Observation.identifier | Identifier | 0..* |
| Observation.basedOn | Reference(http://hl7.org/fhir/StructureDefinition/CarePlan | http://hl7.org/fhir/StructureDefinition/DeviceRequest | http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation | http://hl7.org/fhir/StructureDefinition/MedicationRequest | http://hl7.org/fhir/StructureDefinition/NutritionOrder | http://hl7.org/fhir/StructureDefinition/ProcedureRequest | http://hl7.org/fhir/StructureDefinition/ReferralRequest) | 0..0 |
| Observation.status | code | 1..1 |
| Observation.category | CodeableConcept | 1..1 |
| Observation.category:vitalSigns | CodeableConcept | 1..1 |
| Observation.category:vitalSigns.id | string | 0..1 |
| Observation.category:vitalSigns.extension | Extension | 0..* |
| Observation.category:vitalSigns.coding | Coding | 1..* |
| Observation.category:vitalSigns.coding.id | string | 0..1 |
| Observation.category:vitalSigns.coding.extension | Extension | 0..* |
| Observation.category:vitalSigns.coding.system | uri | 1..1 |
| Observation.category:vitalSigns.coding.version | string | 0..1 |
| Observation.category:vitalSigns.coding.code | code | 1..1 |
| Observation.category:vitalSigns.coding.display | string | 1..1 |
| Observation.category:vitalSigns.coding.userSelected | boolean | 0..0 |
| Observation.category:vitalSigns.text | string | 0..0 |
| Observation.code | CodeableConcept | 1..1 |
| Observation.code.id | string | 0..1 |
| Observation.code.extension | Extension | 0..* |
| Observation.code.coding | Coding | 1..1 |
| Observation.code.coding.id | string | 0..1 |
| Observation.code.coding.extension | Extension | 0..* |
| Observation.code.coding.system | uri | 1..1 |
| Observation.code.coding.version | string | 0..1 |
| Observation.code.coding.code | code | 1..1 |
| Observation.code.coding.display | string | 1..1 |
| Observation.code.coding.userSelected | boolean | 0..0 |
| Observation.code.text | string | 0..0 |
| Observation.subject | Reference(http://hl7.org/fhir/StructureDefinition/Patient) | 1..1 |
| Observation.context | Reference(http://hl7.org/fhir/StructureDefinition/Encounter) | 0..1 |
| Observation.effective[x]:effectiveDateTime | dateTime | 1..1 |
| Observation.issued | instant | 0..0 |
| Observation.performer | Reference(http://hl7.org/fhir/StructureDefinition/Practitioner | http://hl7.org/fhir/StructureDefinition/Organization | http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/StructureDefinition/RelatedPerson) | 0..* |
| Observation.value[x] | Quantity, CodeableConcept, string, boolean, Range, Ratio, SampledData, Attachment, time, dateTime, Period | 0..0 |
| Observation.dataAbsentReason | CodeableConcept | 0..0 |
| Observation.interpretation | CodeableConcept | 0..0 |
| Observation.comment | string | 0..0 |
| Observation.bodySite | CodeableConcept | 1..1 |
| Observation.bodySite.id | string | 0..1 |
| Observation.bodySite.extension | Extension | 0..* |
| Observation.bodySite.coding | Coding | 1..1 |
| Observation.bodySite.coding.id | string | 0..1 |
| Observation.bodySite.coding.extension | Extension | 0..* |
| Observation.bodySite.coding.system | uri | 1..1 |
| Observation.bodySite.coding.version | string | 0..1 |
| Observation.bodySite.coding.code | code | 1..1 |
| Observation.bodySite.coding.display | string | 1..1 |
| Observation.bodySite.coding.userSelected | boolean | 0..1 |
| Observation.bodySite.text | string | 0..0 |
| Observation.method | CodeableConcept | 0..0 |
| Observation.method.id | string | 0..1 |
| Observation.method.extension | Extension | 0..* |
| Observation.method.coding | Coding | 0..* |
| Observation.method.text | string | 0..0 |
| Observation.specimen | Reference(http://hl7.org/fhir/StructureDefinition/Specimen) | 0..0 |
| Observation.device | Reference(http://www.ama-ihmi.org/fhir/StructureDefinition/AMA-IHMI-device-blood-pressure-1) | 1..1 |
| Observation.referenceRange | BackboneElement | 0..0 |
| Observation.referenceRange.id | string | 0..1 |
| Observation.referenceRange.extension | Extension | 0..* |
| Observation.referenceRange.modifierExtension | Extension | 0..* |
| Observation.referenceRange.low | http://hl7.org/fhir/StructureDefinition/SimpleQuantity | 0..1 |
| Observation.referenceRange.high | http://hl7.org/fhir/StructureDefinition/SimpleQuantity | 0..1 |
| Observation.referenceRange.type | CodeableConcept | 0..1 |
| Observation.referenceRange.appliesTo | CodeableConcept | 0..* |
| Observation.referenceRange.age | Range | 0..1 |
| Observation.referenceRange.text | string | 0..1 |
| Observation.related | BackboneElement | 0..0 |
| Observation.related.id | string | 0..1 |
| Observation.related.extension | Extension | 0..* |
| Observation.related.modifierExtension | Extension | 0..* |
| Observation.related.type | code | 0..1 |
| Observation.related.target | Reference(http://hl7.org/fhir/StructureDefinition/Observation | http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse | http://hl7.org/fhir/StructureDefinition/Sequence) | 1..1 |
| Observation.component | BackboneElement | 2..2 |
| Observation.component.id | string | 0..1 |
| Observation.component.extension | Extension | 0..* |
| Observation.component.modifierExtension | Extension | 0..* |
| Observation.component.code | CodeableConcept | 1..1 |
| Observation.component.value[x] | Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, Period | 0..1 |
| Observation.component.dataAbsentReason | CodeableConcept | 0..1 |
| Observation.component.interpretation | CodeableConcept | 0..1 |
| Observation.component.referenceRange | 0..* | |
| Observation.component:SBP | BackboneElement | 1..1 |
| Observation.component:SBP.id | string | 0..1 |
| Observation.component:SBP.extension | Extension | 0..* |
| Observation.component:SBP.modifierExtension | Extension | 0..* |
| Observation.component:SBP.code | CodeableConcept | 1..1 |
| Observation.component:SBP.code.id | string | 0..1 |
| Observation.component:SBP.code.extension | Extension | 0..* |
| Observation.component:SBP.code.coding | Coding | 1..1 |
| Observation.component:SBP.code.coding.id | string | 0..1 |
| Observation.component:SBP.code.coding.extension | Extension | 0..* |
| Observation.component:SBP.code.coding.system | uri | 1..1 |
| Observation.component:SBP.code.coding.version | string | 0..1 |
| Observation.component:SBP.code.coding.code | code | 1..1 |
| Observation.component:SBP.code.coding.display | string | 1..1 |
| Observation.component:SBP.code.coding.userSelected | boolean | 0..0 |
| Observation.component:SBP.code.text | string | 0..0 |
| Observation.component:SBP.value[x]:valueQuantity | Quantity | 1..1 |
| Observation.component:SBP.value[x]:valueQuantity.id | string | 0..1 |
| Observation.component:SBP.value[x]:valueQuantity.extension | Extension | 0..* |
| Observation.component:SBP.value[x]:valueQuantity.value | decimal | 1..1 |
| Observation.component:SBP.value[x]:valueQuantity.comparator | code | 0..0 |
| Observation.component:SBP.value[x]:valueQuantity.unit | string | 1..1 |
| Observation.component:SBP.value[x]:valueQuantity.system | uri | 1..1 |
| Observation.component:SBP.value[x]:valueQuantity.code | code | 1..1 |
| Observation.component:SBP.dataAbsentReason | CodeableConcept | 0..0 |
| Observation.component:SBP.interpretation | CodeableConcept | 0..0 |
| Observation.component:SBP.referenceRange | 0..0 | |
| Observation.component:DBP | BackboneElement | 1..1 |
| Observation.component:DBP.id | string | 0..1 |
| Observation.component:DBP.extension | Extension | 0..* |
| Observation.component:DBP.modifierExtension | Extension | 0..* |
| Observation.component:DBP.code | CodeableConcept | 1..1 |
| Observation.component:DBP.code.id | string | 0..1 |
| Observation.component:DBP.code.extension | Extension | 0..* |
| Observation.component:DBP.code.coding | Coding | 1..1 |
| Observation.component:DBP.code.coding.id | string | 0..1 |
| Observation.component:DBP.code.coding.extension | Extension | 0..* |
| Observation.component:DBP.code.coding.system | uri | 1..1 |
| Observation.component:DBP.code.coding.version | string | 0..1 |
| Observation.component:DBP.code.coding.code | code | 1..1 |
| Observation.component:DBP.code.coding.display | string | 1..1 |
| Observation.component:DBP.code.coding.userSelected | boolean | 0..0 |
| Observation.component:DBP.code.text | string | 0..0 |
| Observation.component:DBP.value[x]:valueQuantity | Quantity | 1..1 |
| Observation.component:DBP.value[x]:valueQuantity.id | string | 0..1 |
| Observation.component:DBP.value[x]:valueQuantity.extension | Extension | 0..* |
| Observation.component:DBP.value[x]:valueQuantity.value | decimal | 1..1 |
| Observation.component:DBP.value[x]:valueQuantity.comparator | code | 0..0 |
| Observation.component:DBP.value[x]:valueQuantity.unit | string | 1..1 |
| Observation.component:DBP.value[x]:valueQuantity.system | uri | 1..1 |
| Observation.component:DBP.value[x]:valueQuantity.code | code | 1..1 |
| Observation.component:DBP.dataAbsentReason | CodeableConcept | 0..0 |
| Observation.component:DBP.interpretation | CodeableConcept | 0..0 |
| Observation.component:DBP.referenceRange | 0..0 |
Structure
| AMA-IHMI-observation-blood-pressure-3 (Observation) | C | http://hl7.org/fhir/StructureDefinition/Observation | There are no (further) constraints on this element Element idObservationShort description Measurements and simple assertions Alternate namesVital Signs, Measurement, Results, Tests DefinitionMeasurements and simple assertions made about a patient, device or other subject. Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as lab reports, etc. http://hl7.org/fhir/StructureDefinition/Observation Constraints
| |||
| id | Σ | 0..1 | id | There are no (further) constraints on this element Element idObservation.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. id ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idObservation.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. Meta ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idObservation.implicitRulesShort description A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idObservation.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). code BindingA human language. http://hl7.org/fhir/ValueSet/languages (extensible) Binding extensions
The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| text | C | 0..1 | Narrative | There are no (further) constraints on this element Element idObservation.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. Narrative ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, dom-1 Constraints
| ||
| contained | 0..* | Resource | There are no (further) constraints on this element Element idObservation.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Resource Mappings
| |||
| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| bodyPosition | C | 1..1 | Extension | There are no (further) constraints on this element Element idObservation.extension:bodyPositionShort description The body position during the observation. Alternate namesextensions, user content DefinitionThe position of the body when the observation was done, e.g. standing, sitting. To be used only when the body position is not precoordinated in the observation code. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension Extension URLhttp://hl7.org/fhir/StructureDefinition/observation-bodyPosition ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://hl7.org/fhir/StructureDefinition/observation-bodyPositionMappings
| |||
| valueCodeableConcept | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConceptShort description Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded CodeableConcept ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.value[x]:valueCodeableConcept.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.value[x]:valueCodeableConcept.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.value[x]:valueCodeableConcept.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.value[x]:valueCodeableConcept.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://ihmi.termspace.com/api/uri?uri=http://snomed.info/sct/3881000207102Mappings
| ||
| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.value[x]:valueCodeableConcept.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
33586001Mappings
| ||
| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Sitting position (finding)Mappings
| ||
| userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.extension:bodyPosition.valueCodeableConcept:valueCodeableConcept.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| exertionalStatus | C | 1..1 | Extension | There are no (further) constraints on this element Element idObservation.extension:exertionalStatusShort description The state of exertion preceding or during the observation. Alternate namesextensions, user content DefinitionThe state of exertion (e.g., resting state) preceding and/or during the observation. To be used only when the exertional state is not precoordinated in the observation code. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension Extension URLhttp://www.ama-ihmi.org/fhir/StructureDefinition/observation-exertionalStatus ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.urlShort description identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://www.ama-ihmi.org/fhir/StructureDefinition/observation-exertionalStatusMappings
| |||
| valueCodeableConcept | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConceptShort description Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded CodeableConcept ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.value[x]:valueCodeableConcept.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.value[x]:valueCodeableConcept.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.value[x]:valueCodeableConcept.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.value[x]:valueCodeableConcept.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://ihmi.termspace.com/api/uri?uri=http://snomed.info/sct/3881000207102Mappings
| ||
| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.value[x]:valueCodeableConcept.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
128975004Mappings
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| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Resting state (finding)Mappings
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| userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.extension:exertionalStatus.valueCodeableConcept:valueCodeableConcept.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idObservation.identifierShort description Business Identifier for observation DefinitionA unique identifier assigned to this observation. Allows observations to be distinguished and referenced. Identifier ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| basedOn | Σ C | 0..0 | Reference(http://hl7.org/fhir/StructureDefinition/CarePlan | http://hl7.org/fhir/StructureDefinition/DeviceRequest | http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation | http://hl7.org/fhir/StructureDefinition/MedicationRequest | http://hl7.org/fhir/StructureDefinition/NutritionOrder | http://hl7.org/fhir/StructureDefinition/ProcedureRequest | http://hl7.org/fhir/StructureDefinition/ReferralRequest) | There are no (further) constraints on this element Element idObservation.basedOnShort description Fulfills plan, proposal or order Alternate namesFulfills DefinitionA plan, proposal or order that is fulfilled in whole or in part by this event. Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(http://hl7.org/fhir/StructureDefinition/CarePlan | http://hl7.org/fhir/StructureDefinition/DeviceRequest | http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation | http://hl7.org/fhir/StructureDefinition/MedicationRequest | http://hl7.org/fhir/StructureDefinition/NutritionOrder | http://hl7.org/fhir/StructureDefinition/ProcedureRequest | http://hl7.org/fhir/StructureDefinition/ReferralRequest) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| status | Σ ?! | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element idObservation.statusShort description registered | preliminary | final | amended + DefinitionThe status of the result value. Need to track the status of individual results. Some results are finalized before the whole report is finalized. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. code BindingCodes providing the status of an observation. http://hl7.org/fhir/ValueSet/observation-status (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
finalMappings
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| category | 1..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.categoryShort description Classification of type of observation DefinitionA code that classifies the general type of observation being made. Used for filtering what observations are retrieved and displayed. In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set. CodeableConcept SlicingUnordered, Open, by coding.system(Value), coding.code(Value) BindingCodes for high level observation categories. http://hl7.org/fhir/ValueSet/observation-category (preferred) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| vitalSigns | 1..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.category:vitalSignsShort description Classification of type of observation DefinitionA code that classifies the general type of observation being made. Used for filtering what observations are retrieved and displayed. In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set. CodeableConcept BindingCodes for high level observation categories. http://hl7.org/fhir/ValueSet/observation-category (preferred) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.category:vitalSigns.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.category:vitalSigns.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 1..* | Coding | There are no (further) constraints on this element Element idObservation.category:vitalSigns.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://hl7.org/fhir/observation-categoryMappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
vital-signsMappings
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| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Vital SignsMappings
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| userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idObservation.category:vitalSigns.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.category:vitalSigns.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.codeShort description Type of observation (code / type) Alternate namesName DefinitionDescribes what was observed. Sometimes this is called the observation "name". Knowing what kind of observation is being made is essential to understanding the observation. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. CodeableConcept BindingCodes identifying names of simple observations. http://hl7.org/fhir/ValueSet/observation-codes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.code.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.code.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idObservation.code.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.code.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.code.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.code.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://ihmi.termspace.com/api/uri?uri=http://snomed.info/sct/3881000207102Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.code.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.code.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
4011000207100Mappings
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| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.code.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Measurement of blood pressure (procedure)Mappings
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| userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idObservation.code.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.code.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| subject | Σ C | 1..1 | Reference(http://hl7.org/fhir/StructureDefinition/Patient) | There are no (further) constraints on this element Element idObservation.subjectShort description Who this is about DefinitionThe patient whose characteristics (direct or indirect) are described by the observation and into whose record the observation is placed. Comments: Indirect characteristics may be those of a specimen, fetus, donor, other observer (for example a relative or EMT), or any observation made about the subject. Observations have no value if you don't know who or what they're about. One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated. If the target of the observation is different than the subject, the general extension observation-focal-subject. may be used. However, the distinction between the patient's own value for an observation versus that of the fetus, or the donor or blood product unit, etc., are often specified in the observation code. Reference(http://hl7.org/fhir/StructureDefinition/Patient) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| context | C | 0..1 | Reference(http://hl7.org/fhir/StructureDefinition/Encounter) | There are no (further) constraints on this element Element idObservation.contextShort description Healthcare event during which this observation is made Alternate namesEncounter DefinitionThe healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made. For some observations it may be important to know the link between an observation and a particular encounter. This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests). Reference(http://hl7.org/fhir/StructureDefinition/Encounter) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| effectiveDateTime | Σ | 1..1 | dateTime | There are no (further) constraints on this element Element idObservation.effective[x]:effectiveDateTimeShort description Clinically relevant time/time-period for observation Alternate namesOccurrence DefinitionThe time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the "physiologically relevant time". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself. Knowing when an observation was deemed true is important to its relevance as well as determining trends. At least a date should be present unless this observation is a historical report. dateTime ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| issued | Σ | 0..0 | instant | There are no (further) constraints on this element Element idObservation.issuedShort description Date/Time this was made available DefinitionThe date and time this observation was made available to providers, typically after the results have been reviewed and verified. Updated when the result is updated. instant ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| performer | Σ C | 0..* | Reference(http://hl7.org/fhir/StructureDefinition/Practitioner | http://hl7.org/fhir/StructureDefinition/Organization | http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/StructureDefinition/RelatedPerson) | There are no (further) constraints on this element Element idObservation.performerShort description Who/what is responsible for the observation DefinitionWho or what was responsible for asserting the observed value as "true". May give a degree of confidence in the observation and also indicates where follow-up questions should be directed. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(http://hl7.org/fhir/StructureDefinition/Practitioner | http://hl7.org/fhir/StructureDefinition/Organization | http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/StructureDefinition/RelatedPerson) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| value[x] | Σ C | 0..0 | There are no (further) constraints on this element Element idObservation.value[x]Short description Actual result DefinitionThe information determined as a result of making the observation, if the information has a simple value. An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations. Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is "'value' + the type name" with a capital on the first letter of the type). If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For further discussion and examples see the notes section below. The cardinality or value of this element may be affected by these constraints: ele-1, obs-7 Constraints
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| dataAbsentReason | C | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.dataAbsentReasonShort description Why the result is missing DefinitionProvides a reason why the expected value in the element Observation.value[x] is missing. For many results it is necessary to handle exceptional values in measurements. Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "specimen unsatisfactory". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values. CodeableConcept BindingCodes specifying why the result (Observation.value[x]) is missing. http://hl7.org/fhir/ValueSet/observation-valueabsentreason (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, obs-6 Constraints
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| interpretation | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.interpretationShort description High, low, normal, etc. Alternate namesAbnormal Flag DefinitionThe assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag. For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. CodeableConcept BindingCodes identifying interpretations of observations. http://hl7.org/fhir/ValueSet/observation-interpretation (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| comment | 0..0 | string | There are no (further) constraints on this element Element idObservation.commentShort description Comments about result DefinitionMay include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result. Need to be able to provide free text additional information. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| bodySite | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.bodySiteShort description Observed body part DefinitionIndicates the site on the subject's body where the observation was made (i.e. the target site). Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension body-site-instance. CodeableConcept BindingCodes describing anatomical locations. May include laterality. http://hl7.org/fhir/ValueSet/body-site (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.bodySite.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.bodySite.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idObservation.bodySite.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.bodySite.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.bodySite.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.bodySite.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://ihmi.termspace.com/api/uri?uri=http://snomed.info/sct/3881000207102Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.bodySite.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element idObservation.bodySite.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code Bindinghttp://www.ama-ihmi.org/fhir/ValueSet/AMA-IHMI-valueSet-body-structure-1-instance (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.bodySite.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
American Medical Association Integrated Health Model Initiative, body structure, refset 1, simple type reference set (foundation metadata concept)Mappings
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idObservation.bodySite.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.bodySite.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| method | 0..0 | CodeableConcept | There are no (further) constraints on this element Element idObservation.methodShort description How it was done DefinitionIndicates the mechanism used to perform the observation. In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results. Only used if not implicit in code for Observation.code. CodeableConcept BindingMethods for simple observations. http://hl7.org/fhir/ValueSet/observation-methods (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| specimen | C | 0..0 | Reference(http://hl7.org/fhir/StructureDefinition/Specimen) | There are no (further) constraints on this element Element idObservation.specimenShort description Specimen used for this observation DefinitionThe specimen that was used when this observation was made. Should only be used if not implicit in code found in Reference(http://hl7.org/fhir/StructureDefinition/Specimen) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| device | C | 1..1 | Reference(http://www.ama-ihmi.org/fhir/StructureDefinition/AMA-IHMI-device-blood-pressure-1) | There are no (further) constraints on this element Element idObservation.deviceShort description (Measurement) Device DefinitionThe device used to generate the observation data. An extension should be used if further typing of the device is needed. Devices used to support obtaining an observation can be represented using either an extension or through the Observation.related element. Reference(http://www.ama-ihmi.org/fhir/StructureDefinition/AMA-IHMI-device-blood-pressure-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| referenceRange | C | 0..0 | BackboneElement | There are no (further) constraints on this element Element idObservation.referenceRangeShort description Provides guide for interpretation DefinitionGuidance on how to interpret the value by comparison to a normal or recommended range. Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts. Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties. BackboneElement ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| related | Σ | 0..0 | BackboneElement | There are no (further) constraints on this element Element idObservation.relatedShort description Resource related to this observation DefinitionA reference to another resource (usually another Observation) whose relationship is defined by the relationship type code. Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and a set of related observations or sometimes a QuestionnaireResponse from which the measure is derived. For a discussion on the ways Observations can assembled in groups together see Notes below. BackboneElement ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| component | Σ | 2..2 | BackboneElement | There are no (further) constraints on this element Element idObservation.componentShort description Component results DefinitionSome observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations. Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation. For a discussion on the ways Observations can be assembled in groups together see Notes below. BackboneElement SlicingUnordered, Open, by code(Value) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| (All Slices) | The requirements in this element apply to all slices | |||||
| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.component.codeShort description Type of component observation (code / type) DefinitionDescribes what was observed. Sometimes this is called the observation "code". Knowing what kind of observation is being made is essential to understanding the observation. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. CodeableConcept BindingCodes identifying names of simple observations. http://hl7.org/fhir/ValueSet/observation-codes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| value[x] | Σ C | 0..1 | There are no (further) constraints on this element Element idObservation.component.value[x]Short description Actual component result DefinitionThe information determined as a result of making the observation, if the information has a simple value. An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations. Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from http://hl7.org/fhir/ValueSet/v2-0136 (these "yes/no" concepts can be mapped to the display name "true/false" or other mutually exclusive terms that may be needed"). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (the name format is "'value' + the type name" with a capital on the first letter of the type). The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| valueQuantity | Quantity | There are no (further) constraints on this element Data typeQuantity | ||||
| valueCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data typeCodeableConcept | ||||
| valueString | string | There are no (further) constraints on this element Data typestring | ||||
| valueRange | Range | There are no (further) constraints on this element Data typeRange | ||||
| valueRatio | Ratio | There are no (further) constraints on this element Data typeRatio | ||||
| valueSampledData | SampledData | There are no (further) constraints on this element Data typeSampledData | ||||
| valueAttachment | Attachment | There are no (further) constraints on this element Data typeAttachment | ||||
| valueTime | time | There are no (further) constraints on this element Data typetime | ||||
| valueDateTime | dateTime | There are no (further) constraints on this element Data typedateTime | ||||
| valuePeriod | Period | There are no (further) constraints on this element Data typePeriod | ||||
| dataAbsentReason | C | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.component.dataAbsentReasonShort description Why the component result is missing DefinitionProvides a reason why the expected value in the element Observation.value[x] is missing. For many results it is necessary to handle exceptional values in measurements. "Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "test not done". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values. CodeableConcept BindingCodes specifying why the result (Observation.value[x]) is missing. http://hl7.org/fhir/ValueSet/observation-valueabsentreason (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, obs-6 Constraints
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| interpretation | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.component.interpretationShort description High, low, normal, etc. Alternate namesAbnormal Flag DefinitionThe assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag. For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result. The component interpretation applies only to the individual component value. For an overall interpretation all components together use thes Observation.interpretation element. CodeableConcept BindingCodes identifying interpretations of observations. http://hl7.org/fhir/ValueSet/observation-interpretation (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| referenceRange | 0..* | see (referenceRange) | There are no (further) constraints on this element Element idObservation.component.referenceRangeShort description Provides guide for interpretation of component result DefinitionGuidance on how to interpret the value by comparison to a normal or recommended range. Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts. Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.
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| SBP | Σ | 1..1 | BackboneElement | There are no (further) constraints on this element Element idObservation.component:SBPShort description Component results DefinitionSome observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations. Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation. For a discussion on the ways Observations can be assembled in groups together see Notes below. BackboneElement ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:SBP.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:SBP.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:SBP.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.component:SBP.codeShort description Type of component observation (code / type) DefinitionDescribes what was observed. Sometimes this is called the observation "code". Knowing what kind of observation is being made is essential to understanding the observation. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. CodeableConcept BindingCodes identifying names of simple observations. http://hl7.org/fhir/ValueSet/observation-codes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:SBP.code.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:SBP.code.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idObservation.component:SBP.code.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://ihmi.termspace.com/api/uri?uri=http://snomed.info/sct/3881000207102Mappings
| ||
| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
4351000207102Mappings
| ||
| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Measurement of systolic blood pressure (procedure)Mappings
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| userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idObservation.component:SBP.code.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.component:SBP.code.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| valueQuantity | Σ C | 1..1 | Quantity | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantityShort description Actual component result DefinitionThe information determined as a result of making the observation, if the information has a simple value. An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations. Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from http://hl7.org/fhir/ValueSet/v2-0136 (these "yes/no" concepts can be mapped to the display name "true/false" or other mutually exclusive terms that may be needed"). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (the name format is "'value' + the type name" with a capital on the first letter of the type). Quantity ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| value | Σ | 1..1 | decimal | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.valueShort description Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). decimal ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.comparatorShort description < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value. If there is no comparator, then there is no modification of the value code BindingHow the Quantity should be understood and represented. http://hl7.org/fhir/ValueSet/quantity-comparator (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| unit | Σ | 1..1 | string | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.unitShort description Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ C | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.systemShort description System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, qty-3 Constraints
http://unitsofmeasure.orgMappings
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| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.component:SBP.value[x]:valueQuantity.codeShort description Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
mm[Hg]Mappings
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| dataAbsentReason | C | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.component:SBP.dataAbsentReasonShort description Why the component result is missing DefinitionProvides a reason why the expected value in the element Observation.value[x] is missing. For many results it is necessary to handle exceptional values in measurements. "Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "test not done". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values. CodeableConcept BindingCodes specifying why the result (Observation.value[x]) is missing. http://hl7.org/fhir/ValueSet/observation-valueabsentreason (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, obs-6 Constraints
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| interpretation | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.component:SBP.interpretationShort description High, low, normal, etc. Alternate namesAbnormal Flag DefinitionThe assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag. For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result. The component interpretation applies only to the individual component value. For an overall interpretation all components together use thes Observation.interpretation element. CodeableConcept BindingCodes identifying interpretations of observations. http://hl7.org/fhir/ValueSet/observation-interpretation (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| referenceRange | 0..0 | see (referenceRange) | There are no (further) constraints on this element Element idObservation.component:SBP.referenceRangeShort description Provides guide for interpretation of component result DefinitionGuidance on how to interpret the value by comparison to a normal or recommended range. Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts. Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.
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| DBP | Σ | 1..1 | BackboneElement | There are no (further) constraints on this element Element idObservation.component:DBPShort description Component results DefinitionSome observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations. Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation. For a discussion on the ways Observations can be assembled in groups together see Notes below. BackboneElement ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:DBP.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:DBP.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:DBP.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idObservation.component:DBP.codeShort description Type of component observation (code / type) DefinitionDescribes what was observed. Sometimes this is called the observation "code". Knowing what kind of observation is being made is essential to understanding the observation. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. CodeableConcept BindingCodes identifying names of simple observations. http://hl7.org/fhir/ValueSet/observation-codes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:DBP.code.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:DBP.code.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idObservation.component:DBP.code.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Coding ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://ihmi.termspace.com/api/uri?uri=http://snomed.info/sct/3881000207102Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.versionShort description Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.codeShort description Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
4131000207105Mappings
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| display | Σ | 1..1 | stringFixed Value | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.displayShort description Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Measurement of diastolic blood pressure (procedure)Mappings
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| userSelected | Σ | 0..0 | boolean | There are no (further) constraints on this element Element idObservation.component:DBP.code.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. boolean ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..0 | string | There are no (further) constraints on this element Element idObservation.component:DBP.code.textShort description Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings. string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| valueQuantity | Σ C | 1..1 | Quantity | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantityShort description Actual component result DefinitionThe information determined as a result of making the observation, if the information has a simple value. An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations. Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from http://hl7.org/fhir/ValueSet/v2-0136 (these "yes/no" concepts can be mapped to the display name "true/false" or other mutually exclusive terms that may be needed"). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (the name format is "'value' + the type name" with a capital on the first letter of the type). Quantity ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension SlicingUnordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| value | Σ | 1..1 | decimal | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.valueShort description Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). decimal ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.comparatorShort description < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value. If there is no comparator, then there is no modification of the value code BindingHow the Quantity should be understood and represented. http://hl7.org/fhir/ValueSet/quantity-comparator (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| unit | Σ | 1..1 | string | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.unitShort description Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings may not exceed 1MB in size string ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| system | Σ C | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.systemShort description System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier uri ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, qty-3 Constraints
http://unitsofmeasure.orgMappings
| ||
| code | Σ | 1..1 | codeFixed Value | There are no (further) constraints on this element Element idObservation.component:DBP.value[x]:valueQuantity.codeShort description Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. code ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
mm[Hg]Mappings
| ||
| dataAbsentReason | C | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.component:DBP.dataAbsentReasonShort description Why the component result is missing DefinitionProvides a reason why the expected value in the element Observation.value[x] is missing. For many results it is necessary to handle exceptional values in measurements. "Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "test not done". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values. CodeableConcept BindingCodes specifying why the result (Observation.value[x]) is missing. http://hl7.org/fhir/ValueSet/observation-valueabsentreason (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, obs-6 Constraints
| ||
| interpretation | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idObservation.component:DBP.interpretationShort description High, low, normal, etc. Alternate namesAbnormal Flag DefinitionThe assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag. For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result. The component interpretation applies only to the individual component value. For an overall interpretation all components together use thes Observation.interpretation element. CodeableConcept BindingCodes identifying interpretations of observations. http://hl7.org/fhir/ValueSet/observation-interpretation (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| referenceRange | 0..0 | see (referenceRange) | There are no (further) constraints on this element Element idObservation.component:DBP.referenceRangeShort description Provides guide for interpretation of component result DefinitionGuidance on how to interpret the value by comparison to a normal or recommended range. Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts. Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.
|