Profiles & Operations > Profile: Observation

Profile: Observation

Canonical URL:http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-profile-Observation

Simplifier project page: Observation

Derived from: Observation (R4)

Formal Views of Profile Content

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

Differential View

idΣ0..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceΣ0..1uri
profileS Σ1..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
id0..1string
extensionI0..*Extension
referenceS Σ I0..1string
typeΣ0..1uriBinding
identifierΣ0..1Identifier
displayS Σ0..1string
statusS Σ ?!1..1codeBinding
category0..*CodeableConceptBinding
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1codeBinding
displayS Σ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectΣ I0..1Reference(Patient | Group | Device | Location)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
effectivePeriodPeriod
effectiveTimingTiming
effectiveInstantinstant
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1codeBinding
displayS Σ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..1CodeableConcept
method0..1CodeableConcept
specimenI0..1Reference(Specimen)
deviceI0..1Reference(Device | DeviceMetric)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConcept
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)

Hybrid View

idΣ0..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceΣ0..1uri
profileS Σ1..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
id0..1string
extensionI0..*Extension
referenceS Σ I0..1string
typeΣ0..1uriBinding
identifierΣ0..1Identifier
displayS Σ0..1string
statusS Σ ?!1..1codeBinding
category0..*CodeableConceptBinding
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1codeBinding
displayS Σ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectΣ I0..1Reference(Patient | Group | Device | Location)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
effectivePeriodPeriod
effectiveTimingTiming
effectiveInstantinstant
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1codeBinding
displayS Σ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..1CodeableConcept
method0..1CodeableConcept
specimenI0..1Reference(Specimen)
deviceI0..1Reference(Device | DeviceMetric)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConcept
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)

Snapshot View

idΣ0..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceΣ0..1uri
profileS Σ1..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
id0..1string
extensionI0..*Extension
referenceS Σ I0..1string
typeΣ0..1uriBinding
identifierΣ0..1Identifier
displayS Σ0..1string
statusS Σ ?!1..1codeBinding
category0..*CodeableConceptBinding
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1codeBinding
displayS Σ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectΣ I0..1Reference(Patient | Group | Device | Location)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
effectivePeriodPeriod
effectiveTimingTiming
effectiveInstantinstant
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1codeBinding
displayS Σ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..1CodeableConcept
method0..1CodeableConcept
specimenI0..1Reference(Specimen)
deviceI0..1Reference(Device | DeviceMetric)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConcept
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)

Table View

Observation..
Observation.meta1..
Observation.meta.profile1..
Observation.partOfReference(Procedure)1..1
Observation.partOf.reference..
Observation.partOf.display..
Observation.status..
Observation.code..
Observation.code.coding1..1
Observation.code.coding.system1..
Observation.code.coding.code1..
Observation.code.coding.display..
Observation.subject..
Observation.value[x]CodeableConcept1..
Observation.value[x].coding1..1
Observation.value[x].coding.system1..
Observation.value[x].coding.code1..
Observation.value[x].coding.display..

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "ca-on-seris-profile-Observation",
    "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-profile-Observation",
    "version": "1.0.0",
    "name": "Observation",
    "title": "Observation",
    "status": "draft",
    "date": "2023-02-28",
    "publisher": "Ontario Health",
    "contact":  [
        {
            "name": "Ontario Health",
            "telecom":  [
                {
                    "system": "url",
                    "value": "http://ontariohealth.ca/fhir/"
                },
                {
                    "system": "email",
                    "value": "some.email@ontariohealth.ca"
                }
            ]
        }
    ],
    "description": "An Observation is used to record ASA (American Society of Anesthesiologists) physical status of the patient who will/did receive the surgical procedure.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "SERIS-MDS-Mapping",
            "name": "SERIS MDS Mapping"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "Observation",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Observation.meta",
                "path": "Observation.meta",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Observation.meta.profile",
                "path": "Observation.meta.profile",
                "comment": "#### **_` FOR SERIS USAGE: The meta.profile = http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-profile-Observation|1.0.0 `_**\n\nIt is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time.  The list of profile URLs is a set.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Observation.partOf",
                "path": "Observation.partOf",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-profile-Procedure"
                        ],
                        "aggregation":  [
                            "bundled"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Observation.partOf.reference",
                "path": "Observation.partOf.reference",
                "mustSupport": true
            },
            {
                "id": "Observation.partOf.display",
                "path": "Observation.partOf.display",
                "mustSupport": true
            },
            {
                "id": "Observation.status",
                "path": "Observation.status",
                "mustSupport": true
            },
            {
                "id": "Observation.code",
                "path": "Observation.code",
                "short": "kind of Observation",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://ontariohealth.ca/fhir/ValueSet/observation-types"
                }
            },
            {
                "id": "Observation.code.coding",
                "path": "Observation.code.coding",
                "min": 1,
                "max": "1",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "description": "Codes identifying names of simple observations.",
                    "valueSet": "http://ontariohealth.ca/fhir/ValueSet/observation-types"
                }
            },
            {
                "id": "Observation.code.coding.system",
                "path": "Observation.code.coding.system",
                "min": 1,
                "fixedUri": "http://snomed.info/sct",
                "mustSupport": true
            },
            {
                "id": "Observation.code.coding.code",
                "path": "Observation.code.coding.code",
                "min": 1,
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "description": "Codes identifying names of simple observations.",
                    "valueSet": "http://ontariohealth.ca/fhir/ValueSet/observation-types"
                }
            },
            {
                "id": "Observation.code.coding.display",
                "path": "Observation.code.coding.display",
                "mustSupport": true
            },
            {
                "id": "Observation.subject",
                "path": "Observation.subject",
                "short": "The patient the physical status pertain to"
            },
            {
                "id": "Observation.value[x]",
                "path": "Observation.value[x]",
                "short": "ASA Score",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://ontariohealth.ca/fhir/ValueSet/ASA-physical-status"
                },
                "mapping":  [
                    {
                        "identity": "SERIS-MDS-Mapping",
                        "map": "ASA Score"
                    }
                ]
            },
            {
                "id": "Observation.value[x].coding",
                "path": "Observation.value[x].coding",
                "min": 1,
                "max": "1",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "description": "Physical Status of Patient as assessed by Anaethesiology",
                    "valueSet": "http://ontariohealth.ca/fhir/ValueSet/ASA-physical-status"
                }
            },
            {
                "id": "Observation.value[x].coding.system",
                "path": "Observation.value[x].coding.system",
                "min": 1,
                "fixedUri": "http://ontariohealth.ca/fhir/CodeSystem/asa-physical-status",
                "mustSupport": true
            },
            {
                "id": "Observation.value[x].coding.code",
                "path": "Observation.value[x].coding.code",
                "min": 1,
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "description": "Physical Status of Patient as assessed by Anaethesiology",
                    "valueSet": "http://ontariohealth.ca/fhir/ValueSet/ASA-physical-status"
                }
            },
            {
                "id": "Observation.value[x].coding.display",
                "path": "Observation.value[x].coding.display",
                "mustSupport": true
            }
        ]
    }
}

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="ca-on-seris-profile-Observation" />
    <url value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-profile-Observation" />
    <version value="1.0.0" />
    <name value="Observation" />
    <title value="Observation" />
    <status value="draft" />
    <date value="2023-02-28" />
    <publisher value="Ontario Health" />
    <contact>
        <name value="Ontario Health" />
        <telecom>
            <system value="url" />
            <value value="http://ontariohealth.ca/fhir/" />
        </telecom>
        <telecom>
            <system value="email" />
            <value value="some.email@ontariohealth.ca" />
        </telecom>
    </contact>
    <description value="An Observation is used to record ASA (American Society of Anesthesiologists) physical status of the patient who will/did receive the surgical procedure." />
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="SERIS-MDS-Mapping" />
        <name value="SERIS MDS Mapping" />
    </mapping>
    <kind value="resource" />
    <abstract value="false" />
    <type value="Observation" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
    <derivation value="constraint" />
    <differential>
        <element id="Observation.meta">
            <path value="Observation.meta" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Observation.meta.profile">
            <path value="Observation.meta.profile" />
            <comment value="#### **_` FOR SERIS USAGE: The meta.profile = http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-profile-Observation|1.0.0 `_**\n\nIt is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time.  The list of profile URLs is a set." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Observation.partOf">
            <path value="Observation.partOf" />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-profile-Procedure" />
                <aggregation value="bundled" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Observation.partOf.reference">
            <path value="Observation.partOf.reference" />
            <mustSupport value="true" />
        </element>
        <element id="Observation.partOf.display">
            <path value="Observation.partOf.display" />
            <mustSupport value="true" />
        </element>
        <element id="Observation.status">
            <path value="Observation.status" />
            <mustSupport value="true" />
        </element>
        <element id="Observation.code">
            <path value="Observation.code" />
            <short value="kind of Observation" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://ontariohealth.ca/fhir/ValueSet/observation-types" />
            </binding>
        </element>
        <element id="Observation.code.coding">
            <path value="Observation.code.coding" />
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <description value="Codes identifying names of simple observations." />
                <valueSet value="http://ontariohealth.ca/fhir/ValueSet/observation-types" />
            </binding>
        </element>
        <element id="Observation.code.coding.system">
            <path value="Observation.code.coding.system" />
            <min value="1" />
            <fixedUri value="http://snomed.info/sct" />
            <mustSupport value="true" />
        </element>
        <element id="Observation.code.coding.code">
            <path value="Observation.code.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <description value="Codes identifying names of simple observations." />
                <valueSet value="http://ontariohealth.ca/fhir/ValueSet/observation-types" />
            </binding>
        </element>
        <element id="Observation.code.coding.display">
            <path value="Observation.code.coding.display" />
            <mustSupport value="true" />
        </element>
        <element id="Observation.subject">
            <path value="Observation.subject" />
            <short value="The patient the physical status pertain to" />
        </element>
        <element id="Observation.value[x]">
            <path value="Observation.value[x]" />
            <short value="ASA Score" />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://ontariohealth.ca/fhir/ValueSet/ASA-physical-status" />
            </binding>
            <mapping>
                <identity value="SERIS-MDS-Mapping" />
                <map value="ASA Score" />
            </mapping>
        </element>
        <element id="Observation.value[x].coding">
            <path value="Observation.value[x].coding" />
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <description value="Physical Status of Patient as assessed by Anaethesiology" />
                <valueSet value="http://ontariohealth.ca/fhir/ValueSet/ASA-physical-status" />
            </binding>
        </element>
        <element id="Observation.value[x].coding.system">
            <path value="Observation.value[x].coding.system" />
            <min value="1" />
            <fixedUri value="http://ontariohealth.ca/fhir/CodeSystem/asa-physical-status" />
            <mustSupport value="true" />
        </element>
        <element id="Observation.value[x].coding.code">
            <path value="Observation.value[x].coding.code" />
            <min value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <description value="Physical Status of Patient as assessed by Anaethesiology" />
                <valueSet value="http://ontariohealth.ca/fhir/ValueSet/ASA-physical-status" />
            </binding>
        </element>
        <element id="Observation.value[x].coding.display">
            <path value="Observation.value[x].coding.display" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

Usage

The Observation Resource is used to record the American Society of Anesthesiologists Physical Status score for the referenced Procedure. This resource shall be provided for all completed/performed non-minor procedures.

Notes

.id

  • used to uniquely identify the resource

.meta.profile

  • used to declare conformance to this profile
  • populate with a fixed value: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-profile-Observation

.meta.versionId

  • SHALL be populated by the sending application
  • consuming systems can expect this element to be populated when retrieving

.partOf

  • referencing Procedure suggesting that the observation recorded is associated the procedure

.code

  • the kind of the Observation being recorded (at present only ASA Scores)

.subject

  • referencing Patient suggesting that the observation recorded is associated with the patient

.valueCodeableConcept

  • ASA Score