{ "resourceType": "StructureDefinition", "meta": { "lastUpdated": "2018-02-20T12:45:02.729+00:00" }, "url": "http://hl7.org/fhir/ips/StructureDefinition/observation-imaging-uv-ips", "name": "Observation-imaging-uv-ips", "status": "draft", "experimental": false, "date": "2018-02-06T08:53:52.315+00:00", "contact": [ { "name": "Giorgio Cangioli" } ], "description": "This profile represents the contraints applied to the Observation resource by the IPS project, which specifies an imaging observation for the international patient summary based on the FHIR standard STU3. \r\n\r\nThis observation may represent the conclusions of a diagnostic procedure such a Chest RX, or it may group the set of results produced by that single or multi modality procedure. \r\n\r\nIn the latter case, the main observation (this one) carries the overall conclusion of the study and/or a global interpretation by the observer of the study as value of this observation; and may references the atomic results of the study as \"child observations\".\r\n\r\nIt allows also to provide details about the related study using the event-partOf extension referring an ImagingStudy resource.", "fhirVersion": "3.0.1", "kind": "resource", "abstract": false, "type": "Observation", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation", "derivation": "constraint", "differential": { "element": [ { "id": "Observation", "path": "Observation" }, { "id": "Observation.extension", "path": "Observation.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "Observation.extension:partOf", "path": "Observation.extension", "sliceName": "partOf", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/event-partOf" } ], "mustSupport": true }, { "id": "Observation.extension:partOf.valueReference:valueReference", "path": "Observation.extension.valueReference", "sliceName": "valueReference", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/ips/StructureDefinition/imagingstudy-uv-ips" } ], "mustSupport": true }, { "id": "Observation.extension:partOf.valueReference:valueReference.identifier", "path": "Observation.extension.valueReference.identifier", "max": "0" }, { "id": "Observation.category", "path": "Observation.category", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept", "profile": "http://hl7.org/fhir/ips/StructureDefinition/CodeableConcept-uv-ips" } ], "fixedCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/observation-category", "code": "imaging", "display": "Imaging" } ] }, "mustSupport": true }, { "id": "Observation.code", "path": "Observation.code", "label": "Diagnostic Procedure Code", "definition": "Describes what was observed. Sometimes this is called the observation \"name\".\r\nIn this profile the code of the containing observation (the organizer result in the CDA implementation) may correspond to the procedure code (e.g. Chest X-Ray).", "type": [ { "code": "CodeableConcept", "profile": "http://hl7.org/fhir/ips/StructureDefinition/CodeableConcept-uv-ips" } ], "mustSupport": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ObservationCode" } ], "strength": "extensible", "valueSetUri": "http://hl7.org/fhir/ips/ValueSet/imaging-observations-uv-ips" } }, { "id": "Observation.subject", "path": "Observation.subject", "definition": "The patient, or group of patients, location, or device 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.\r\n\r\nIn this profile is constrained to the patient", "min": 1, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/ips/StructureDefinition/patient-uv-ips" } ], "mustSupport": true }, { "id": "Observation.subject.reference", "path": "Observation.subject.reference", "label": "Patient ID" }, { "id": "Observation.subject.identifier", "path": "Observation.subject.identifier", "max": "0" }, { "id": "Observation.effective[x]", "path": "Observation.effective[x]", "label": "Date/Time of the Imaging Procedure", "definition": "The 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.", "mustSupport": true }, { "id": "Observation.performer", "path": "Observation.performer", "label": "Human Observer", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/ips/StructureDefinition/practitioner-uv-ips" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/ips/StructureDefinition/organization-observation-uv-ips" } ], "mustSupport": true }, { "id": "Observation.performer.identifier", "path": "Observation.performer.identifier", "max": "0" }, { "id": "Observation.valueString:valueString", "path": "Observation.valueString", "sliceName": "valueString", "label": "Overall Conclusion", "type": [ { "code": "string" } ], "mustSupport": true }, { "id": "Observation.bodySite", "path": "Observation.bodySite", "label": "body site", "type": [ { "code": "CodeableConcept", "profile": "http://hl7.org/fhir/ips/StructureDefinition/CodeableConcept-uv-ips" } ], "mustSupport": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "BodySite" } ], "strength": "example", "valueSetReference": { "reference": "http://hl7.org/fhir/ips/ValueSet/target-site-uv-ips" } } }, { "id": "Observation.device", "path": "Observation.device", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/ips/StructureDefinition/device-observer-uv-ips" } ], "mustSupport": true }, { "id": "Observation.device.identifier", "path": "Observation.device.identifier", "max": "0" }, { "id": "Observation.related", "path": "Observation.related", "slicing": { "discriminator": [ { "type": "value", "path": "type" } ], "rules": "open" }, "mustSupport": true }, { "id": "Observation.related:hasMember", "path": "Observation.related", "sliceName": "hasMember", "constraint": [ { "key": "hasMemberOrComponent", "severity": "error", "human": "component and hasMember are mutually exclusive", "expression": "../related[type='has-member'] or ../component" } ], "mustSupport": true }, { "id": "Observation.related:hasMember.type", "path": "Observation.related.type", "min": 1, "fixedCode": "has-member" }, { "id": "Observation.related:hasMember.target", "path": "Observation.related.target", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/ips/StructureDefinition/observation-member-imaging-uv-ips" } ], "mustSupport": true }, { "id": "Observation.related:hasMember.target.reference", "path": "Observation.related.target.reference", "mustSupport": true }, { "id": "Observation.related:hasMember.target.identifier", "path": "Observation.related.target.identifier", "max": "0" }, { "id": "Observation.component", "path": "Observation.component", "slicing": { "discriminator": [ { "type": "type", "path": "value[x]" } ], "rules": "open" }, "requirements": "Required if not(exists(Observation.valueString))", "constraint": [ { "key": "hasMemberOrComponent", "severity": "error", "human": "component and hasMember are mutually exclusive", "expression": "../related[type='has-member'] or ../component" } ], "mustSupport": true }, { "id": "Observation.component:observationText", "path": "Observation.component", "sliceName": "observationText", "max": "1", "mustSupport": true }, { "id": "Observation.component:observationText.code", "path": "Observation.component.code", "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ObservationCode" } ], "strength": "example", "valueSetReference": { "reference": "http://hl7.org/fhir/ips/ValueSet/imaging-obs-code" } } }, { "id": "Observation.component:observationText.code.coding", "path": "Observation.component.code.coding", "binding": { "strength": "extensible", "valueSetUri": "http://hl7.org/fhir/ips/ValueSet/imaging-txtobs-code" } }, { "id": "Observation.component:observationText.valueString:valueString", "path": "Observation.component.valueString", "sliceName": "valueString", "type": [ { "code": "string" } ] }, { "id": "Observation.component:observationText.dataAbsentReason", "path": "Observation.component.dataAbsentReason", "max": "0" }, { "id": "Observation.component:observationText.interpretation", "path": "Observation.component.interpretation", "max": "0" }, { "id": "Observation.component:observationText.referenceRange", "path": "Observation.component.referenceRange", "max": "0" }, { "id": "Observation.component:observationCode", "path": "Observation.component", "sliceName": "observationCode", "max": "1", "mustSupport": true }, { "id": "Observation.component:observationCode.code.coding", "path": "Observation.component.code.coding", "binding": { "strength": "extensible", "valueSetUri": "http://hl7.org/fhir/ips/ValueSet/imaging-codedobs-code" } }, { "id": "Observation.component:observationCode.valueCodeableConcept:valueCodeableConcept", "path": "Observation.component.valueCodeableConcept", "sliceName": "valueCodeableConcept", "min": 1, "type": [ { "code": "CodeableConcept" } ] }, { "id": "Observation.component:observationCode.valueCodeableConcept:valueCodeableConcept.coding", "path": "Observation.component.valueCodeableConcept.coding", "binding": { "strength": "example", "valueSetUri": "http://hl7.org/fhir/ips/ValueSet/imaging-codedobs-value" } }, { "id": "Observation.component:observationCode.dataAbsentReason", "path": "Observation.component.dataAbsentReason", "max": "0" }, { "id": "Observation.component:observationCode.interpretation", "path": "Observation.component.interpretation", "max": "0" }, { "id": "Observation.component:observationCode.referenceRange", "path": "Observation.component.referenceRange", "max": "0" }, { "id": "Observation.component:numericMeasurement", "path": "Observation.component", "sliceName": "numericMeasurement", "mustSupport": true }, { "id": "Observation.component:numericMeasurement.code", "path": "Observation.component.code", "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ObservationCode" } ], "strength": "extensible", "description": "Codes identifying names of numeric measurements", "valueSetUri": "http://hl7.org/fhir/ips/ValueSet/imaging-num-measure-code" } }, { "id": "Observation.component:numericMeasurement.value[x]", "path": "Observation.component.value[x]", "type": [ { "code": "Quantity" }, { "code": "Range" }, { "code": "Ratio" } ] }, { "id": "Observation.component:numericMeasurement.dataAbsentReason", "path": "Observation.component.dataAbsentReason", "max": "0" }, { "id": "Observation.component:numericMeasurement.interpretation", "path": "Observation.component.interpretation", "max": "0" }, { "id": "Observation.component:linearMeasurement", "path": "Observation.component", "sliceName": "linearMeasurement", "mustSupport": true }, { "id": "Observation.component:linearMeasurement.code", "path": "Observation.component.code", "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ObservationCode" } ], "strength": "extensible", "valueSetUri": "http://hl7.org/fhir/ips/ValueSet/imaging-linear-measure-code" } }, { "id": "Observation.component:linearMeasurement.value[x]", "path": "Observation.component.value[x]", "type": [ { "code": "Quantity" }, { "code": "Range" }, { "code": "Ratio" }, { "code": "SampledData" } ] }, { "id": "Observation.component:linearMeasurement.dataAbsentReason", "path": "Observation.component.dataAbsentReason", "max": "0" }, { "id": "Observation.component:linearMeasurement.interpretation", "path": "Observation.component.interpretation", "max": "0" }, { "id": "Observation.component:areaMeasurement", "path": "Observation.component", "sliceName": "areaMeasurement", "mustSupport": true }, { "id": "Observation.component:areaMeasurement.code", "path": "Observation.component.code", "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ObservationCode" } ], "strength": "extensible", "valueSetReference": { "reference": "http://hl7.org/fhir/ips/ValueSet/imaging-area-measure-code" } } }, { "id": "Observation.component:areaMeasurement.value[x]", "path": "Observation.component.value[x]", "type": [ { "code": "Quantity" }, { "code": "Range" }, { "code": "Ratio" } ] }, { "id": "Observation.component:areaMeasurement.dataAbsentReason", "path": "Observation.component.dataAbsentReason", "max": "0" }, { "id": "Observation.component:areaMeasurement.interpretation", "path": "Observation.component.interpretation", "max": "0" }, { "id": "Observation.component:volumeMeasurement", "path": "Observation.component", "sliceName": "volumeMeasurement", "mustSupport": true }, { "id": "Observation.component:volumeMeasurement.code", "path": "Observation.component.code", "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ObservationCode" } ], "strength": "extensible", "valueSetUri": "http://hl7.org/fhir/ips/ValueSet/imaging-volume-measure-code" } }, { "id": "Observation.component:volumeMeasurement.value[x]", "path": "Observation.component.value[x]", "type": [ { "code": "Quantity" }, { "code": "Range" }, { "code": "Ratio" } ] }, { "id": "Observation.component:volumeMeasurement.dataAbsentReason", "path": "Observation.component.dataAbsentReason", "max": "0" }, { "id": "Observation.component:volumeMeasurement.interpretation", "path": "Observation.component.interpretation", "max": "0" } ] } }