<status value="draft" /> <date value="2021-05-18T14:21:00.4921281+00:00" /> <publisher value="OMD" /> <description value="Proposed constraints on the Observation Resource for general use on spirometry care elements." /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="CA" /> <display value="Canada" /> </coding> </jurisdiction> <fhirVersion value="4.0.1" /> <mapping> <identity value="CDSS5.1" /> <uri value="www.ontariomd.com" /> <name value="CDS-S 5.1" /> </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"> <path value="Observation" /> <short value="Observation Profile" /> <definition value="The Observation Profile is based upon the core FHIR Observation Resource" /> </element> <element id="Observation.category"> <path value="Observation.category" /> <mustSupport value="true" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <slicing> <discriminator> <type value="profile" /> <path value="resolve()" /> </discriminator> <rules value="open" /> </slicing> <comment value="The binding strength of this element is [Preferred](https://www.hl7.org/fhir/terminologies.html#strength), meaning that codes are encouraged to draw from the LOINC code system for interoperability purposes but are not required to do so to be considered conformant. *All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation." /> <mustSupport value="true" /> <binding> <strength value="preferred" /> <description value="LOINC codes identifying names of simple observations." /> </binding> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <type> <code value="Coding" /> <profile value="https://simplifier.net/omd-cdss/fev1prebroncode" /> <profile value="https://simplifier.net/omd-cdss/fvcprebroncode" /> <profile value="https://simplifier.net/omd-cdss/fev1perprebroncode" /> <profile value="https://simplifier.net/omd-cdss/fev1predictedcode" /> <profile value="https://simplifier.net/omd-cdss/fvcpredictedcode" /> <profile value="https://simplifier.net/omd-cdss/fev1perpredictedcode" /> <profile value="https://simplifier.net/omd-cdss/fev1perofpredictedprebroncode" /> <profile value="https://simplifier.net/omd-cdss/fvcratioprebroncode" /> <profile value="https://simplifier.net/omd-cdss/fev1fvcratioprebroncode" /> <profile value="https://simplifier.net/omd-cdss/pefpersonalprebroncode" /> <profile value="https://simplifier.net/omd-cdss/fev1postbroncode" /> <profile value="https://simplifier.net/omd-cdss/fvcpostbroncode" /> <profile value="https://simplifier.net/omd-cdss/fev1perpostbroncode" /> <profile value="https://simplifier.net/omd-cdss/fev1perofpredictedpostbroncode" /> <profile value="https://simplifier.net/omd-cdss/fvcratiopostbroncode" /> <profile value="https://simplifier.net/omd-cdss/fev1fvcratiopostbroncode" /> <profile value="https://simplifier.net/omd-cdss/pefpersonalpostbroncode" /> <profile value="https://simplifier.net/omd-cdss/o2saturationcode" /> </type> </element> <element id="Observation.code.coding.system"> <path value="Observation.code.coding.system" /> <mapping> <identity value="CDSS5.1" /> <map value="DE16.021" /> <comment value="FEV1 (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.023" /> <comment value="FVC (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.025" /> <comment value="FEV1% (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.027" /> <comment value="FEV1 Predicted" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.029" /> <comment value="FVC Predicted" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.031" /> <comment value="FEV1% Prediced" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.033" /> <comment value="FEV1% of Predicted (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.035" /> <comment value="FVC Ratio (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.037" /> <comment value="FEV1/FVC Ratio (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.039" /> <comment value="PEF Personal (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.041" /> <comment value="FEV1 (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.043" /> <comment value="FVC (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.045" /> <comment value="FEV1% (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.047" /> <comment value="FEV1% of Predicted (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.049" /> <comment value="FVC Ratio (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.051" /> <comment value="FEV1/FVC Ratio (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.053" /> <comment value="PEF Personal (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.056" /> <comment value="O2 Saturation" /> </mapping> </element> <element id="Observation.code.coding.code"> <path value="Observation.code.coding.code" /> <mapping> <identity value="CDSS5.1" /> <map value="DE16.021" /> <comment value="FEV1 (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.023" /> <comment value="FVC (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.025" /> <comment value="FEV1% (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.027" /> <comment value="FEV1 Predicted" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.029" /> <comment value="FVC Predicted" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.031" /> <comment value="FEV1% Predicted" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.033" /> <comment value="FEV1% of Predicted (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.035" /> <comment value="FVC Ratio (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.037" /> <comment value="FEV1/FVC Ratio (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.039" /> <comment value="PEF Personal (Before-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.041" /> <comment value="FEV1 (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.043" /> <comment value="FVC (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.045" /> <comment value="FEV1% (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.047" /> <comment value="FEV1% of Predicted (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.049" /> <comment value="FVC Ratio (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.051" /> <comment value="FEV1/FVC Ratio (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.053" /> <comment value="PEF Personal (After-Puff)" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.055" /> <comment value="O2 Saturation" /> </mapping> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://simplifier.net/omd-cdss/patientprofile" /> </type> <mustSupport value="true" /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <definition value="BASE RESOURCE 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." /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> </element> <element id="Observation.effective[x]:effectiveDateTime"> <path value="Observation.effective[x]" /> <sliceName value="effectiveDateTime" /> <definition value="BASE RESOURCE 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. CDS-S PROFILE DEFINITION: The date the observation was measured." /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE16.022" /> <comment value="FEV1 (Before Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.024" /> <comment value="FVC (Before Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.026" /> <comment value="FEV1% (Before Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.028" /> <comment value="FEV1 Predicted - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.030" /> <comment value="FVC Predicted (Before Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.032" /> <comment value="FEV1% Predicted - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.034" /> <comment value="FEV1% of Predicted (Before Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.036" /> <comment value="FVC Ratio (Before Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.038" /> <comment value="FEV1/FVC Ratio (Before Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.040" /> <comment value="PEF Personal (Before Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.042" /> <comment value="FEV1 (After Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.044" /> <comment value="FVC (After Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.046" /> <comment value="FEV1% (After Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.048" /> <comment value="FEV1% of Predicted (After Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.050" /> <comment value="FVC Ratio (After Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.052" /> <comment value="FEV1/FVC Ratio (After Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.054" /> <comment value="PEF Personal (After Puff) - Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE16.056" /> <comment value="O2 Saturation - Date" /> </mapping> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <slicing> <discriminator> <type value="profile" /> <path value="resolve()" /> </discriminator> <rules value="open" /> </slicing> <constraint> <key value="ca-baseline-value-1" /> <severity value="error" /> <human value="Observation.value[x] or Observation.dataAbsentReason or Observation.component SHOULD be present" /> <expression value="value[x].exists() or dataAbsentReason.exists() or component.exists()" /> <xpath value="Observation.value[x] or Observation.dataAbsentReason or Observation.component" /> <source value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.value[x]:valueQuantity"> <path value="Observation.valueQuantity" /> <sliceName value="valueQuantity" /> <type> <code value="Quantity" /> <profile value="https://simplifier.net/omd-cdss/fev1prebronvalue" /> <profile value="https://simplifier.net/omd-cdss/fev1perofpredictedprebronvalue" /> <profile value="https://simplifier.net/omd-cdss/fev1predictedvalue" /> <profile value="https://simplifier.net/omd-cdss/fev1perofpredictedprebronvalue" /> <profile value="https://simplifier.net/omd-cdss/fev1perofpredictedpostbronvalue" /> <profile value="https://simplifier.net/omd-cdss/fev1fvcratioprebronvalue" /> <profile value="https://simplifier.net/omd-cdss/fvcprebronvalue" /> <profile value="https://simplifier.net/omd-cdss/fev1perprebronvalue" /> <profile value="https://simplifier.net/omd-cdss/fev1perpredictedvalue" /> <profile value="https://simplifier.net/omd-cdss/fvcratioprebronvalue" /> <profile value="https://simplifier.net/omd-cdss/fvcpredictedvalue" /> <profile value="https://simplifier.net/omd-cdss/pefpersonalprebronvalue" /> <profile value="https://simplifier.net/omd-cdss/fev1perpostbronvalue" /> <profile value="https://simplifier.net/omd-cdss/fvcpostbronvalue" /> <profile value="https://simplifier.net/omd-cdss/fev1fvcratiopostbronvalue" /> <profile value="https://simplifier.net/omd-cdss/fvcratiopostbronvalue" /> <profile value="https://simplifier.net/omd-cdss/pefpersonalpostbronvalue" /> <profile value="https://simplifier.net/omd-cdss/o2saturationvalue" /> </type> </element> <element id="Observation.dataAbsentReason"> <path value="Observation.dataAbsentReason" /> <constraint> <key value="ca-baseline-value-1" /> <severity value="error" /> <human value="Observation.value[x] or Observation.dataAbsentReason or Observation.component SHOULD be present" /> <expression value="value[x].exists() or dataAbsentReason.exists() or component.exists()" /> <xpath value="Observation.value[x] or Observation.dataAbsentReason or Observation.component" /> <source value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.component.code"> <path value="Observation.component.code" /> <comment value="The binding strength of this element is [Preferred](https://www.hl7.org/fhir/terminologies.html#strength), meaning that codes are encouraged to draw from the LOINC code system for interoperability purposes but are not required to do so to be considered conformant. *All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation." /> <mustSupport value="true" /> <binding> <strength value="preferred" /> <description value="LOINC codes identifying names of simple observations." /> </binding> </element> <element id="Observation.component.value[x]"> <path value="Observation.component.value[x]" /> <constraint> <key value="ca-baseline-value-2" /> <severity value="error" /> <human value="Observation.component.value[x] or Observation.component.dataAbsentReason SHALL be present" /> <expression value="component.value[x].exists() or component.dataAbsentReason.exists()" /> <xpath value="Observation.component.value[x] or Observation.component.dataAbsentReason" /> <source value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.component.dataAbsentReason"> <path value="Observation.component.dataAbsentReason" /> <constraint> <key value="ca-baseline-value-2" /> <severity value="error" /> <human value="Observation.component.value[x] or Observation.component.dataAbsentReason SHALL be present" /> <expression value="component.value[x].exists() or component.dataAbsentReason.exists()" /> <xpath value="Observation.component.value[x] or Observation.component.dataAbsentReason" /> <source value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.value"> <path value="Observation.value" /> <definition value="The value of the measured amount. The value includes an implicit precision in the presentation of the value." /> </element> </differential> </StructureDefinition>