{ "resourceType": "StructureDefinition", "id": "qicore-observation", "text": { "status": "generated", "div": "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Observation 0..*
\".\"\".\"\".\" id 0..1id
\".\"\".\"\".\" observation-bodyPosition 0..1CodeableConceptThe body position during the observation
URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
Binding: Body Position (preferred)
\".\"\".\"\".\" observation-delta 0..1CodeableConceptQualitative change or trend in the measurement
URL: http://hl7.org/fhir/StructureDefinition/observation-delta
Binding: QICore Observation Delta Value Set Definition (example)
\".\"\".\"\".\" basedOn 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)
\".\"\".\"\".\" status S1..1code
\".\"\".\"\".\" category S1..*CodeableConcept
\".\"\".\"\".\" code S1..1CodeableConcept
\".\"\".\"\".\" subject S1..1Reference(QICore-Patient | Group | QICore-Device | QICore-Location)
\".\"\".\"\".\" context S0..1Reference(QICore-Encounter | Group)
\".\"\".\"\".\" effective[x] S0..1dateTime, Period
\".\"\".\"\".\" issued S0..1instant
\".\"\".\"\".\" performer 0..*Reference(QICore-Practitioner | QICore-Organization | QICore-Patient | QICore-RelatedPerson)
\".\"\".\"\".\" value[x] S0..1Quantity, CodeableConcept, string, boolean, Range, Ratio, SampledData, Attachment, time, dateTime, PeriodBinding: Observation Value Codes (SNOMED-CT) (preferred)
\".\"\".\"\".\" dataAbsentReason 0..1CodeableConcept
\".\"\".\"\".\" interpretation S0..1CodeableConcept
\".\"\".\"\".\" bodySite S0..1CodeableConcept
\".\"\".\"\".\" method S0..1CodeableConcept
\".\"\".\"\".\" specimen S0..1Reference(QICore-Specimen)
\".\"\".\"\".\" device 0..1Reference(QICore-Device | DeviceMetric)
\".\"\".\"\".\" referenceRange 0..*BackboneElement
\".\"\".\"\".\"\".\" low 0..1SimpleQuantity
\".\"\".\"\".\"\".\" high 0..1SimpleQuantity
\".\"\".\"\".\" related S0..*BackboneElement
\".\"\".\"\".\"\".\" target 1..1Reference(QICore-Observation | QuestionnaireResponse)
\".\"\".\"\".\" component S0..*BackboneElement
\".\"\".\"\".\"\".\" code S1..1CodeableConcept
\".\"\".\"\".\"\".\" value[x] S0..1Quantity, CodeableConcept, string, Range, Ratio, SampledData, Attachment, time, dateTime, Period
\".\"\".\"\".\"\".\" dataAbsentReason S0..1CodeableConcept
\".\"\".\"\".\"\".\" interpretation S0..1CodeableConcept
\".\"\".\"\".\"\".\" referenceRange 0..*

\"doco\" Documentation for this format
" }, "url": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation", "version": "3.1.0", "name": "QICore-Observation", "status": "draft", "date": "2018-08-21T14:00:00+00:00", "publisher": "Health Level Seven, Inc. - CQI WG", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/special/committees/CQI" } ] } ], "description": "Profile of Observation for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.", "fhirVersion": "3.0.1", "mapping": [ { "identity": "qdm", "uri": "http://www.healthit.gov/quality-data-model", "name": "Quality Data Model" }, { "identity": "qidam", "uri": "http://www.hl7.org/implement/standards/product_brief.cfm?product_id=378", "name": "Quality Improvement Domain Analysis Model" }, { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Mapping" }, { "identity": "sct-concept", "uri": "http://snomed.info/conceptdomain", "name": "SNOMED CT Concept Domain Binding" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/w5", "name": "W5 Mapping" }, { "identity": "sct-attr", "uri": "http://snomed.info/sct", "name": "SNOMED CT Attribute Binding" } ], "kind": "resource", "abstract": false, "type": "Observation", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation", "derivation": "constraint", "differential": { "element": [ { "id": "Observation", "path": "Observation", "alias": [ "Vital Signs", "Measurement", "Results", "Tests" ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "Assessment, Performed|Diagnostic Study, Performed (for non-imaging studies )|Laboratory Test, Performed|Patient Care Experience|Physical Exam, Performed|Provider Care Experience (Note: Diagnostic Study, Performed imaging is mapped to FHIR DiagnosticReport.)" } ] }, { "id": "Observation.id", "path": "Observation.id", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "(\"Assessment, Performed\"|\"Diagnostic Study, Performed\"|\"Laboratory Test, Performed\"|PatientCareExperience|\"Physical Exam, Performed\"|ProviderCareExperience).id" } ] }, { "id": "Observation.extension:bodyPosition", "path": "Observation.extension", "sliceName": "bodyPosition", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "preferred", "description": "SNOMED CT code system values descending from the following:'body position finding' 9851009", "valueSetReference": { "reference": "http://hl7.org/fhir/us/qicore/ValueSet/qicore-observation-body-position" } }, "mapping": [ { "identity": "qidam", "map": "Not in QIDAM, but recognized as important to intrepreting many observations for the purposes of CDS." } ] }, { "id": "Observation.extension:delta", "path": "Observation.extension", "sliceName": "delta", "alias": [ "Delta Flag", "Trend" ], "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/observation-delta" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "example", "description": "Code system values for Observation Delta Value Set", "valueSetReference": { "reference": "http://hl7.org/fhir/us/qicore/ValueSet/qicore-observation-delta" } } }, { "id": "Observation.basedOn", "path": "Observation.basedOn", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "(\"Assessment, Performed\"|\"\r\"Diagnostic Study, Performed\"|\"Laboratory Test, Performed\"|\"Physical Exam, Performed\").reason|(\"Assessment, Performed\").relatedTo" } ] }, { "id": "Observation.status", "path": "Observation.status", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "(\"Diagnostic Study, Performed\"|\"Laboratory Test, Performed\").status" } ] }, { "id": "Observation.category", "path": "Observation.category", "min": 1, "max": "*", "mustSupport": true, "isModifier": false }, { "id": "Observation.code", "path": "Observation.code", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "(\"Assessment, Performed\"|\"Diagnostic Study, Performed\"|\"Laboratory Test, Performed\"|PatientCareExperience|\"Physical Exam, Performed\"|ProviderCareExperience).code" } ] }, { "id": "Observation.subject", "path": "Observation.subject", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location" } ], "mustSupport": true, "isModifier": false }, { "id": "Observation.context", "path": "Observation.context", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group" } ], "mustSupport": true, "isModifier": false }, { "id": "Observation.effective[x]", "path": "Observation.effective[x]", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "(\"Assessment, Performed\"|PatientCareExperience|ProviderCareExperience).authorDatetime|(\"Diagnostic Study, Performed\"|\"Laboratory Test, Performed\"|\"Physical Exam, Performed\").relevantPeriod" } ] }, { "id": "Observation.issued", "path": "Observation.issued", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "(\"Diagnostic Study, Performed\"|\"Laboratory Test, Performed\").resultDatetime" } ] }, { "id": "Observation.performer", "path": "Observation.performer", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "(\"Assessment, Performed\"|\"Diagnostic Study, Performed\"|\"Laboratory Test, Performed\"|PatientCareExperience|\"Physical Exam, Performed\"|ProviderCareExperience).source" } ] }, { "id": "Observation.value[x]", "path": "Observation.value[x]", "mustSupport": true, "isModifier": false, "binding": { "strength": "preferred", "description": "SNOMED CT for coded results", "valueSetReference": { "reference": "http://hl7.org/fhir/us/core/ValueSet/us-core-observation-value-codes" } }, "mapping": [ { "identity": "qdm", "map": "(\"Assessment, Performed\"|\"Diagnostic Study, Performed\"|\"Laboratory Test, Performed\"|\"Physical Exam, Performed\").result" } ] }, { "id": "Observation.dataAbsentReason", "path": "Observation.dataAbsentReason", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "(\"Assessment, Performed\"|\"Diagnostic Study, Performed\"|\"Laboratory Test, Performed\"|\"Physical Exam, Performed\").negationRationale" } ] }, { "id": "Observation.interpretation", "path": "Observation.interpretation", "mustSupport": true, "isModifier": false }, { "id": "Observation.bodySite", "path": "Observation.bodySite", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "\"Physical Exam, Performed\".anatomicalLocationSite" } ] }, { "id": "Observation.method", "path": "Observation.method", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "(“Laboratory Test, Performed”|”Diagnostic Study, Performed”).method" } ] }, { "id": "Observation.specimen", "path": "Observation.specimen", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-specimen" } ], "mustSupport": true, "isModifier": false }, { "id": "Observation.device", "path": "Observation.device", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/DeviceMetric" } ], "mustSupport": false, "isModifier": false }, { "id": "Observation.referenceRange", "path": "Observation.referenceRange", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "\"Laboratory Test, Performed\".components.(referenceRangeLow|referenceRangeHigh)" } ] }, { "id": "Observation.referenceRange.low", "path": "Observation.referenceRange.low", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "\"Laboratory Test, Performed\".referenceRangeLow" } ] }, { "id": "Observation.referenceRange.high", "path": "Observation.referenceRange.high", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "\"Laboratory Test, Performed\".referenceRangeHigh" } ] }, { "id": "Observation.related", "path": "Observation.related", "mustSupport": true, "isModifier": false }, { "id": "Observation.related.target", "path": "Observation.related.target", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" } ], "mustSupport": false, "isModifier": false }, { "id": "Observation.component", "path": "Observation.component", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "(\"Assessment, Performed\"|\"Diagnostic Study, Performed\"|\"Laboratory Test, Performed\"|\"Physical Exam, Performed\").components" } ] }, { "id": "Observation.component.code", "path": "Observation.component.code", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "(\"Assessment, Performed\"|\"Diagnostic Study, Performed\"|\"Laboratory Test, Performed\"|\"Physical Exam, Performed\").components.code" } ] }, { "id": "Observation.component.value[x]", "path": "Observation.component.value[x]", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "(\"Assessment, Performed\"|\"Diagnostic Study, Performed\"|\"Laboratory Test, Performed\"|\"Physical Exam, Performed\").components.result" } ] }, { "id": "Observation.component.dataAbsentReason", "path": "Observation.component.dataAbsentReason", "mustSupport": true, "isModifier": false }, { "id": "Observation.component.interpretation", "path": "Observation.component.interpretation", "mustSupport": true, "isModifier": false }, { "id": "Observation.component.referenceRange", "path": "Observation.component.referenceRange", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "\"Laboratory Test, Performed\".components.(referenceRangeLow|referenceRangeHigh)" } ] } ] } }