<status value="draft" /> <experimental value="false" /> <date value="2018-02-06T08:53:52+00:00" /> <description value="This profile represents the constraints applied to the Observation resource by the IPS project, which specifies an imaging observation for the international patient summary based on the FHIR standard R4. This 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. In 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". It allows also providing details about the related study using the event-partOf extension referring an ImagingStudy resource." /> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm" /> <code value="001" /> <display value="World" /> </coding> </jurisdiction> <fhirVersion value="4.0.0" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="sct-concept" /> <uri value="http://snomed.info/conceptdomain" /> <name value="SNOMED CT Concept Domain Binding" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="sct-attr" /> <uri value="http://snomed.org/attributebinding" /> <name value="SNOMED CT Attribute Binding" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <snapshot /> <differential> <element id="Observation"> <path value="Observation" /> <mustSupport value="true" /> </element> <element id="Observation.id"> <path value="Observation.id" /> <mustSupport value="true" /> </element> <element id="Observation.meta"> <path value="Observation.meta" /> <mustSupport value="true" /> </element> <element id="Observation.meta.profile"> <path value="Observation.meta.profile" /> <mustSupport value="true" /> </element> <element id="Observation.extension:partOf"> <path value="Observation.extension" /> <sliceName value="partOf" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/event-partOf" /> </type> <mustSupport value="true" /> </element> <element id="Observation.extension:partOf.valueReference:valueReference"> <path value="Observation.extension.valueReference" /> <sliceName value="valueReference" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/ImagingStudy-uv-ips" /> </type> <mustSupport value="true" /> </element> <element id="Observation.status"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"> <valueString value="default: final" /> </extension> <path value="Observation.status" /> <definition value="The status of the result value. Only final results feed patient summaries." /> <fixedCode value="final" /> <mustSupport value="true" /> </element> <element id="Observation.category"> <path value="Observation.category" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" /> </type> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="imaging" /> <display value="Imaging" /> </coding> </fixedCodeableConcept> <mustSupport value="true" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <label value="Diagnostic Procedure Code" /> <definition value="Describes what was observed. Sometimes this is called the observation "name". In 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 value="CodeableConcept" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" /> </type> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ObservationCode" /> </extension> <strength value="extensible" /> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/imaging-observations-uv-ips" /> </binding> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <definition value="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. In this profile is constrained to the patient" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips" /> </type> <mustSupport value="true" /> </element> <element id="Observation.subject.reference"> <path value="Observation.subject.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.effective[x].extension"> <path value="Observation.effective[x].extension" /> <short value="effective[x] absence reason" /> <definition value="Provides a reason why the effective is missing." /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" /> </type> <mustSupport value="true" /> </element> <element id="Observation.performer"> <path value="Observation.performer" /> <label value="Human Observer" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-observation-uv-ips" /> </type> <mustSupport value="true" /> </element> <element id="Observation.performer.reference"> <path value="Observation.performer.reference" /> <mustSupport value="true" /> </element> <element id="Observation.valueString:valueString"> <path value="Observation.valueString" /> <sliceName value="valueString" /> <label value="Overall Conclusion" /> <type> <code value="string" /> </type> <mustSupport value="true" /> </element> <element id="Observation.bodySite"> <path value="Observation.bodySite" /> <label value="body site" /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" /> </type> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="BodySite" /> </extension> <strength value="example" /> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/target-site-uv-ips" /> </binding> </element> <element id="Observation.device"> <path value="Observation.device" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips" /> </type> <mustSupport value="true" /> </element> <element id="Observation.hasMember"> <path value="Observation.hasMember" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-member-imaging-uv-ips" /> </type> <constraint> <key value="hasMemberOrComponent" /> <severity value="error" /> <human value="component and hasMember are mutually exclusive" /> <expression value="has-member.empty() or component.empty()" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.hasMember.reference"> <path value="Observation.hasMember.reference" /> <mustSupport value="true" /> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="type" /> <path value="value[x]" /> </discriminator> <rules value="closed" /> </slicing> <requirements value="Required if not(exists(Observation.valueString))" /> <min value="0" /> <max value="*" /> <constraint> <key value="hasMemberOrComponent" /> <severity value="error" /> <human value="component and hasMember are mutually exclusive" /> <expression value="has-member.empty() or component.empty()" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.component:observationText"> <path value="Observation.component" /> <sliceName value="observationText" /> <short value="Observation Text" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:observationText.code"> <path value="Observation.component.code" /> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ObservationCode" /> </extension> <strength value="extensible" /> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/imaging-txtobs-code-uv-ips" /> </binding> </element> <element id="Observation.component:observationText.valueString:valueString"> <path value="Observation.component.valueString" /> <sliceName value="valueString" /> <type> <code value="string" /> </type> <mustSupport value="true" /> </element> <element id="Observation.component:observationCode"> <path value="Observation.component" /> <sliceName value="observationCode" /> <short value="Observation Code" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:observationCode.code"> <path value="Observation.component.code" /> <mustSupport value="true" /> <binding> <strength value="extensible" /> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/imaging-observations-uv-ips" /> </binding> </element> <element id="Observation.component:observationCode.valueCodeableConcept:valueCodeableConcept"> <path value="Observation.component.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <min value="1" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="true" /> </element> <element id="Observation.component:numericMeasurement"> <path value="Observation.component" /> <sliceName value="numericMeasurement" /> <short value="Observation Mesurement, including linear, area and volume measurements" /> <mustSupport value="true" /> </element> <element id="Observation.component:numericMeasurement.code"> <path value="Observation.component.code" /> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ObservationMeasurements" /> </extension> <strength value="extensible" /> <description value="Codes identifying numeric measurements" /> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/imaging-numobs-uv-ips" /> </binding> </element> <element id="Observation.component:numericMeasurement.value[x]"> <path value="Observation.component.value[x]" /> <type> <code value="Quantity" /> </type> <type> <code value="Range" /> </type> <type> <code value="Ratio" /> </type> <type> <code value="SampledData" /> </type> <mustSupport value="true" /> </element> </differential> </StructureDefinition>

This profile represents the constraints applied to the Observation resource by the IPS project, which specifies an imaging observation for the international patient summary based on the FHIR standard R4. This 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. In 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". It allows also providing details about the related study using the event-partOf extension referring an ImagingStudy resource.