<status value="active" /> <description value="Abstract base profile for all Observation resources sent to Glintt. Defines common constraints shared by all observation types: identifier, status, category, code, subject with Glintt viewer enrichment, effectiveDateTime, performer, interpretation, and referenceRange. Interpretation and referenceRange are automatically enriched by MHR from ObservationDefinition thresholds at creation time. They are NOT mandatory — they are only present when a matching ObservationDefinition exists. Only Observations whose code matches the whitelist are synced: - 8310-5 (Body Temperature) - 59408-5 (SpO2) - 8867-4 (Heart Rate) - 9279-1 (Respiratory Rate) - 85354-9 (Blood Pressure) - 10000-F (Gait Group — custom LOINC) - 10100-F (Cognition Group — custom LOINC) - 20000-I (ECG+PCG Valvular Assessment — custom LOINC) - 3000-G (Frailty Physical Assessment -- custom LOINC) Media and Device resources are stripped before sending to Glintt." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="true" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation.meta.source"> <path value="Observation.meta.source" /> <short value="Source system that created this resource" /> <definition value="Set to 'http://alticelabs.com/fhir' by the MetaSourceInterceptor for all resources created via the internal backend (x-api-key). This value is used by the GlinttSyncInterceptor as an allowlist — only resources with this meta.source are synced to Glintt. Resources created by external partners (e.g., P5) will have a different or absent meta.source and are excluded from Glintt sync." /> </element> <element id="Observation.identifier"> <path value="Observation.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Observation.identifier:altice"> <path value="Observation.identifier" /> <sliceName value="altice" /> <short value="Altice business identifier (UUID)" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.identifier:altice.system"> <path value="Observation.identifier.system" /> <min value="1" /> <fixedUri value="http://alticelabs.com/fhir/identifiers/observation" /> </element> <element id="Observation.identifier:altice.value"> <path value="Observation.identifier.value" /> <min value="1" /> </element> <element id="Observation.status"> <path value="Observation.status" /> <fixedCode value="final" /> <mustSupport value="true" /> </element> <element id="Observation.category"> <path value="Observation.category" /> <short value="Classification of observation type (vital-signs, exam, etc.)" /> <mustSupport value="true" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <min value="1" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> </type> <mustSupport value="true" /> </element> <element id="Observation.subject.reference"> <path value="Observation.subject.reference" /> <min value="1" /> </element> <element id="Observation.subject.identifier"> <path value="Observation.subject.identifier" /> <short value="Glintt viewer identifier for subject correlation" /> <definition value="When sending to Glintt, the subject reference is enriched with the Patient's Glintt viewer identifier (system: https://glintt.com/viewer)." /> </element> <element id="Observation.encounter"> <path value="Observation.encounter" /> <short value="Encounter during which this observation was made" /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <min value="1" /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> </element> <element id="Observation.issued"> <path value="Observation.issued" /> <short value="Date/time this observation was made available" /> </element> <element id="Observation.performer"> <path value="Observation.performer" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> </type> </element> <element id="Observation.interpretation"> <path value="Observation.interpretation" /> <short value="MHR-enriched interpretation code" /> <definition value="Interpretation code (N, L, LL, H, HH) automatically enriched by MHR from ObservationDefinition thresholds at creation time. Only present when a matching ObservationDefinition exists." /> </element> <element id="Observation.note"> <path value="Observation.note" /> <short value="Clinical notes about the observation" /> </element> <element id="Observation.method"> <path value="Observation.method" /> <short value="How the observation was made (e.g., manual, device)" /> </element> <element id="Observation.device"> <path value="Observation.device" /> <short value="Reference to the Device that produced this observation" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> </type> </element> <element id="Observation.referenceRange"> <path value="Observation.referenceRange" /> <short value="MHR-enriched reference ranges" /> <definition value="Reference ranges from matching ObservationDefinition, automatically added by MHR at creation time. Only present when a matching ObservationDefinition exists." /> </element> <element id="Observation.derivedFrom"> <path value="Observation.derivedFrom" /> <short value="Related observations this observation is derived from" /> </element> </differential> </StructureDefinition>