<status value="draft" /> <experimental value="false" /> <date value="2019-09-02" /> <publisher value="Kela" /> <description value="Finnish PHR base profile for Observation resource" /> <purpose value="Finnish PHR abstract base profile for Observation used in Vital signs measurements made about a patient. Base profile defines profiled elements used in all vital signs observation resources." /> <fhirVersion value="3.0.1" /> <kind value="resource" /> <abstract value="true" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="Finnish PHR base profile for Observation resource" /> <definition value="Finnish PHR abstract base profile for Observation used in Vital signs measurements made about a patient. Base profile defines profiled elements used in all vital signs observation resources." /> <comment value="." /> </element> <element id="Observation.meta.profile"> <path value="Observation.meta.profile" /> <definition value="FinnishPHR: Profile required. The URL is a reference to [StructureDefinition.url]()." /> <min value="1" /> <max value="1" /> </element> <element id="Observation.meta.security"> <path value="Observation.meta.security" /> <max value="1" /> <binding> <strength value="required" /> <description value="Finnish PHR: Security Labels from the Healthcare Privacy and Security Classification System." /> <valueSetReference> <reference value="http://phr.kanta.fi/ValueSet/fiphr-vs-confidentiality" /> </valueSetReference> </binding> </element> <element id="Observation.meta.security.system"> <path value="Observation.meta.security.system" /> <min value="1" /> <fixedUri value="http://hl7.org/fhir/v3/Confidentiality" /> </element> <element id="Observation.meta.security.version"> <path value="Observation.meta.security.version" /> <max value="0" /> </element> <element id="Observation.meta.security.code"> <path value="Observation.meta.security.code" /> <min value="1" /> </element> <element id="Observation.meta.security.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.meta.security.display" /> <min value="1" /> </element> <element id="Observation.meta.security.userSelected"> <path value="Observation.meta.security.userSelected" /> <max value="0" /> </element> <element id="Observation.language"> <path value="Observation.language" /> <min value="1" /> <binding> <strength value="required" /> <description value="Finnish PHR: A code of human language." /> </binding> </element> <element id="Observation.text"> <path value="Observation.text" /> <min value="1" /> </element> <element id="Observation.extension"> <path value="Observation.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.extension:creatingApplication"> <path value="Observation.extension" /> <sliceName value="creatingApplication" /> <type> <code value="Extension" /> <profile value="http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication" /> </type> </element> <element id="Observation.identifier"> <path value="Observation.identifier" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.identifier.use"> <path value="Observation.identifier.use" /> <max value="0" /> </element> <element id="Observation.identifier.type"> <path value="Observation.identifier.type" /> <max value="0" /> </element> <element id="Observation.identifier.system"> <path value="Observation.identifier.system" /> <min value="1" /> <fixedUri value="urn:ietf:rfc:3986" /> </element> <element id="Observation.identifier.value"> <path value="Observation.identifier.value" /> <definition value="Finnish PHR: Uuid identfying the resource uniquely. The portion of the identifier typically relevant to the user and which is unique within the context of the system." /> <min value="1" /> </element> <element id="Observation.identifier.period"> <path value="Observation.identifier.period" /> <max value="0" /> </element> <element id="Observation.identifier.assigner"> <path value="Observation.identifier.assigner" /> <max value="0" /> </element> <element id="Observation.basedOn"> <path value="Observation.basedOn" /> <max value="0" /> </element> <element id="Observation.status"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"> <valueString value="default: final" /> </extension> <path value="Observation.status" /> <short value="Finnish PHR: Status final" /> <definition value="Finnish PHR: The status of the result value." /> <comment value="Finnish PHR: Only status 'final' shall be used in FinnishPHR." /> <requirements value="Finnish PHR: Need to track the status of individual results. Erronous observation may not be stored in FinnishPHR." /> <fixedCode value="final" /> </element> <element id="Observation.category"> <path value="Observation.category" /> <short value="Classification of type of observation:" /> <definition value="Classification of type of observation." /> <comment value="FinnishPHR: Only value vital-signs valid in FinnishPHR (defined by the value set). More fine-grained filtering can be performed using the Observation.code." /> <requirements value="All resources all vital signs observations." /> <min value="1" /> <max value="1" /> <binding> <strength value="required" /> <description value="Finnish PHR: Codes for high level observation categories." /> </binding> </element> <element id="Observation.category.coding"> <path value="Observation.category.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.category.coding.system"> <path value="Observation.category.coding.system" /> <min value="1" /> <fixedUri value="http://hl7.org/fhir/observation-category" /> </element> <element id="Observation.category.coding.version"> <path value="Observation.category.coding.version" /> <max value="0" /> </element> <element id="Observation.category.coding.code"> <path value="Observation.category.coding.code" /> <min value="1" /> <fixedCode value="vital-signs" /> </element> <element id="Observation.category.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.category.coding.display" /> <max value="0" /> </element> <element id="Observation.category.coding.userSelected"> <path value="Observation.category.coding.userSelected" /> <max value="0" /> </element> <element id="Observation.category.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.category.text" /> <max value="0" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <short value="Type of observation (type / code)" /> <comment value="Describes type of observation." /> <binding> <strength value="required" /> <valueSetReference> <reference value="http://phr.kanta.fi/ValueSet/fiphr-vs-vitalsigns" /> </valueSetReference> </binding> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <min value="1" /> <max value="2" /> </element> <element id="Observation.code.coding.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.code.coding.version"> <path value="Observation.code.coding.version" /> <max value="0" /> </element> <element id="Observation.code.coding.code"> <path value="Observation.code.coding.code" /> <definition value="A symbol in syntax defined by the system." /> <min value="1" /> </element> <element id="Observation.code.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.code.coding.display" /> <min value="1" /> </element> <element id="Observation.code.coding.userSelected"> <path value="Observation.code.coding.userSelected" /> <max value="0" /> </element> <element id="Observation.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.code.text" /> <max value="0" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <definition value="Finnish PHR: The patient described by the observation and into whose record the observation is placed." /> <comment value="Finnish PHR: Who this observation is about. Usually the same person as the application user, but if the user is storing observations on behalf of someone else, the subject is the person whose measurements or other observations are entered." /> <requirements value="Finnish PHR: Observations have always known the Patient" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://phr.kanta.fi/StructureDefinition/fiphr-patient-stu3" /> <aggregation value="referenced" /> </type> </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" /> <max value="0" /> </element> <element id="Observation.subject.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.subject.display" /> <max value="0" /> </element> <element id="Observation.context"> <path value="Observation.context" /> <max value="0" /> </element> <element id="Observation.effective[x]:effectiveDateTime"> <path value="Observation.effectiveDateTime" /> <sliceName value="effectiveDateTime" /> <min value="1" /> <type> <code value="dateTime" /> </type> </element> <element id="Observation.issued"> <path value="Observation.issued" /> <short value="Finnish PHR: The date and time this observation is stored" /> <definition value="Finnish PHR: The date and time this observation is stored" /> <min value="1" /> </element> <element id="Observation.performer"> <path value="Observation.performer" /> <short value="Finnish PHR: Application user who is responsible for the observation" /> <definition value="FinnishPHR: Application user who was responsible for asserting the observed value as "true"." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable." /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://phr.kanta.fi/StructureDefinition/fiphr-patient-stu3" /> <aggregation value="referenced" /> </type> </element> <element id="Observation.performer.reference"> <path value="Observation.performer.reference" /> <min value="1" /> </element> <element id="Observation.performer.identifier"> <path value="Observation.performer.identifier" /> <max value="0" /> </element> <element id="Observation.performer.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.performer.display" /> <max value="0" /> </element> <element id="Observation.dataAbsentReason"> <path value="Observation.dataAbsentReason" /> <max value="0" /> </element> <element id="Observation.interpretation"> <path value="Observation.interpretation" /> <definition value="Finnish PHR: The assessment made based on the result of the observation. Intended as a simple compact code placed adjacent to the result value. Otherwise known as abnormal flag." /> <binding> <strength value="required" /> <description value="Finnish PHR: Codes identifying interpretations of observations." /> </binding> </element> <element id="Observation.interpretation.coding"> <path value="Observation.interpretation.coding" /> <max value="1" /> </element> <element id="Observation.interpretation.coding.system"> <path value="Observation.interpretation.coding.system" /> <min value="1" /> <fixedUri value="http://hl7.org/fhir/v2/0078" /> </element> <element id="Observation.interpretation.coding.version"> <path value="Observation.interpretation.coding.version" /> <max value="0" /> </element> <element id="Observation.interpretation.coding.code"> <path value="Observation.interpretation.coding.code" /> <min value="1" /> </element> <element id="Observation.interpretation.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.interpretation.coding.display" /> <min value="1" /> </element> <element id="Observation.interpretation.coding.userSelected"> <path value="Observation.interpretation.coding.userSelected" /> <max value="0" /> </element> <element id="Observation.bodySite"> <path value="Observation.bodySite" /> <max value="0" /> </element> <element id="Observation.method"> <path value="Observation.method" /> <comment value="FinnishPHR: Only used if not implicit in code for Observation.code." /> <max value="0" /> <binding> <strength value="example" /> <valueSetUri value="http://hl7.org/fhir/ValueSet/observation-methods" /> </binding> </element> <element id="Observation.method.coding.system"> <path value="Observation.method.coding.system" /> <min value="1" /> </element> <element id="Observation.method.coding.version"> <path value="Observation.method.coding.version" /> <max value="0" /> </element> <element id="Observation.method.coding.code"> <path value="Observation.method.coding.code" /> <min value="1" /> </element> <element id="Observation.method.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.method.coding.display" /> <min value="1" /> </element> <element id="Observation.method.coding.userSelected"> <path value="Observation.method.coding.userSelected" /> <max value="0" /> </element> <element id="Observation.specimen"> <path value="Observation.specimen" /> <max value="0" /> </element> <element id="Observation.device"> <path value="Observation.device" /> <short value="(Measurement) FinnishDevice" /> <comment value="Finnish PHR Device profile is not final yet." /> <type> <code value="Reference" /> <targetProfile value="http://phr.kanta.fi/StructureDefinition/fiphr-device" /> <aggregation value="contained" /> </type> </element> <element id="Observation.device.identifier"> <path value="Observation.device.identifier" /> <max value="0" /> </element> <element id="Observation.related"> <path value="Observation.related" /> <max value="0" /> </element> <element id="Observation.component"> <path value="Observation.component" /> <comment value="Profiled further in derived profiles that use components." /> </element> <element id="Observation.component.code"> <path value="Observation.component.code" /> <binding> <strength value="required" /> <valueSetReference> <reference value="http://phr.kanta.fi/ValueSet/fiphr-vs-vitalsigns" /> </valueSetReference> </binding> </element> <element id="Observation.component.code.coding"> <path value="Observation.component.code.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.component.code.coding.system"> <path value="Observation.component.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.component.code.coding.version"> <path value="Observation.component.code.coding.version" /> <max value="0" /> </element> <element id="Observation.component.code.coding.code"> <path value="Observation.component.code.coding.code" /> <min value="1" /> </element> <element id="Observation.component.code.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.component.code.coding.display" /> <min value="1" /> </element> <element id="Observation.component.code.coding.userSelected"> <path value="Observation.component.code.coding.userSelected" /> <max value="0" /> </element> <element id="Observation.component.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.component.code.text" /> <max value="0" /> </element> <element id="Observation.component.dataAbsentReason"> <path value="Observation.component.dataAbsentReason" /> <max value="0" /> </element> <element id="Observation.component.interpretation.coding.system"> <path value="Observation.component.interpretation.coding.system" /> <min value="1" /> </element> <element id="Observation.component.interpretation.coding.version"> <path value="Observation.component.interpretation.coding.version" /> <max value="0" /> </element> <element id="Observation.component.interpretation.coding.code"> <path value="Observation.component.interpretation.coding.code" /> <min value="1" /> </element> <element id="Observation.component.interpretation.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Observation.component.interpretation.coding.display" /> <min value="1" /> </element> <element id="Observation.component.interpretation.coding.userSelected"> <path value="Observation.component.interpretation.coding.userSelected" /> <max value="0" /> </element> </differential> </StructureDefinition>