| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments |
|---|
  Observation | I | 0..* | Observation | Measurements and simple assertions
us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
| I | 0..* | Observation | Measurements and simple assertions
| - Elements differ in definition: 'This profile is created to support recording Sexual Orientation per the ONC definition in USCDI v2.' vs 'Measurements and simple assertions made about a patient, device or other subject.'
|
 id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | string | Logical id of this artifact | |
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |
| language | | 0..1 | code | Language of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.
| | 0..1 | code | Language of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.
| |
| text | | 0..1 | Narrative | Text summary of the resource, for human interpretation | | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | | 0..* | Resource | Contained, inline Resources
| | 0..* | Resource | Contained, inline Resources
| |
 extension | | 0..* | Extension | Additional content defined by implementations
| | 0..* | Extension | Extension
Slice: Unordered, Open by value:Observation.extension.url
| - Elements differ in short: 'Additional content defined by implementations' vs 'Extension'
- Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
|
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
| ?! | 0..* | Extension | Extensions that cannot be ignored
| |
| identifier | Σ | 0..* | Identifier | Business Identifier for observation
| Σ | 0..* | Identifier | Business Identifier for observation
| |
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
| |
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
| Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
| |
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended +
Binding: ObservationStatus (required) | ?!Σ | 1..1 | code | registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Fixed Value: final | - Elements differ in definition for mustSupport: 'true' vs 'false'
|
| category | | 0..* | CodeableConcept | Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| | 0..* | CodeableConcept | Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| |
| code | SΣ | 1..1 | CodeableConcept | Sexual Orientation
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: {"coding":[{"system":"http://loinc.org","code":"76690-7"}]} | Σ | 1..1 | CodeableConcept | Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Fixed Value: {"coding":[{"system":"http://loinc.org","code":"11374-6","display":"Injury incident description Narrative"}]} | - Elements differ in short: 'Sexual Orientation' vs 'Type of observation (code / type)'
- Elements differ in definition for mustSupport: 'true' vs 'false'
|
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | Σ | 1..1 | Reference(VRDR Decedent) | Who and/or what the observation is about | - Elements differ in definition for mustSupport: 'true' vs 'false'
|
| focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
| Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
| |
| encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |
| effective[x] | SΣI | 0..1 | dateTime S, Period, Timing, instant | Clinically relevant time/time-period for observation
us-core-1: Datetime must be at least to day. | Σ | 0..1 | dateTime | Clinically relevant time/time-period for observation | - Elements differ in definition: 'This records the time during which the patient had identified their emotional, romantic, sexual, or affectional attraction to another person.' vs '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.'
- Elements differ in definition for mustSupport: 'true' vs 'false'
|
| issued | Σ | 0..1 | instant | Date/Time this version was made available | Σ | 0..1 | instant | Date/Time this version was made available | |
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
| Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
| |
| Slices for value[x] | ΣI | 0..1 | CodeableConcept | Actual result
Slice: Unordered, Closed by type:$this | ΣI | 1..1 | dateTime, string | Actual result | - Element minimum cardinalities differ: '0' vs '1'
|
| dataAbsentReason | I | 0..1 | CodeableConcept | Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| I | 0..1 | CodeableConcept | Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| |
| interpretation | | 0..* | CodeableConcept | High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| | 0..* | CodeableConcept | High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| |
| note | | 0..* | Annotation | Comments about the observation
| | 0..* | Annotation | Comments about the observation
| |
| bodySite | | 0..1 | CodeableConcept | Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| | 0..1 | CodeableConcept | Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| |
| method | | 0..1 | CodeableConcept | How it was done
Binding: ObservationMethods (example): Methods for simple observations.
| | 0..1 | CodeableConcept | How it was done
Binding: ObservationMethods (example): Methods for simple observations.
| |
| specimen | | 0..1 | Reference(Specimen) | Specimen used for this observation | | 0..1 | Reference(Specimen) | Specimen used for this observation | |
| device | | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |
 referenceRange | I | 0..* | BackboneElement | Provides guide for interpretation
obs-3: Must have at least a low or a high or text
| I | 0..* | BackboneElement | Provides guide for interpretation
| |
 id | | 0..1 | string | Unique id for inter-element referencing | | 0..1 | string | Unique id for inter-element referencing | |
| extension | | 0..* | Extension | Additional content defined by implementations
| | 0..* | Extension | Additional content defined by implementations
| |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
| ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
| |
| low | I | 0..1 | SimpleQuantity | Low Range, if relevant | I | 0..1 | SimpleQuantity | Low Range, if relevant | |
| high | I | 0..1 | SimpleQuantity | High Range, if relevant | I | 0..1 | SimpleQuantity | High Range, if relevant | |
| type | | 0..1 | CodeableConcept | Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| | 0..1 | CodeableConcept | Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
| |
| appliesTo | | 0..* | CodeableConcept | Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
| | 0..* | CodeableConcept | Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
| |
| age | | 0..1 | Range | Applicable age range, if relevant | | 0..1 | Range | Applicable age range, if relevant | |
 text | | 0..1 | string | Text based reference range in an observation | | 0..1 | string | Text based reference range in an observation | |
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
| Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
| |
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
| Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
| |
 component | Σ | 0..* | BackboneElement | Component results
| Σ | 2..2 | BackboneElement | Component results
Slice: Unordered, Open by value:code
| - Element minimum cardinalities differ: '0' vs '2'
- Element maximum cardinalities differ: '2147483647' vs '2'
|
 id | | 0..1 | string | Unique id for inter-element referencing | | 0..1 | string | Unique id for inter-element referencing | |
| extension | | 0..* | Extension | Additional content defined by implementations
| | 0..* | Extension | Additional content defined by implementations
| |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
| ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
| |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
| Σ | 1..1 | CodeableConcept | Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
| |
| value[x] | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | |
| dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| I | 0..1 | CodeableConcept | Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| |
| interpretation | | 0..* | CodeableConcept | High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| | 0..* | CodeableConcept | High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
| |
 referenceRange | | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
| | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
| |
Documentation for this format |