XealthIG
v1.52.0 - release

XealthIG - Local Development build (vv1.52.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Xealth Observation Scored Assessment

Official URL: https://fhir.xealth.io/StructureDefinition/xealth-observation-scoredassessment Version: v1.52.0
Active as of 2026-10-26 Computable Name: XealthObservationScoredAssessment

Defines Xealth constraints on Observation to only have Quantity type data for all values and component values

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, orderingProvider-with-ehrOrderId
Observation.meta This element must be supported. This element is included in summaries. 1..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:ehrOrderId 0..1 string The EHR's identifier for the order.
URL: https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id
Observation.Slices for extension.extension:orderingProvider 0..1 (Complex) The name and identifier of the ordering provider. If identifier is present, then name must be as well, and vice versa.
URL: https://fhir.xealth.io/StructureDefinition/extension-ordering-provider
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.basedOn This element must be supported. This element is included in summaries. 1..* Reference(ServiceRequest) The Xealth order this Observation is based on.
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: Xealth Observation Valid Status Value Set (required)
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept The total score of the assessment.
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.code.Slices for coding This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.code.Slices for coding.coding:loincCode This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:loincCode.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.code.Slices for coding.coding:loincCode.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) The patient this Observation is made about.
Observation.effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime Clinically relevant time/time-period for observation
Observation.performer This element must be supported. This element is included in summaries. 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.value[x] This element must be supported. This element is included in summaries. C 1..1 Quantity Actual result
Observation.component This element must be supported. This element is included in summaries. 0..* BackboneElement The individual questions and responses.
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept The question asked.
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.component.code.Slices for coding This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.code.Slices for coding.coding:loincCode This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.component.code.Slices for coding.coding:loincCode.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.code.Slices for coding.coding:loincCode.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.component.Slices for value[x] This element is included in summaries. 0..1 CodeableConcept Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.Slices for value[x].value[x]:valueCodeableConcept This element is included in summaries. 0..1 CodeableConcept The corresponding response.
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices Content/Rules for all slices
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension Content/Rules for all slices
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension.extension:score This element must be supported. 0..1 decimal Ordinal Value
URL: https://fhir.xealth.io/StructureDefinition/ordinal-value
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding Content/Rules for all slices
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required Xealth Observation Valid Status Value Set 📦v1.52.0 This IG
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
orderingProvider-with-ehrOrderId error Observation If Observation.orderingProvider is present, then Observation.ehrOrderId must be present. extension.exists(url = 'https://fhir.xealth.io/StructureDefinition/extension-ordering-provider') implies extension.exists(url = 'https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id')

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: orderingProvider-with-ehrOrderId
Observation.meta This element must be supported. 1..1 Meta Metadata about the resource
Observation.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:ehrOrderId 0..1 string The EHR's identifier for the order.
URL: https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id
Observation.Slices for extension.extension:orderingProvider 0..1 (Complex) The name and identifier of the ordering provider. If identifier is present, then name must be as well, and vice versa.
URL: https://fhir.xealth.io/StructureDefinition/extension-ordering-provider
Observation.basedOn This element must be supported. 1..* Reference(ServiceRequest) The Xealth order this Observation is based on.
Observation.code This element must be supported. 1..1 CodeableConcept The total score of the assessment.
Observation.code.Slices for coding This element must be supported. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.code.Slices for coding.coding:loincCode This element must be supported. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:loincCode.system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.code.Slices for coding.coding:loincCode.code This element must be supported. 1..1 code Symbol in syntax defined by the system
Observation.subject This element must be supported. 1..1 Reference(Patient) The patient this Observation is made about.
Observation.effective[x] This element must be supported. 1..1 dateTime Clinically relevant time/time-period for observation
Observation.performer This element must be supported. 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.value[x] This element must be supported. 1..1 Quantity Actual result
Observation.component This element must be supported. 0..* BackboneElement The individual questions and responses.
Observation.component.code This element must be supported. 1..1 CodeableConcept The question asked.
Observation.component.code.Slices for coding This element must be supported. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.code.Slices for coding.coding:loincCode This element must be supported. 1..1 Coding Code defined by a terminology system
Observation.component.code.Slices for coding.coding:loincCode.system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.code.Slices for coding.coding:loincCode.code This element must be supported. 1..1 code Symbol in syntax defined by the system
Observation.component.value[x] 0..1 CodeableConcept Actual component result
Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.valueCodeableConcept 0..1 CodeableConcept The corresponding response.
Observation.component.valueCodeableConcept.Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.valueCodeableConcept.Slices for coding.coding:All Slices Content/Rules for all slices
Observation.component.valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension Content/Rules for all slices
Observation.component.valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension.extension:score This element must be supported. 0..1 decimal Ordinal Value
URL: https://fhir.xealth.io/StructureDefinition/ordinal-value
Observation.component.valueCodeableConcept.Slices for coding.coding:All Slices.code This element must be supported. 1..1 code Symbol in syntax defined by the system
Observation.component.valueCodeableConcept.Slices for coding.coding:loincCode This element must be supported. 1..1 Coding Code defined by a terminology system
Observation.component.valueCodeableConcept.Slices for coding.coding:loincCode.system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.status Base required Xealth Observation Valid Status Value Set 📦v1.52.0 This IG

Constraints

Id Grade Path(s) Description Expression
orderingProvider-with-ehrOrderId error Observation If Observation.orderingProvider is present, then Observation.ehrOrderId must be present. extension.exists(url = 'https://fhir.xealth.io/StructureDefinition/extension-ordering-provider') implies extension.exists(url = 'https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id')
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, orderingProvider-with-ehrOrderId
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element must be supported. This element is included in summaries. 1..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:ehrOrderId 0..1 string The EHR's identifier for the order.
URL: https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id
Observation.Slices for extension.extension:orderingProvider 0..1 (Complex) The name and identifier of the ordering provider. If identifier is present, then name must be as well, and vice versa.
URL: https://fhir.xealth.io/StructureDefinition/extension-ordering-provider
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element must be supported. This element is included in summaries. 1..* Reference(ServiceRequest) The Xealth order this Observation is based on.
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: Xealth Observation Valid Status Value Set (required)
Observation.category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept The total score of the assessment.
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.code.id 0..1 string Unique id for inter-element referencing
Observation.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.code.Slices for coding This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.code.Slices for coding.coding:loincCode This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:loincCode.id 0..1 string Unique id for inter-element referencing
Observation.code.Slices for coding.coding:loincCode.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:loincCode.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.code.Slices for coding.coding:loincCode.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.code.Slices for coding.coding:loincCode.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.code.Slices for coding.coding:loincCode.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.code.Slices for coding.coding:loincCode.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) The patient this Observation is made about.
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime Clinically relevant time/time-period for observation
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element must be supported. This element is included in summaries. 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.value[x] This element must be supported. This element is included in summaries. C 1..1 Quantity Actual result
Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Observation.component This element must be supported. This element is included in summaries. 0..* BackboneElement The individual questions and responses.
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept The question asked.
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.component.code.id 0..1 string Unique id for inter-element referencing
Observation.component.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.component.code.Slices for coding This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.code.Slices for coding.coding:loincCode This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.component.code.Slices for coding.coding:loincCode.id 0..1 string Unique id for inter-element referencing
Observation.component.code.Slices for coding.coding:loincCode.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.component.code.Slices for coding.coding:loincCode.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.code.Slices for coding.coding:loincCode.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.component.code.Slices for coding.coding:loincCode.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.component.code.Slices for coding.coding:loincCode.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.component.code.Slices for coding.coding:loincCode.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.component.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.component.Slices for value[x] This element is included in summaries. 0..1 CodeableConcept Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.Slices for value[x].value[x]:valueCodeableConcept This element is included in summaries. 0..1 CodeableConcept The corresponding response.
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.id 0..1 string Unique id for inter-element referencing
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices Content/Rules for all slices
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension Content/Rules for all slices
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension.extension:score This element must be supported. 0..1 decimal Ordinal Value
URL: https://fhir.xealth.io/StructureDefinition/ordinal-value
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.system This element is included in summaries. 0..1 uri Identity of the terminology system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding Content/Rules for all slices
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.id 0..1 string Unique id for inter-element referencing
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required Xealth Observation Valid Status Value Set 📦v1.52.0 This IG
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
orderingProvider-with-ehrOrderId error Observation If Observation.orderingProvider is present, then Observation.ehrOrderId must be present. extension.exists(url = 'https://fhir.xealth.io/StructureDefinition/extension-ordering-provider') implies extension.exists(url = 'https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id')
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from Observation

Summary

Mandatory: 10 elements(8 nested mandatory elements)
Must-Support: 19 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.code.coding
  • The element 1 is sliced based on the value of Observation.component.code.coding
  • The element 1 is sliced based on the value of Observation.component.value[x]
  • The element 1 is sliced based on the value of Observation.component.valueCodeableConcept.coding

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, orderingProvider-with-ehrOrderId
Observation.meta This element must be supported. This element is included in summaries. 1..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:ehrOrderId 0..1 string The EHR's identifier for the order.
URL: https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id
Observation.Slices for extension.extension:orderingProvider 0..1 (Complex) The name and identifier of the ordering provider. If identifier is present, then name must be as well, and vice versa.
URL: https://fhir.xealth.io/StructureDefinition/extension-ordering-provider
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.basedOn This element must be supported. This element is included in summaries. 1..* Reference(ServiceRequest) The Xealth order this Observation is based on.
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: Xealth Observation Valid Status Value Set (required)
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept The total score of the assessment.
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.code.Slices for coding This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.code.Slices for coding.coding:loincCode This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:loincCode.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.code.Slices for coding.coding:loincCode.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) The patient this Observation is made about.
Observation.effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime Clinically relevant time/time-period for observation
Observation.performer This element must be supported. This element is included in summaries. 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.value[x] This element must be supported. This element is included in summaries. C 1..1 Quantity Actual result
Observation.component This element must be supported. This element is included in summaries. 0..* BackboneElement The individual questions and responses.
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept The question asked.
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.component.code.Slices for coding This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.code.Slices for coding.coding:loincCode This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.component.code.Slices for coding.coding:loincCode.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.code.Slices for coding.coding:loincCode.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.component.Slices for value[x] This element is included in summaries. 0..1 CodeableConcept Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.Slices for value[x].value[x]:valueCodeableConcept This element is included in summaries. 0..1 CodeableConcept The corresponding response.
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices Content/Rules for all slices
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension Content/Rules for all slices
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension.extension:score This element must be supported. 0..1 decimal Ordinal Value
URL: https://fhir.xealth.io/StructureDefinition/ordinal-value
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding Content/Rules for all slices
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required Xealth Observation Valid Status Value Set 📦v1.52.0 This IG
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
orderingProvider-with-ehrOrderId error Observation If Observation.orderingProvider is present, then Observation.ehrOrderId must be present. extension.exists(url = 'https://fhir.xealth.io/StructureDefinition/extension-ordering-provider') implies extension.exists(url = 'https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id')

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: orderingProvider-with-ehrOrderId
Observation.meta This element must be supported. 1..1 Meta Metadata about the resource
Observation.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:ehrOrderId 0..1 string The EHR's identifier for the order.
URL: https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id
Observation.Slices for extension.extension:orderingProvider 0..1 (Complex) The name and identifier of the ordering provider. If identifier is present, then name must be as well, and vice versa.
URL: https://fhir.xealth.io/StructureDefinition/extension-ordering-provider
Observation.basedOn This element must be supported. 1..* Reference(ServiceRequest) The Xealth order this Observation is based on.
Observation.status This element must be supported. 1..1 code registered | preliminary | final | amended +
Binding: Xealth Observation Valid Status Value Set (required)
Observation.code This element must be supported. 1..1 CodeableConcept The total score of the assessment.
Observation.code.Slices for coding This element must be supported. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.code.Slices for coding.coding:loincCode This element must be supported. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:loincCode.system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.code.Slices for coding.coding:loincCode.code This element must be supported. 1..1 code Symbol in syntax defined by the system
Observation.subject This element must be supported. 1..1 Reference(Patient) The patient this Observation is made about.
Observation.effective[x] This element must be supported. 1..1 dateTime Clinically relevant time/time-period for observation
Observation.performer This element must be supported. 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.value[x] This element must be supported. 1..1 Quantity Actual result
Observation.component This element must be supported. 0..* BackboneElement The individual questions and responses.
Observation.component.code This element must be supported. 1..1 CodeableConcept The question asked.
Observation.component.code.Slices for coding This element must be supported. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.code.Slices for coding.coding:loincCode This element must be supported. 1..1 Coding Code defined by a terminology system
Observation.component.code.Slices for coding.coding:loincCode.system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.code.Slices for coding.coding:loincCode.code This element must be supported. 1..1 code Symbol in syntax defined by the system
Observation.component.value[x] 0..1 CodeableConcept Actual component result
Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.valueCodeableConcept 0..1 CodeableConcept The corresponding response.
Observation.component.valueCodeableConcept.Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.valueCodeableConcept.Slices for coding.coding:All Slices Content/Rules for all slices
Observation.component.valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension Content/Rules for all slices
Observation.component.valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension.extension:score This element must be supported. 0..1 decimal Ordinal Value
URL: https://fhir.xealth.io/StructureDefinition/ordinal-value
Observation.component.valueCodeableConcept.Slices for coding.coding:All Slices.code This element must be supported. 1..1 code Symbol in syntax defined by the system
Observation.component.valueCodeableConcept.Slices for coding.coding:loincCode This element must be supported. 1..1 Coding Code defined by a terminology system
Observation.component.valueCodeableConcept.Slices for coding.coding:loincCode.system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.status Base required Xealth Observation Valid Status Value Set 📦v1.52.0 This IG

Constraints

Id Grade Path(s) Description Expression
orderingProvider-with-ehrOrderId error Observation If Observation.orderingProvider is present, then Observation.ehrOrderId must be present. extension.exists(url = 'https://fhir.xealth.io/StructureDefinition/extension-ordering-provider') implies extension.exists(url = 'https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id')

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, orderingProvider-with-ehrOrderId
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element must be supported. This element is included in summaries. 1..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:ehrOrderId 0..1 string The EHR's identifier for the order.
URL: https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id
Observation.Slices for extension.extension:orderingProvider 0..1 (Complex) The name and identifier of the ordering provider. If identifier is present, then name must be as well, and vice versa.
URL: https://fhir.xealth.io/StructureDefinition/extension-ordering-provider
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element must be supported. This element is included in summaries. 1..* Reference(ServiceRequest) The Xealth order this Observation is based on.
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: Xealth Observation Valid Status Value Set (required)
Observation.category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept The total score of the assessment.
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.code.id 0..1 string Unique id for inter-element referencing
Observation.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.code.Slices for coding This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.code.Slices for coding.coding:loincCode This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:loincCode.id 0..1 string Unique id for inter-element referencing
Observation.code.Slices for coding.coding:loincCode.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:loincCode.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.code.Slices for coding.coding:loincCode.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.code.Slices for coding.coding:loincCode.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.code.Slices for coding.coding:loincCode.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.code.Slices for coding.coding:loincCode.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) The patient this Observation is made about.
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime Clinically relevant time/time-period for observation
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element must be supported. This element is included in summaries. 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.value[x] This element must be supported. This element is included in summaries. C 1..1 Quantity Actual result
Observation.dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Observation.component This element must be supported. This element is included in summaries. 0..* BackboneElement The individual questions and responses.
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept The question asked.
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.component.code.id 0..1 string Unique id for inter-element referencing
Observation.component.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.component.code.Slices for coding This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.code.Slices for coding.coding:loincCode This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.component.code.Slices for coding.coding:loincCode.id 0..1 string Unique id for inter-element referencing
Observation.component.code.Slices for coding.coding:loincCode.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.component.code.Slices for coding.coding:loincCode.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.code.Slices for coding.coding:loincCode.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.component.code.Slices for coding.coding:loincCode.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.component.code.Slices for coding.coding:loincCode.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.component.code.Slices for coding.coding:loincCode.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.component.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.component.Slices for value[x] This element is included in summaries. 0..1 CodeableConcept Actual component result
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.component.Slices for value[x].value[x]:valueCodeableConcept This element is included in summaries. 0..1 CodeableConcept The corresponding response.
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.id 0..1 string Unique id for inter-element referencing
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices Content/Rules for all slices
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension Content/Rules for all slices
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.Slices for extension.extension:score This element must be supported. 0..1 decimal Ordinal Value
URL: https://fhir.xealth.io/StructureDefinition/ordinal-value
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.system This element is included in summaries. 0..1 uri Identity of the terminology system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:All Slices.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding Content/Rules for all slices
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.id 0..1 string Unique id for inter-element referencing
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org (extensions allowed)
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.Slices for coding.coding:loincCode.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.component.Slices for value[x].value[x]:valueCodeableConcept.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required Xealth Observation Valid Status Value Set 📦v1.52.0 This IG
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
orderingProvider-with-ehrOrderId error Observation If Observation.orderingProvider is present, then Observation.ehrOrderId must be present. extension.exists(url = 'https://fhir.xealth.io/StructureDefinition/extension-ordering-provider') implies extension.exists(url = 'https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id')
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from Observation

Summary

Mandatory: 10 elements(8 nested mandatory elements)
Must-Support: 19 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.code.coding
  • The element 1 is sliced based on the value of Observation.component.code.coding
  • The element 1 is sliced based on the value of Observation.component.value[x]
  • The element 1 is sliced based on the value of Observation.component.valueCodeableConcept.coding

 

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