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 ValueQuantity
| Official URL: https://fhir.xealth.io/StructureDefinition/xealth-observation-valuequantity | Version: v1.52.0 | |||
| Active as of 2026-10-26 | Computable Name: XealthObservationValueQuantity | |||
Defines Xealth constraints on Observation to only have Quantity type data for all values and component values
Usages:
- Examples for this Profile: Observation/ExampleObservationValueQuantity
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.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, orderingProvider-with-ehrOrderId |
  meta |
1..1 | Meta | Metadata about the resource | |
 implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  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 | |
   extension:ehrOrderId |
0..1 | string | The EHR's identifier for the order. URL: https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id | |
 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 | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 basedOn |
1..* | Reference(ServiceRequest) | The Xealth order this Observation is based on. | |
| status |
1..1 | code | registered | preliminary | final | amended + Binding: Xealth Observation Valid Status Value Set (required) | |
| code |
1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | |
  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 | |
  coding:loincCode |
1..1 | Coding | Code defined by a terminology system | |
 system |
1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org (extensions allowed) | |
 code |
1..1 | code | Symbol in syntax defined by the system | |
| subject |
1..1 | Reference(Patient) | The patient this Observation is made about. | |
| effective[x] |
1..1 | dateTime | Clinically relevant time/time-period for observation | |
| performer |
1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | |
| Slices for value[x] |
C | 1..1 | Quantity | Actual 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 |
| value[x]:valueQuantity |
C | 1..1 | Quantity | Actual result |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |
| system |
C | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) |
| code |
1..1 | code | Coded form of the unit | |
| 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.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: orderingProvider-with-ehrOrderId |
 meta |
1..1 | Meta | Metadata about the resource | |
| 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 | |
| extension:ehrOrderId |
0..1 | string | The EHR's identifier for the order. URL: https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id | |
| 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 | |
| basedOn |
1..* | Reference(ServiceRequest) | The Xealth order this Observation is based on. | |
| status |
1..1 | code | registered | preliminary | final | amended + Binding: Xealth Observation Valid Status Value Set (required) | |
| code |
1..1 | CodeableConcept | Type of observation (code / type) | |
| 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 | |
| coding:loincCode |
1..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org (extensions allowed) | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| subject |
1..1 | Reference(Patient) | The patient this Observation is made about. | |
| effective[x] |
1..1 | dateTime | Clinically relevant time/time-period for observation | |
| performer |
1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | |
| value[x] |
1..1 | Quantity | Actual 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 | |
| valueQuantity |
1..1 | Quantity | Actual result | |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| system |
1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) | |
 code |
1..1 | code | Coded form of the unit | |
| component |
0..0 | Component results | ||
| 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')
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, orderingProvider-with-ehrOrderId | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
1..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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): A human language.
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| 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 | |||||
| extension:ehrOrderId |
0..1 | string | The EHR's identifier for the order. URL: https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id | |||||
| 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 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business Identifier for observation | |||||
| basedOn |
1..* | Reference(ServiceRequest) | The Xealth order this Observation is based on. | |||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | |||||
| status |
1..1 | code | registered | preliminary | final | amended + Binding: Xealth Observation Valid Status Value Set (required) | |||||
| category |
0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| code |
1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | |||||
| coding:loincCode |
1..1 | Coding | Code defined by a terminology system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org (extensions allowed) | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| subject |
1..1 | Reference(Patient) | The patient this Observation is made about. | |||||
| focus |
0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | |||||
| encounter |
0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||
| effective[x] |
1..1 | dateTime | Clinically relevant time/time-period for observation | |||||
| issued |
0..1 | instant | Date/Time this version was made available | |||||
| performer |
1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | |||||
| Slices for value[x] |
C | 1..1 | Quantity | Actual 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 | ||||
| value[x]:valueQuantity |
C | 1..1 | Quantity | Actual result | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||
| unit |
0..1 | string | Unit representation | |||||
| system |
C | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) | ||||
| code |
1..1 | code | Coded form of the unit | |||||
| dataAbsentReason |
C | 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. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
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. | |||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1 | ||||
| type |
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. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | |||||
| derivedFrom |
0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | |||||
| 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.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍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: 14 elements
Must-Support: 11 elements
Prohibited: 1 element
Extensions
This structure refers to these extensions:
- https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id
- https://fhir.xealth.io/StructureDefinition/extension-ordering-provider
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.value[x]
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, orderingProvider-with-ehrOrderId |
| meta |
1..1 | Meta | Metadata about the resource | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| 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 | |
| extension:ehrOrderId |
0..1 | string | The EHR's identifier for the order. URL: https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id | |
| 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 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| basedOn |
1..* | Reference(ServiceRequest) | The Xealth order this Observation is based on. | |
| status |
1..1 | code | registered | preliminary | final | amended + Binding: Xealth Observation Valid Status Value Set (required) | |
| code |
1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | |
| 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 | |
| coding:loincCode |
1..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org (extensions allowed) | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| subject |
1..1 | Reference(Patient) | The patient this Observation is made about. | |
| effective[x] |
1..1 | dateTime | Clinically relevant time/time-period for observation | |
| performer |
1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | |
| Slices for value[x] |
C | 1..1 | Quantity | Actual 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 |
| value[x]:valueQuantity |
C | 1..1 | Quantity | Actual result |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |
| system |
C | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) |
| code |
1..1 | code | Coded form of the unit | |
| 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.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: orderingProvider-with-ehrOrderId |
| meta |
1..1 | Meta | Metadata about the resource | |
| 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 | |
| extension:ehrOrderId |
0..1 | string | The EHR's identifier for the order. URL: https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id | |
| 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 | |
| basedOn |
1..* | Reference(ServiceRequest) | The Xealth order this Observation is based on. | |
| status |
1..1 | code | registered | preliminary | final | amended + Binding: Xealth Observation Valid Status Value Set (required) | |
| code |
1..1 | CodeableConcept | Type of observation (code / type) | |
| 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 | |
| coding:loincCode |
1..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org (extensions allowed) | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| subject |
1..1 | Reference(Patient) | The patient this Observation is made about. | |
| effective[x] |
1..1 | dateTime | Clinically relevant time/time-period for observation | |
| performer |
1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | |
| value[x] |
1..1 | Quantity | Actual 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 | |
| valueQuantity |
1..1 | Quantity | Actual result | |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| system |
1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) | |
| code |
1..1 | code | Coded form of the unit | |
| component |
0..0 | Component results | ||
| 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
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, orderingProvider-with-ehrOrderId | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
1..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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): A human language.
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| 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 | |||||
| extension:ehrOrderId |
0..1 | string | The EHR's identifier for the order. URL: https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id | |||||
| 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 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business Identifier for observation | |||||
| basedOn |
1..* | Reference(ServiceRequest) | The Xealth order this Observation is based on. | |||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | |||||
| status |
1..1 | code | registered | preliminary | final | amended + Binding: Xealth Observation Valid Status Value Set (required) | |||||
| category |
0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| code |
1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | |||||
| coding:loincCode |
1..1 | Coding | Code defined by a terminology system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org (extensions allowed) | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| subject |
1..1 | Reference(Patient) | The patient this Observation is made about. | |||||
| focus |
0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | |||||
| encounter |
0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||
| effective[x] |
1..1 | dateTime | Clinically relevant time/time-period for observation | |||||
| issued |
0..1 | instant | Date/Time this version was made available | |||||
| performer |
1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | |||||
| Slices for value[x] |
C | 1..1 | Quantity | Actual 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 | ||||
| value[x]:valueQuantity |
C | 1..1 | Quantity | Actual result | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||
| unit |
0..1 | string | Unit representation | |||||
| system |
C | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) | ||||
| code |
1..1 | code | Coded form of the unit | |||||
| dataAbsentReason |
C | 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. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
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. | |||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1 | ||||
| type |
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. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | |||||
| derivedFrom |
0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | |||||
| 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.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍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: 14 elements
Must-Support: 11 elements
Prohibited: 1 element
Extensions
This structure refers to these extensions:
- https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id
- https://fhir.xealth.io/StructureDefinition/extension-ordering-provider
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.value[x]
Other representations of profile: CSV, Excel, Schematron