International Patient Summary 1.0.0 Release
1.0 - CI Build

International Patient Summary 1.0.0 Release - Local Development build (v1.0). See the Directory of published versions

Resource Profile: IPS Result Observation

Official URL: http://localhost:8877/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.10--20170302000000 Version: 1.0
Draft as of 2017-03-02 Computable Name: IPSResultObservation
Other Identifiers: id: urn:oid:2.16.840.1.113883.10.22.4.10 (use: OFFICIAL)

This generic template is the basic set of constraints, which apply to any kind of observation grouped in a Result Organizer. The IPS Result Observation template is generic. It is further specialized by child templates, which  constrain  clinical laboratory observations or radiology observations or anatomic pathology observations. The generic IPS Result Observation template is usable in a patient summary for observations, which do not fall within one of the specialized categories.   The result observation includes a statusCode to allow recording the status of an observation. “Pending” results (e.g., a test has been run but results have not been reported yet.html) should be represented as “active” ActStatus. However, in most cases, observations selected for an international patient summary are  results that are final and approved, and thus, have a “completed” statusCode. The result of the observation may be commented through an entryRelationship introducing an “IPS Comment activity” template.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

This structure is derived from CDAR2.Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*CDAR2.ObservationBase for all types and resources
... classCode 1..1codeFixed Value: OBS
... moodCode 1..1codeFixed Value: EVN
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary S1..1II
..... root 1..1stringFixed Value: 2.16.840.1.113883.10.22.4.10
... code S1..1CDBinding: IPS Results Observation (required): IPS Results Observation

... statusCode S1..1CS
... effectiveTime S1..1IVL_TS
... interpretationCode S0..1CEBinding: ObservationInterpretation (required): ObservationInterpretation

... targetSiteCode 0..1CDBinding: IPS Target Site (preferred): IPS Target Site

... author S0..*Author
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 C0..*IPSCommentActivityBase for all types and resources
entryRelationship-1: contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html)
..... typeCode 1..1codeFixed Value: COMP
... referenceRange S0..*Element
.... observationRange S1..1ObservationRange
..... code 0..0
..... value S1..1BL, ED, ED, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS
..... interpretationCode 0..1CE
...... code 0..1stringFixed Value: N
...... codeSystem 0..1stringFixed Value: 2.16.840.1.113883.5.83

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.coderequiredIPSResultsObservation (a valid code from LOINC)
Observation.interpretationCoderequiredObservationInterpretation
Observation.targetSiteCodepreferredIPSTargetSiteCode

Constraints

IdGradePath(s)DetailsRequirements
entryRelationship-1nullObservation.entryRelationship:entryRelationship-1contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html)
:
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*CDAR2.ObservationBase for all types and resources
... classCode 1..1codeBinding: ActClassObservation (required)
Fixed Value: OBS
... moodCode 1..1codeFixed Value: EVN
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary S1..1II
..... root 1..1stringFixed Value: 2.16.840.1.113883.10.22.4.10
... code S1..1CDBinding: IPS Results Observation (required): IPS Results Observation

... statusCode S1..1CSBinding: ActStatus (required)
... effectiveTime S1..1IVL_TS
... interpretationCode S0..1CEBinding: ObservationInterpretation (required): ObservationInterpretation


... targetSiteCode 0..1CDBinding: IPS Target Site (preferred): IPS Target Site


... author S0..*Author
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by value:profile
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
.... entryRelationship:entryRelationship-1 C0..*IPSCommentActivityBase for all types and resources
entryRelationship-1: contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html)
..... typeCode 1..1codeFixed Value: COMP
..... contextConductionInd 1..1boolean
... referenceRange S0..*Element
.... typeCode 1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: REFV
.... observationRange S1..1ObservationRange
..... classCode 1..1codeBinding: ActClassObservation (required)
..... moodCode 1..1codeBinding: ActMoodPredicate (required)
Fixed Value: EVN.CRT
..... value S1..1
...... valueBL
...... valueED
...... valueED
...... valueCD
...... valueCV
...... valueCE
...... valueSC
...... valueII
...... valueTEL
...... valueAD
...... valueEN
...... valueINT
...... valueREAL
...... valuePQ
...... valueMO
...... valueTS
...... valueIVL_PQ
...... valueIVL_TS
...... valuePIVL_TS
...... valueEIVL_TS
...... valueSXPR_TS
..... interpretationCode 0..1CEBinding: ObservationInterpretation (required)
...... code 0..1stringFixed Value: N
...... codeSystem 0..1stringFixed Value: 2.16.840.1.113883.5.83

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.classCoderequiredFixed Value: OBS
Observation.coderequiredIPSResultsObservation (a valid code from LOINC)
Observation.statusCoderequiredActStatus
Observation.interpretationCoderequiredObservationInterpretation
Observation.targetSiteCodepreferredIPSTargetSiteCode
Observation.referenceRange.typeCoderequiredFixed Value: REFV
Observation.referenceRange.observationRange.classCoderequiredActClassObservation
Observation.referenceRange.observationRange.moodCoderequiredFixed Value: EVN.CRT
Observation.referenceRange.observationRange.interpretationCoderequiredObservationInterpretation

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
entryRelationship-1nullObservation.entryRelationship:entryRelationship-1contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html)
:
obs-er-1errorObservation.entryRelationship, Observation.entryRelationship:entryRelationship-1Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*CDAR2.ObservationBase for all types and resources
... classCode 1..1codeBinding: ActClassObservation (required)
Fixed Value: OBS
... moodCode 1..1codeFixed Value: EVN
... negationInd 0..1boolean
... realmCode 0..*CS
... typeId 0..1II
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary S1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringFixed Value: 2.16.840.1.113883.10.22.4.10
..... extension 0..1string
... id S0..*II
... code S1..1CDBinding: IPS Results Observation (required): IPS Results Observation

... derivationExpr 0..1ED
... text 0..1ED
... statusCode S1..1CSBinding: ActStatus (required)
... effectiveTime S1..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... repeatNumber 0..1IVL_INT
... languageCode 0..1CSBinding: HumanLanguage (required)
... value 0..*
.... valueBL
.... valueED
.... valueED
.... valueCD
.... valueCV
.... valueCE
.... valueSC
.... valueII
.... valueTEL
.... valueAD
.... valueEN
.... valueINT
.... valueREAL
.... valuePQ
.... valueMO
.... valueTS
.... valueIVL_PQ
.... valueIVL_TS
.... valuePIVL_TS
.... valueEIVL_TS
.... valueSXPR_TS
.... valueRTO_PQ_PQ
... interpretationCode S0..1CEBinding: ObservationInterpretation (required): ObservationInterpretation


... methodCode 0..*CEBinding: ObservationMethod (extensible)
... targetSiteCode 0..1CDBinding: IPS Target Site (preferred): IPS Target Site


... subject 0..1Element
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
... author S0..*Author
... informant 0..*Element
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by value:profile
.... entryRelationship:All Slices Content/Rules for all slices
..... id 0..1idUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:entryRelationship-1 C0..*IPSCommentActivityBase for all types and resources
entryRelationship-1: contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html)
..... id 0..1idUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeFixed Value: COMP
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
... reference 0..*Element
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition
... referenceRange S0..*Element
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: REFV
.... observationRange S1..1ObservationRange
..... classCode 1..1codeBinding: ActClassObservation (required)
..... moodCode 1..1codeBinding: ActMoodPredicate (required)
Fixed Value: EVN.CRT
..... templateId 0..*II
..... text 0..1ED
..... value S1..1
...... valueBL
...... valueED
...... valueED
...... valueCD
...... valueCV
...... valueCE
...... valueSC
...... valueII
...... valueTEL
...... valueAD
...... valueEN
...... valueINT
...... valueREAL
...... valuePQ
...... valueMO
...... valueTS
...... valueIVL_PQ
...... valueIVL_TS
...... valuePIVL_TS
...... valueEIVL_TS
...... valueSXPR_TS
..... interpretationCode 0..1CEBinding: ObservationInterpretation (required)
...... nullFlavor 0..1codeBinding: NullFlavor (required)
...... code 0..1stringFixed Value: N
...... codeSystem 0..1stringFixed Value: 2.16.840.1.113883.5.83
...... codeSystemName 0..1string
...... codeSystemVersion 0..1string
...... displayName 0..1string
...... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
...... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
...... originalText 0..1ED
...... translation 0..*CD

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.classCoderequiredFixed Value: OBS
Observation.templateId:primary.nullFlavorrequiredNullFlavor
Observation.coderequiredIPSResultsObservation (a valid code from LOINC)
Observation.statusCoderequiredActStatus
Observation.priorityCodeextensibleActPriority
Observation.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)
Observation.interpretationCoderequiredObservationInterpretation
Observation.methodCodeextensibleObservationMethod
Observation.targetSiteCodepreferredIPSTargetSiteCode
Observation.subject.typeCoderequiredFixed Value: SBJ
Observation.subject.contextControlCoderequiredFixed Value: OP
Observation.subject.awarenessCodeextensibleTargetAwareness
Observation.informant.typeCoderequiredFixed Value: INF
Observation.informant.contextControlCoderequiredFixed Value: OP
Observation.referenceRange.typeCoderequiredFixed Value: REFV
Observation.referenceRange.observationRange.classCoderequiredActClassObservation
Observation.referenceRange.observationRange.moodCoderequiredFixed Value: EVN.CRT
Observation.referenceRange.observationRange.interpretationCoderequiredObservationInterpretation
Observation.referenceRange.observationRange.interpretationCode.nullFlavorrequiredNullFlavor

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
entryRelationship-1nullObservation.entryRelationship:entryRelationship-1contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html)
:
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-er-1errorObservation.entryRelationship, Observation.entryRelationship:entryRelationship-1Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

This structure is derived from CDAR2.Observation

Summary

Mandatory: 7 elements (3 nested mandatory elements)
Must-Support: 10 elements
Fixed Value: 6 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.templateId is sliced based on the values of value:root, value:extension
  • The element Observation.entryRelationship is sliced based on the value of value:profile

Differential View

This structure is derived from CDAR2.Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*CDAR2.ObservationBase for all types and resources
... classCode 1..1codeFixed Value: OBS
... moodCode 1..1codeFixed Value: EVN
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary S1..1II
..... root 1..1stringFixed Value: 2.16.840.1.113883.10.22.4.10
... code S1..1CDBinding: IPS Results Observation (required): IPS Results Observation

... statusCode S1..1CS
... effectiveTime S1..1IVL_TS
... interpretationCode S0..1CEBinding: ObservationInterpretation (required): ObservationInterpretation

... targetSiteCode 0..1CDBinding: IPS Target Site (preferred): IPS Target Site

... author S0..*Author
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 C0..*IPSCommentActivityBase for all types and resources
entryRelationship-1: contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html)
..... typeCode 1..1codeFixed Value: COMP
... referenceRange S0..*Element
.... observationRange S1..1ObservationRange
..... code 0..0
..... value S1..1BL, ED, ED, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS
..... interpretationCode 0..1CE
...... code 0..1stringFixed Value: N
...... codeSystem 0..1stringFixed Value: 2.16.840.1.113883.5.83

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.coderequiredIPSResultsObservation (a valid code from LOINC)
Observation.interpretationCoderequiredObservationInterpretation
Observation.targetSiteCodepreferredIPSTargetSiteCode

Constraints

IdGradePath(s)DetailsRequirements
entryRelationship-1nullObservation.entryRelationship:entryRelationship-1contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html)
:

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*CDAR2.ObservationBase for all types and resources
... classCode 1..1codeBinding: ActClassObservation (required)
Fixed Value: OBS
... moodCode 1..1codeFixed Value: EVN
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary S1..1II
..... root 1..1stringFixed Value: 2.16.840.1.113883.10.22.4.10
... code S1..1CDBinding: IPS Results Observation (required): IPS Results Observation

... statusCode S1..1CSBinding: ActStatus (required)
... effectiveTime S1..1IVL_TS
... interpretationCode S0..1CEBinding: ObservationInterpretation (required): ObservationInterpretation


... targetSiteCode 0..1CDBinding: IPS Target Site (preferred): IPS Target Site


... author S0..*Author
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by value:profile
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
.... entryRelationship:entryRelationship-1 C0..*IPSCommentActivityBase for all types and resources
entryRelationship-1: contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html)
..... typeCode 1..1codeFixed Value: COMP
..... contextConductionInd 1..1boolean
... referenceRange S0..*Element
.... typeCode 1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: REFV
.... observationRange S1..1ObservationRange
..... classCode 1..1codeBinding: ActClassObservation (required)
..... moodCode 1..1codeBinding: ActMoodPredicate (required)
Fixed Value: EVN.CRT
..... value S1..1
...... valueBL
...... valueED
...... valueED
...... valueCD
...... valueCV
...... valueCE
...... valueSC
...... valueII
...... valueTEL
...... valueAD
...... valueEN
...... valueINT
...... valueREAL
...... valuePQ
...... valueMO
...... valueTS
...... valueIVL_PQ
...... valueIVL_TS
...... valuePIVL_TS
...... valueEIVL_TS
...... valueSXPR_TS
..... interpretationCode 0..1CEBinding: ObservationInterpretation (required)
...... code 0..1stringFixed Value: N
...... codeSystem 0..1stringFixed Value: 2.16.840.1.113883.5.83

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.classCoderequiredFixed Value: OBS
Observation.coderequiredIPSResultsObservation (a valid code from LOINC)
Observation.statusCoderequiredActStatus
Observation.interpretationCoderequiredObservationInterpretation
Observation.targetSiteCodepreferredIPSTargetSiteCode
Observation.referenceRange.typeCoderequiredFixed Value: REFV
Observation.referenceRange.observationRange.classCoderequiredActClassObservation
Observation.referenceRange.observationRange.moodCoderequiredFixed Value: EVN.CRT
Observation.referenceRange.observationRange.interpretationCoderequiredObservationInterpretation

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
entryRelationship-1nullObservation.entryRelationship:entryRelationship-1contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html)
:
obs-er-1errorObservation.entryRelationship, Observation.entryRelationship:entryRelationship-1Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*CDAR2.ObservationBase for all types and resources
... classCode 1..1codeBinding: ActClassObservation (required)
Fixed Value: OBS
... moodCode 1..1codeFixed Value: EVN
... negationInd 0..1boolean
... realmCode 0..*CS
... typeId 0..1II
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary S1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringFixed Value: 2.16.840.1.113883.10.22.4.10
..... extension 0..1string
... id S0..*II
... code S1..1CDBinding: IPS Results Observation (required): IPS Results Observation

... derivationExpr 0..1ED
... text 0..1ED
... statusCode S1..1CSBinding: ActStatus (required)
... effectiveTime S1..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... repeatNumber 0..1IVL_INT
... languageCode 0..1CSBinding: HumanLanguage (required)
... value 0..*
.... valueBL
.... valueED
.... valueED
.... valueCD
.... valueCV
.... valueCE
.... valueSC
.... valueII
.... valueTEL
.... valueAD
.... valueEN
.... valueINT
.... valueREAL
.... valuePQ
.... valueMO
.... valueTS
.... valueIVL_PQ
.... valueIVL_TS
.... valuePIVL_TS
.... valueEIVL_TS
.... valueSXPR_TS
.... valueRTO_PQ_PQ
... interpretationCode S0..1CEBinding: ObservationInterpretation (required): ObservationInterpretation


... methodCode 0..*CEBinding: ObservationMethod (extensible)
... targetSiteCode 0..1CDBinding: IPS Target Site (preferred): IPS Target Site


... subject 0..1Element
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
... author S0..*Author
... informant 0..*Element
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by value:profile
.... entryRelationship:All Slices Content/Rules for all slices
..... id 0..1idUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:entryRelationship-1 C0..*IPSCommentActivityBase for all types and resources
entryRelationship-1: contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html)
..... id 0..1idUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeFixed Value: COMP
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
... reference 0..*Element
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition
... referenceRange S0..*Element
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: REFV
.... observationRange S1..1ObservationRange
..... classCode 1..1codeBinding: ActClassObservation (required)
..... moodCode 1..1codeBinding: ActMoodPredicate (required)
Fixed Value: EVN.CRT
..... templateId 0..*II
..... text 0..1ED
..... value S1..1
...... valueBL
...... valueED
...... valueED
...... valueCD
...... valueCV
...... valueCE
...... valueSC
...... valueII
...... valueTEL
...... valueAD
...... valueEN
...... valueINT
...... valueREAL
...... valuePQ
...... valueMO
...... valueTS
...... valueIVL_PQ
...... valueIVL_TS
...... valuePIVL_TS
...... valueEIVL_TS
...... valueSXPR_TS
..... interpretationCode 0..1CEBinding: ObservationInterpretation (required)
...... nullFlavor 0..1codeBinding: NullFlavor (required)
...... code 0..1stringFixed Value: N
...... codeSystem 0..1stringFixed Value: 2.16.840.1.113883.5.83
...... codeSystemName 0..1string
...... codeSystemVersion 0..1string
...... displayName 0..1string
...... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
...... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
...... originalText 0..1ED
...... translation 0..*CD

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.classCoderequiredFixed Value: OBS
Observation.templateId:primary.nullFlavorrequiredNullFlavor
Observation.coderequiredIPSResultsObservation (a valid code from LOINC)
Observation.statusCoderequiredActStatus
Observation.priorityCodeextensibleActPriority
Observation.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)
Observation.interpretationCoderequiredObservationInterpretation
Observation.methodCodeextensibleObservationMethod
Observation.targetSiteCodepreferredIPSTargetSiteCode
Observation.subject.typeCoderequiredFixed Value: SBJ
Observation.subject.contextControlCoderequiredFixed Value: OP
Observation.subject.awarenessCodeextensibleTargetAwareness
Observation.informant.typeCoderequiredFixed Value: INF
Observation.informant.contextControlCoderequiredFixed Value: OP
Observation.referenceRange.typeCoderequiredFixed Value: REFV
Observation.referenceRange.observationRange.classCoderequiredActClassObservation
Observation.referenceRange.observationRange.moodCoderequiredFixed Value: EVN.CRT
Observation.referenceRange.observationRange.interpretationCoderequiredObservationInterpretation
Observation.referenceRange.observationRange.interpretationCode.nullFlavorrequiredNullFlavor

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
entryRelationship-1nullObservation.entryRelationship:entryRelationship-1contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html)
:
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-er-1errorObservation.entryRelationship, Observation.entryRelationship:entryRelationship-1Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

This structure is derived from CDAR2.Observation

Summary

Mandatory: 7 elements (3 nested mandatory elements)
Must-Support: 10 elements
Fixed Value: 6 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.templateId is sliced based on the values of value:root, value:extension
  • The element Observation.entryRelationship is sliced based on the value of value:profile

 

Other representations of profile: CSV, Excel, Schematron