CH EMED (R4)
4.0.0-ballot - ballot Switzerland flag

This page is part of the CH EMED (R4) (v4.0.0-ballot: STU 4 Ballot 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CH EMED Observation (PADV)

Official URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-observation Version: 4.0.0-ballot
Active as of 2023-06-29 Computable Name: CHEMEDObservation

Copyright/Legal: CC0-1.0

Definition of the observation for the pharmaceutical advice document

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationCH EMED Observation (PADV)
ch-obs-1: In case of a 'CHANGE', reference shall be made to an entry containing the changes.
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... treatmentPlan 0..1(Complex)Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... prescription 0..1(Complex)Reference to the medication prescription
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
... medicationStatementChanged 0..1Reference(CH EMED MedicationStatement Changed) {r, b}Reference to the changed medication statement (it shall have the same identifier as the entry it replaces)
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed
... medicationRequestChanged 0..1Reference(CH EMED MedicationRequest Changed) {r, b}Reference to the changed medication request (it shall have the same identifier as the entry it replaces)
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed
... identifier 1..1IdentifierObservation Identifier
.... system 1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value 1..1stringIdentifier value as UUID
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... status 1..1coderegistered | preliminary | final | amended +
Fixed Value: final
... code 1..1CodeableConceptObservation code
Binding: IHE Pharmaceutical Advice Status List (required)
... subject 0..1Reference(CH Core Patient)Patient
.... reference 1..1stringLiteral reference, Relative, internal or absolute URL
... Slices for effective[x] 0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime 0..1dateTimeEffective Time
... note 1..1AnnotationCOMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.coderequiredIHEPharmaceuticalAdviceStatusList

Constraints

IdGradePath(s)DetailsRequirements
ch-obs-1errorObservationIn case of a 'CHANGE', reference shall be made to an entry containing the changes.
: code.coding.code='CHANGE' implies extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed' or url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationCH EMED Observation (PADV)
ch-obs-1: In case of a 'CHANGE', reference shall be made to an entry containing the changes.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... treatmentPlan 0..1(Complex)Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... dispense 0..1(Complex)Reference to the medication dispense
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
... medicationStatementChanged 0..1Reference(CH EMED MedicationStatement Changed) {r, b}Reference to the changed medication statement (it shall have the same identifier as the entry it replaces)
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed
... medicationRequestChanged 0..1Reference(CH EMED MedicationRequest Changed) {r, b}Reference to the changed medication request (it shall have the same identifier as the entry it replaces)
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierObservation Identifier
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ1..1stringIdentifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


Fixed Value: final
... code Σ1..1CodeableConceptObservation code
Binding: IHE Pharmaceutical Advice Status List (required)
... subject Σ0..1Reference(CH Core Patient)Patient
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... Slices for effective[x] Σ0..1Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
.... effective[x]:effectiveDateTime Σ0..1dateTimeEffective Time
... note 1..1AnnotationCOMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.identifier.userequiredIdentifierUse
Observation.statusrequiredFixed Value: final
Observation.coderequiredIHEPharmaceuticalAdviceStatusList

Constraints

IdGradePath(s)DetailsRequirements
ch-obs-1errorObservationIn case of a 'CHANGE', reference shall be made to an entry containing the changes.
: code.coding.code='CHANGE' implies extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed' or url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationCH EMED Observation (PADV)
ch-obs-1: In case of a 'CHANGE', reference shall be made to an entry containing the changes.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... treatmentPlan 0..1(Complex)Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... prescription 0..1(Complex)Reference to the medication prescription
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
... dispense 0..1(Complex)Reference to the medication dispense
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
... medicationStatementChanged 0..1Reference(CH EMED MedicationStatement Changed) {r, b}Reference to the changed medication statement (it shall have the same identifier as the entry it replaces)
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed
... medicationRequestChanged 0..1Reference(CH EMED MedicationRequest Changed) {r, b}Reference to the changed medication request (it shall have the same identifier as the entry it replaces)
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierObservation Identifier
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ1..1stringIdentifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


Fixed Value: final
... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code Σ1..1CodeableConceptObservation code
Binding: IHE Pharmaceutical Advice Status List (required)
... subject Σ0..1Reference(CH Core Patient)Patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... Slices for effective[x] Σ0..1Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
.... effective[x]:effectiveDateTime Σ0..1dateTimeEffective Time
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... value[x] ΣC0..1Actual result
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 1..1AnnotationCOMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done.
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... component Σ0..*BackboneElementComponent results
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... value[x] Σ0..1Actual component result
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.identifier.userequiredIdentifierUse
Observation.identifier.typeextensibleIdentifier Type Codes
Observation.statusrequiredFixed Value: final
Observation.categorypreferredObservationCategoryCodes
Observation.coderequiredIHEPharmaceuticalAdviceStatusList
Observation.subject.typeextensibleResourceType
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()

This structure is derived from Observation

Summary

Mandatory: 4 elements (1 nested mandatory element)
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.effective[x] is sliced based on the value of type:$this

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationCH EMED Observation (PADV)
ch-obs-1: In case of a 'CHANGE', reference shall be made to an entry containing the changes.
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... treatmentPlan 0..1(Complex)Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... prescription 0..1(Complex)Reference to the medication prescription
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
... medicationStatementChanged 0..1Reference(CH EMED MedicationStatement Changed) {r, b}Reference to the changed medication statement (it shall have the same identifier as the entry it replaces)
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed
... medicationRequestChanged 0..1Reference(CH EMED MedicationRequest Changed) {r, b}Reference to the changed medication request (it shall have the same identifier as the entry it replaces)
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed
... identifier 1..1IdentifierObservation Identifier
.... system 1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value 1..1stringIdentifier value as UUID
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... status 1..1coderegistered | preliminary | final | amended +
Fixed Value: final
... code 1..1CodeableConceptObservation code
Binding: IHE Pharmaceutical Advice Status List (required)
... subject 0..1Reference(CH Core Patient)Patient
.... reference 1..1stringLiteral reference, Relative, internal or absolute URL
... Slices for effective[x] 0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime 0..1dateTimeEffective Time
... note 1..1AnnotationCOMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.coderequiredIHEPharmaceuticalAdviceStatusList

Constraints

IdGradePath(s)DetailsRequirements
ch-obs-1errorObservationIn case of a 'CHANGE', reference shall be made to an entry containing the changes.
: code.coding.code='CHANGE' implies extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed' or url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationCH EMED Observation (PADV)
ch-obs-1: In case of a 'CHANGE', reference shall be made to an entry containing the changes.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... treatmentPlan 0..1(Complex)Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... dispense 0..1(Complex)Reference to the medication dispense
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
... medicationStatementChanged 0..1Reference(CH EMED MedicationStatement Changed) {r, b}Reference to the changed medication statement (it shall have the same identifier as the entry it replaces)
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed
... medicationRequestChanged 0..1Reference(CH EMED MedicationRequest Changed) {r, b}Reference to the changed medication request (it shall have the same identifier as the entry it replaces)
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierObservation Identifier
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ1..1stringIdentifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


Fixed Value: final
... code Σ1..1CodeableConceptObservation code
Binding: IHE Pharmaceutical Advice Status List (required)
... subject Σ0..1Reference(CH Core Patient)Patient
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... Slices for effective[x] Σ0..1Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
.... effective[x]:effectiveDateTime Σ0..1dateTimeEffective Time
... note 1..1AnnotationCOMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.identifier.userequiredIdentifierUse
Observation.statusrequiredFixed Value: final
Observation.coderequiredIHEPharmaceuticalAdviceStatusList

Constraints

IdGradePath(s)DetailsRequirements
ch-obs-1errorObservationIn case of a 'CHANGE', reference shall be made to an entry containing the changes.
: code.coding.code='CHANGE' implies extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed' or url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists()
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationCH EMED Observation (PADV)
ch-obs-1: In case of a 'CHANGE', reference shall be made to an entry containing the changes.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... treatmentPlan 0..1(Complex)Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... prescription 0..1(Complex)Reference to the medication prescription
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
... dispense 0..1(Complex)Reference to the medication dispense
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
... medicationStatementChanged 0..1Reference(CH EMED MedicationStatement Changed) {r, b}Reference to the changed medication statement (it shall have the same identifier as the entry it replaces)
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed
... medicationRequestChanged 0..1Reference(CH EMED MedicationRequest Changed) {r, b}Reference to the changed medication request (it shall have the same identifier as the entry it replaces)
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1IdentifierObservation Identifier
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ1..1uriThe namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ1..1stringIdentifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


Fixed Value: final
... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code Σ1..1CodeableConceptObservation code
Binding: IHE Pharmaceutical Advice Status List (required)
... subject Σ0..1Reference(CH Core Patient)Patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... Slices for effective[x] Σ0..1Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
.... effective[x]:effectiveDateTime Σ0..1dateTimeEffective Time
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... value[x] ΣC0..1Actual result
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 1..1AnnotationCOMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done.
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... component Σ0..*BackboneElementComponent results
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... value[x] Σ0..1Actual component result
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.identifier.userequiredIdentifierUse
Observation.identifier.typeextensibleIdentifier Type Codes
Observation.statusrequiredFixed Value: final
Observation.categorypreferredObservationCategoryCodes
Observation.coderequiredIHEPharmaceuticalAdviceStatusList
Observation.subject.typeextensibleResourceType
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()

This structure is derived from Observation

Summary

Mandatory: 4 elements (1 nested mandatory element)
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.effective[x] is sliced based on the value of type:$this

 

Other representations of profile: CSV, Excel, Schematron