CH EMED EPR
1.0.0 - trial-use
CH EMED EPR
1.0.0 - trial-use
This page is part of the FHIR eMedication exchange formats for the implementation effort of CARA within its EPR community (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) 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
| Official URL: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation | Version: 1.0.0 | |||
| Draft as of 2024-01-26 | Computable Name: CHEMEDEPRObservation | |||
Copyright/Legal: CC0-1.0 |
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Definition of the observation for the pharmaceutical advice document
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHEMEDObservation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | C | 0..* | CHEMEDObservation | CH EMED Observation (PADV) only-one-obs-ref: A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present mtp-entry-only-with-ref: A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE pre-entry-only-with-ref: A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE treatment-plan-id-reference-matches-statement-changed-reference: If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference |
  meta | ||||
   extension | D | 0..* | Extension | ✕ This element is not supported |
| versionId | D | 0..1 | id | ✕ This element is not supported |
| lastUpdated | D | 0..1 | instant | ✕ This element is not supported |
| source | D | 0..1 | uri | ✕ This element is not supported |
| security | D | 0..* | Coding | ✕ This element is not supported |
 tag | D | 0..* | Coding | ✕ This element is not supported |
| implicitRules | 0..0 | |||
 extension:medicationStatementChanged | 0..1 | CHEMEDExtMedicationStatementChanged | CH EMED Extension | |
 value[x]:valueReference | 1..1 | Reference(PADV Changed MedicationStatement) {r, b} | The changed MedicationStatement | |
| extension:medicationRequestChanged | 0..1 | CHEMEDExtMedicationRequestChanged | CH EMED Extension | |
| value[x]:valueReference | 1..1 | Reference(PADV Changed MedicationRequest) {r, b} | The changed MedicationRequest | |
 modifierExtension | 0..0 | |||
| basedOn | D | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | ✕ This element is not supported |
| partOf | D | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported |
| category | D | 0..* | CodeableConcept | ✕ This element is not supported |
 subject | 0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient | |
| focus | D | 0..* | Reference(Resource) | ✕ This element is not supported |
| encounter | D | 0..1 | Reference(Encounter) | ✕ This element is not supported |
| effective[x] | D | 0..1 | dateTime, Period, Timing, instant | ✕ This element is not supported |
| value[x] | D | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | ✕ This element is not supported |
| dataAbsentReason | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| interpretation | D | 0..* | CodeableConcept | ✕ This element is not supported |
| note | ||||
| id | D | 0..1 | string | ✕ This element is not supported |
| extension | D | 0..* | Extension | ✕ This element is not supported |
| author[x] | D | 0..1 | Reference(Practitioner | Patient | RelatedPerson | Organization), string | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author |
| time | D | 0..1 | dateTime | ✕ This element is not supported |
| text | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). | |
| bodySite | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| method | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| specimen | D | 0..1 | Reference(Specimen) | ✕ This element is not supported |
| device | D | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported |
| referenceRange | D | 0..* | BackboneElement | ✕ This element is not supported |
| hasMember | D | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported |
| derivedFrom | D | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported |
| component | D | 0..* | BackboneElement | ✕ This element is not supported |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| mtp-entry-only-with-ref | error | Observation | A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists().not() | |
| only-one-obs-ref | error | Observation | A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()) and (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()).not() | |
| pre-entry-only-with-ref | error | Observation | A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists().not() | |
| treatment-plan-id-reference-matches-statement-changed-reference | error | Observation | If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference : extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').extension('id').single().value as Identifier).value |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | CHEMEDObservation | CH EMED Observation (PADV) only-one-obs-ref: A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present mtp-entry-only-with-ref: A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE pre-entry-only-with-ref: A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE treatment-plan-id-reference-matches-statement-changed-reference: If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference |
| 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..1 | Reference(CH EMED MedicationStatement Changed) {r, b} | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed | |
 extension | 0..0 | |||
 url | 1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed" | |
  Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |
  value[x]:valueReference | 1..1 | Reference(PADV Changed MedicationStatement) {r, b} | The changed MedicationStatement | |
| medicationRequestChanged | 0..1 | Reference(CH EMED MedicationRequest Changed) {r, b} | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed" | |
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueReference | 1..1 | Reference(PADV Changed MedicationRequest) {r, b} | The changed MedicationRequest | |
 identifier | Σ | 1..1 | Identifier | Observation Identifier |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
| value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 |
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | ✕ This element is not supported |
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported |
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final |
| category | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
| code | Σ | 1..1 | CodeableConcept | Observation code Binding: IHE Pharmaceutical Advice Status List (required) |
| subject | Σ | 0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| focus | Σ | 0..* | Reference(Resource) | ✕ This element is not supported |
| encounter | Σ | 0..1 | Reference(Encounter) | ✕ This element is not supported |
| Slices for effective[x] | Σ | 0..1 | ✕ This element is not supported Slice: Unordered, Closed by type:$this | |
 effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| effectiveTiming | Timing | |||
| effectiveInstant | instant | |||
| effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | Effective Time |
| issued | Σ | 1..1 | instant | Date/Time this version was made available |
| performer | Σ | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
 value[x] | ΣC | 0..1 | ✕ This element is not supported | |
| valueQuantity | Quantity | |||
| valueCodeableConcept | CodeableConcept | |||
| valueString | string | |||
| valueBoolean | boolean | |||
| valueInteger | integer | |||
| valueRange | Range | |||
| valueRatio | Ratio | |||
| valueSampledData | SampledData | |||
| valueTime | time | |||
| valueDateTime | dateTime | |||
| valuePeriod | Period | |||
| dataAbsentReason | C | 0..1 | CodeableConcept | ✕ This element is not supported Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| interpretation | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |
| note | 1..1 | Annotation | COMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done. | |
| id | 0..1 | string | ✕ This element is not supported | |
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
| author[x] | Σ | 0..1 | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author | |
| authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||
| authorString | string | |||
| time | Σ | 0..1 | dateTime | ✕ This element is not supported |
| text | Σ | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). |
| bodySite | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |
| method | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ObservationMethods (example): Methods for simple observations. | |
| specimen | 0..1 | Reference(Specimen) | ✕ This element is not supported | |
| device | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported | |
| referenceRange | C | 0..* | BackboneElement | ✕ This element is not supported |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported |
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported |
 component | Σ | 0..* | BackboneElement | ✕ This element is not supported |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | required | IHEPharmaceuticalAdviceStatusListhttp://fhir.ch/ig/ch-emed/ValueSet/ihe-pharmaceuticaladvicestatuslist | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | |
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| ch-obs-1 | error | Observation | In case of a 'CHANGE', reference shall be made to an entry containing the changes. : code.coding.exists(system='urn:oid:1.3.6.1.4.1.19376.1.9.2.1' and 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-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() | |
| mtp-entry-only-with-ref | error | Observation | A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists().not() | |
| 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() | |
| only-one-obs-ref | error | Observation | A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()) and (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()).not() | |
| pre-entry-only-with-ref | error | Observation | A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists().not() | |
| treatment-plan-id-reference-matches-statement-changed-reference | error | Observation | If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference : extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').extension('id').single().value as Identifier).value |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | CHEMEDObservation | CH EMED Observation (PADV) only-one-obs-ref: A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present mtp-entry-only-with-ref: A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE pre-entry-only-with-ref: A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE treatment-plan-id-reference-matches-statement-changed-reference: If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | ✕ This element is not supported | ||||
| lastUpdated | Σ | 0..1 | instant | ✕ This element is not supported | ||||
| source | Σ | 0..1 | uri | ✕ This element is not supported | ||||
| profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | Σ | 0..* | Coding | ✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag | Σ | 0..* | Coding | ✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| 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 | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension 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..1 | Reference(CH EMED MedicationStatement Changed) {r, b} | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed" | |||||
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueReference | 1..1 | Reference(PADV Changed MedicationStatement) {r, b} | The changed MedicationStatement | |||||
| medicationRequestChanged | 0..1 | Reference(CH EMED MedicationRequest Changed) {r, b} | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed" | |||||
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueReference | 1..1 | Reference(PADV Changed MedicationRequest) {r, b} | The changed MedicationRequest | |||||
| identifier | Σ | 1..1 | Identifier | Observation Identifier | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description 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 | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
| value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | ✕ This element is not supported | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported | ||||
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||
| category | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| code | Σ | 1..1 | CodeableConcept | Observation code Binding: IHE Pharmaceutical Advice Status List (required) | ||||
| subject | Σ | 0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| focus | Σ | 0..* | Reference(Resource) | ✕ This element is not supported | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | ✕ This element is not supported | ||||
| Slices for effective[x] | Σ | 0..1 | ✕ This element is not supported Slice: Unordered, Closed by type:$this | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | Effective Time | ||||
| issued | Σ | 1..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| value[x] | ΣC | 0..1 | ✕ This element is not supported | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | ✕ This element is not supported Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note | 1..1 | Annotation | COMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done. | |||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| author[x] | Σ | 0..1 | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author | |||||
| authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString | string | |||||||
| time | Σ | 0..1 | dateTime | ✕ This element is not supported | ||||
| text | Σ | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). | ||||
| bodySite | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen | 0..1 | Reference(Specimen) | ✕ This element is not supported | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported | |||||
| referenceRange | C | 0..* | BackboneElement | ✕ This element is not supported | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| 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 | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported | ||||
| component | Σ | 0..* | BackboneElement | ✕ This element is not supported | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] | Σ | 0..1 | Actual component result | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Observation.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| Observation.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Observation.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | required | IHEPharmaceuticalAdviceStatusListhttp://fhir.ch/ig/ch-emed/ValueSet/ihe-pharmaceuticaladvicestatuslist | ||||
| Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Observation.performer.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| ch-obs-1 | error | Observation | In case of a 'CHANGE', reference shall be made to an entry containing the changes. : code.coding.exists(system='urn:oid:1.3.6.1.4.1.19376.1.9.2.1' and 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-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() | |
| mtp-entry-only-with-ref | error | Observation | A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists().not() | |
| 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() | |
| only-one-obs-ref | error | Observation | A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()) and (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()).not() | |
| pre-entry-only-with-ref | error | Observation | A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists().not() | |
| treatment-plan-id-reference-matches-statement-changed-reference | error | Observation | If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference : extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').extension('id').single().value as Identifier).value |
This structure is derived from CHEMEDObservation
Summary
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from CHEMEDObservation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | CHEMEDObservation | CH EMED Observation (PADV) only-one-obs-ref: A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present mtp-entry-only-with-ref: A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE pre-entry-only-with-ref: A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE treatment-plan-id-reference-matches-statement-changed-reference: If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference |
| meta | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| versionId | D | 0..1 | id | ✕ This element is not supported |
| lastUpdated | D | 0..1 | instant | ✕ This element is not supported |
| source | D | 0..1 | uri | ✕ This element is not supported |
| security | D | 0..* | Coding | ✕ This element is not supported |
| tag | D | 0..* | Coding | ✕ This element is not supported |
| implicitRules | 0..0 | |||
| extension:medicationStatementChanged | 0..1 | CHEMEDExtMedicationStatementChanged | CH EMED Extension | |
| value[x]:valueReference | 1..1 | Reference(PADV Changed MedicationStatement) {r, b} | The changed MedicationStatement | |
| extension:medicationRequestChanged | 0..1 | CHEMEDExtMedicationRequestChanged | CH EMED Extension | |
| value[x]:valueReference | 1..1 | Reference(PADV Changed MedicationRequest) {r, b} | The changed MedicationRequest | |
| modifierExtension | 0..0 | |||
| basedOn | D | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | ✕ This element is not supported |
| partOf | D | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported |
| category | D | 0..* | CodeableConcept | ✕ This element is not supported |
| subject | 0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient | |
| focus | D | 0..* | Reference(Resource) | ✕ This element is not supported |
| encounter | D | 0..1 | Reference(Encounter) | ✕ This element is not supported |
| effective[x] | D | 0..1 | dateTime, Period, Timing, instant | ✕ This element is not supported |
| value[x] | D | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | ✕ This element is not supported |
| dataAbsentReason | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| interpretation | D | 0..* | CodeableConcept | ✕ This element is not supported |
| note | ||||
| id | D | 0..1 | string | ✕ This element is not supported |
| extension | D | 0..* | Extension | ✕ This element is not supported |
| author[x] | D | 0..1 | Reference(Practitioner | Patient | RelatedPerson | Organization), string | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author |
| time | D | 0..1 | dateTime | ✕ This element is not supported |
| text | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). | |
| bodySite | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| method | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| specimen | D | 0..1 | Reference(Specimen) | ✕ This element is not supported |
| device | D | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported |
| referenceRange | D | 0..* | BackboneElement | ✕ This element is not supported |
| hasMember | D | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported |
| derivedFrom | D | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported |
| component | D | 0..* | BackboneElement | ✕ This element is not supported |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| mtp-entry-only-with-ref | error | Observation | A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists().not() | |
| only-one-obs-ref | error | Observation | A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()) and (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()).not() | |
| pre-entry-only-with-ref | error | Observation | A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists().not() | |
| treatment-plan-id-reference-matches-statement-changed-reference | error | Observation | If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference : extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').extension('id').single().value as Identifier).value |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | CHEMEDObservation | CH EMED Observation (PADV) only-one-obs-ref: A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present mtp-entry-only-with-ref: A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE pre-entry-only-with-ref: A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE treatment-plan-id-reference-matches-statement-changed-reference: If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference |
| 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..1 | Reference(CH EMED MedicationStatement Changed) {r, b} | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed" | |
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueReference | 1..1 | Reference(PADV Changed MedicationStatement) {r, b} | The changed MedicationStatement | |
| medicationRequestChanged | 0..1 | Reference(CH EMED MedicationRequest Changed) {r, b} | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed" | |
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueReference | 1..1 | Reference(PADV Changed MedicationRequest) {r, b} | The changed MedicationRequest | |
| identifier | Σ | 1..1 | Identifier | Observation Identifier |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
| value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 |
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | ✕ This element is not supported |
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported |
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final |
| category | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
| code | Σ | 1..1 | CodeableConcept | Observation code Binding: IHE Pharmaceutical Advice Status List (required) |
| subject | Σ | 0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| focus | Σ | 0..* | Reference(Resource) | ✕ This element is not supported |
| encounter | Σ | 0..1 | Reference(Encounter) | ✕ This element is not supported |
| Slices for effective[x] | Σ | 0..1 | ✕ This element is not supported Slice: Unordered, Closed by type:$this | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| effectiveTiming | Timing | |||
| effectiveInstant | instant | |||
| effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | Effective Time |
| issued | Σ | 1..1 | instant | Date/Time this version was made available |
| performer | Σ | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| value[x] | ΣC | 0..1 | ✕ This element is not supported | |
| valueQuantity | Quantity | |||
| valueCodeableConcept | CodeableConcept | |||
| valueString | string | |||
| valueBoolean | boolean | |||
| valueInteger | integer | |||
| valueRange | Range | |||
| valueRatio | Ratio | |||
| valueSampledData | SampledData | |||
| valueTime | time | |||
| valueDateTime | dateTime | |||
| valuePeriod | Period | |||
| dataAbsentReason | C | 0..1 | CodeableConcept | ✕ This element is not supported Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| interpretation | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |
| note | 1..1 | Annotation | COMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done. | |
| id | 0..1 | string | ✕ This element is not supported | |
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
| author[x] | Σ | 0..1 | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author | |
| authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||
| authorString | string | |||
| time | Σ | 0..1 | dateTime | ✕ This element is not supported |
| text | Σ | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). |
| bodySite | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |
| method | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ObservationMethods (example): Methods for simple observations. | |
| specimen | 0..1 | Reference(Specimen) | ✕ This element is not supported | |
| device | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported | |
| referenceRange | C | 0..* | BackboneElement | ✕ This element is not supported |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported |
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported |
| component | Σ | 0..* | BackboneElement | ✕ This element is not supported |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | required | IHEPharmaceuticalAdviceStatusListhttp://fhir.ch/ig/ch-emed/ValueSet/ihe-pharmaceuticaladvicestatuslist | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | |
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| ch-obs-1 | error | Observation | In case of a 'CHANGE', reference shall be made to an entry containing the changes. : code.coding.exists(system='urn:oid:1.3.6.1.4.1.19376.1.9.2.1' and 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-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() | |
| mtp-entry-only-with-ref | error | Observation | A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists().not() | |
| 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() | |
| only-one-obs-ref | error | Observation | A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()) and (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()).not() | |
| pre-entry-only-with-ref | error | Observation | A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists().not() | |
| treatment-plan-id-reference-matches-statement-changed-reference | error | Observation | If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference : extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').extension('id').single().value as Identifier).value |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | CHEMEDObservation | CH EMED Observation (PADV) only-one-obs-ref: A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present mtp-entry-only-with-ref: A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE pre-entry-only-with-ref: A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE treatment-plan-id-reference-matches-statement-changed-reference: If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | ✕ This element is not supported | ||||
| lastUpdated | Σ | 0..1 | instant | ✕ This element is not supported | ||||
| source | Σ | 0..1 | uri | ✕ This element is not supported | ||||
| profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | Σ | 0..* | Coding | ✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag | Σ | 0..* | Coding | ✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| 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 | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension 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..1 | Reference(CH EMED MedicationStatement Changed) {r, b} | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed" | |||||
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueReference | 1..1 | Reference(PADV Changed MedicationStatement) {r, b} | The changed MedicationStatement | |||||
| medicationRequestChanged | 0..1 | Reference(CH EMED MedicationRequest Changed) {r, b} | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed" | |||||
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueReference | 1..1 | Reference(PADV Changed MedicationRequest) {r, b} | The changed MedicationRequest | |||||
| identifier | Σ | 1..1 | Identifier | Observation Identifier | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description 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 | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
| value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | ✕ This element is not supported | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | ✕ This element is not supported | ||||
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||
| category | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| code | Σ | 1..1 | CodeableConcept | Observation code Binding: IHE Pharmaceutical Advice Status List (required) | ||||
| subject | Σ | 0..1 | Reference(CH EMED EPR Patient) {r, b} | Patient | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| focus | Σ | 0..* | Reference(Resource) | ✕ This element is not supported | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | ✕ This element is not supported | ||||
| Slices for effective[x] | Σ | 0..1 | ✕ This element is not supported Slice: Unordered, Closed by type:$this | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | Effective Time | ||||
| issued | Σ | 1..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| value[x] | ΣC | 0..1 | ✕ This element is not supported | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | ✕ This element is not supported Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | ✕ This element is not supported Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note | 1..1 | Annotation | COMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done. | |||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| author[x] | Σ | 0..1 | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author | |||||
| authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString | string | |||||||
| time | Σ | 0..1 | dateTime | ✕ This element is not supported | ||||
| text | Σ | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). | ||||
| bodySite | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen | 0..1 | Reference(Specimen) | ✕ This element is not supported | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | ✕ This element is not supported | |||||
| referenceRange | C | 0..* | BackboneElement | ✕ This element is not supported | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| 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 | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | ✕ This element is not supported | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | ✕ This element is not supported | ||||
| component | Σ | 0..* | BackboneElement | ✕ This element is not supported | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] | Σ | 0..1 | Actual component result | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Observation.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| Observation.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Observation.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Observation.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | required | IHEPharmaceuticalAdviceStatusListhttp://fhir.ch/ig/ch-emed/ValueSet/ihe-pharmaceuticaladvicestatuslist | ||||
| Observation.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Observation.performer.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| ch-obs-1 | error | Observation | In case of a 'CHANGE', reference shall be made to an entry containing the changes. : code.coding.exists(system='urn:oid:1.3.6.1.4.1.19376.1.9.2.1' and 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-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() | |
| mtp-entry-only-with-ref | error | Observation | A changed MedicationStatement SHALL only be present with a medication treatment plan reference, in a PADV CHANGE : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists().not() | |
| 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() | |
| only-one-obs-ref | error | Observation | A single reference (to either a medication treatment plan, prescription or dispense) SHALL be present : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() xor extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()) and (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense').exists()).not() | |
| pre-entry-only-with-ref | error | Observation | A changed MedicationRequest SHALL only be present with a medication request reference, in a PADV CHANGE : (extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription').exists() and extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists() and code.coding.single().code = 'CHANGE') or extension.where(url='http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed').exists().not() | |
| treatment-plan-id-reference-matches-statement-changed-reference | error | Observation | If the observation includes a medication statement changed reference, it SHALL match the treatment plan id reference : extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').exists() implies (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed').single().value as Reference).reference = (extension('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan').extension('id').single().value as Identifier).value |
This structure is derived from CHEMEDObservation
Summary
Prohibited: 2 elements
Structures
This structure refers to these other structures:
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