CH EMED EPR
1.0.0 - trial-use Switzerland flag

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. For a full list of available versions, see the Directory of published versions

Resource Profile: PML Observation

Official URL: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation-list Version: 1.0.0
Draft as of 2024-01-26 Computable Name: CHEMEDEPRObservationList

Copyright/Legal: CC0-1.0

Definition of the observation for the medication list document

Usage:

Formal Views of Profile Content

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

This structure is derived from CHEMEDObservationList

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*CHEMEDObservationListCH EMED Observation (LIST)
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
... meta
.... extension D0..*Extension✕ This element is not supported
.... versionId D0..1id✕ This element is not supported
.... lastUpdated D0..1instant✕ This element is not supported
.... source D0..1uri✕ This element is not supported
.... security D0..*Coding✕ This element is not supported
.... tag D0..*Coding✕ This element is not supported
... implicitRules 0..0
... extension 1..*ExtensionExtension
.... value[x]:valueReference 1..1Reference(PADV Changed MedicationStatement) {r, b}The changed MedicationStatement
... extension:medicationRequestChanged 0..1CHEMEDExtMedicationRequestChangedCH EMED Extension
.... value[x]:valueReference 1..1Reference(PADV Changed MedicationRequest) {r, b}The changed MedicationRequest
... extension:parentDocument 1..1CHEMEDExtPharmaceuticalAdviceCH EMED Extension
... extension:authorDocument 0..1AuthorExtension
.... value[x]:valueReference 1..1Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson)Author of the content
... modifierExtension 0..0
... basedOn D0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)✕ This element is not supported
... partOf D0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)✕ This element is not supported
... category D0..*CodeableConcept✕ This element is not supported
... subject 0..1Reference(CH EMED EPR Patient) {r, b}Patient
... focus D0..*Reference(Resource)✕ This element is not supported
... encounter D0..1Reference(Encounter)✕ This element is not supported
... value[x] D0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period✕ This element is not supported
... dataAbsentReason D0..1CodeableConcept✕ This element is not supported
... interpretation D0..*CodeableConcept✕ This element is not supported
... note
.... id D0..1string✕ This element is not supported
.... extension D0..*Extension✕ This element is not supported
.... author[x] D0..1Reference(Practitioner | Patient | RelatedPerson | Organization), string✕ The note author is ignored, as it cannot be different than the document and/or entry's author
.... time D0..1dateTime✕ This element is not supported
.... text 1..1markdownThe annotation text content (as raw text, no markdown allowed).
... bodySite D0..1CodeableConcept✕ This element is not supported
... method D0..1CodeableConcept✕ This element is not supported
... specimen D0..1Reference(Specimen)✕ This element is not supported
... device D0..1Reference(Device | DeviceMetric)✕ This element is not supported
... referenceRange D0..*BackboneElement✕ This element is not supported
... hasMember D0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)✕ This element is not supported
... derivedFrom D0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)✕ This element is not supported
... component D0..*BackboneElement✕ This element is not supported

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
mtp-entry-only-with-referrorObservationA 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-referrorObservationA 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-referrorObservationA 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*CHEMEDObservationListCH EMED Observation (LIST)
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
... Slices for extension 1..*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}CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed
.... extension 0..0
.... url 1..1uri"http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(PADV Changed MedicationStatement) {r, b}The changed MedicationStatement
... medicationRequestChanged 0..1Reference(CH EMED MedicationRequest Changed) {r, b}CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed
.... extension 0..0
.... url 1..1uri"http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(PADV Changed MedicationRequest) {r, b}The changed MedicationRequest
... parentDocument 1..1(Complex)CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
... authorDocument 0..1Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
.... extension 0..0
.... url 1..1uri"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson)Author of the content
...... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... 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
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)✕ This element is not supported
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)✕ This element is not supported
... status ?!Σ1..1coderegistered | 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 Σ1..1CodeableConceptObservation code
Binding: IHE Pharmaceutical Advice Status List (required)
... subject Σ0..1Reference(CH EMED EPR Patient) {r, b}Patient
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... focus Σ0..*Reference(Resource)✕ This element is not supported
... encounter Σ0..1Reference(Encounter)✕ This element is not supported
... 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 Σ1..1instantDate/Time this version was made available
... performer Σ1..1Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson)The author of the medical decision, see also 'Guidance - Authorship'
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... value[x] ΣC0..1✕ This element is not supported
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason C0..1CodeableConcept✕ 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..1AnnotationCOMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done.
.... id 0..1string✕ This element is not supported
.... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
.... author[x] Σ0..1✕ The note author is ignored, as it cannot be different than the document and/or entry's author
..... authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
..... authorStringstring
.... time Σ0..1dateTime✕ This element is not supported
.... text Σ1..1markdownThe annotation text content (as raw text, no markdown allowed).
... bodySite 0..1CodeableConcept✕ This element is not supported
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConcept✕ This element is not supported
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)✕ This element is not supported
... device 0..1Reference(Device | DeviceMetric)✕ This element is not supported
... referenceRange C0..*BackboneElement✕ This element is not supported
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)✕ This element is not supported
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)✕ This element is not supported
... component Σ0..*BackboneElement✕ This element is not supported
.... 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.coderequiredIHEPharmaceuticalAdviceStatusList
http://fhir.ch/ig/ch-emed/ValueSet/ihe-pharmaceuticaladvicestatuslist
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-obs-1errorObservationIn 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-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()
mtp-entry-only-with-referrorObservationA 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-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.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()
only-one-obs-referrorObservationA 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-referrorObservationA 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*CHEMEDObservationListCH EMED Observation (LIST)
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
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
.... versionId Σ0..1id✕ This element is not supported
.... lastUpdated Σ0..1instant✕ This element is not supported
.... source Σ0..1uri✕ This element is not supported
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security Σ0..*Coding✕ This element is not supported
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*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..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 1..*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}CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(PADV Changed MedicationStatement) {r, b}The changed MedicationStatement
... medicationRequestChanged 0..1Reference(CH EMED MedicationRequest Changed) {r, b}CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(PADV Changed MedicationRequest) {r, b}The changed MedicationRequest
... parentDocument 1..1(Complex)CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
... authorDocument 0..1Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson)Author of the content
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
...... 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
... 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)✕ This element is not supported
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)✕ This element is not supported
... status ?!Σ1..1coderegistered | 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 Σ1..1CodeableConceptObservation code
Binding: IHE Pharmaceutical Advice Status List (required)
... subject Σ0..1Reference(CH EMED EPR Patient) {r, b}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 Σ0..*Reference(Resource)✕ This element is not supported
... encounter Σ0..1Reference(Encounter)✕ This element is not supported
... 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 Σ1..1instantDate/Time this version was made available
... performer Σ1..1Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson)The author of the medical decision, see also 'Guidance - Authorship'
.... 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
... value[x] ΣC0..1✕ This element is not supported
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason C0..1CodeableConcept✕ 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..1AnnotationCOMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done.
.... id 0..1string✕ This element is not supported
.... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
.... author[x] Σ0..1✕ The note author is ignored, as it cannot be different than the document and/or entry's author
..... authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
..... authorStringstring
.... time Σ0..1dateTime✕ This element is not supported
.... text Σ1..1markdownThe annotation text content (as raw text, no markdown allowed).
... bodySite 0..1CodeableConcept✕ This element is not supported
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConcept✕ This element is not supported
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)✕ This element is not supported
... device 0..1Reference(Device | DeviceMetric)✕ This element is not supported
... referenceRange C0..*BackboneElement✕ This element is not supported
.... 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)✕ This element is not supported
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)✕ This element is not supported
... component Σ0..*BackboneElement✕ This element is not supported
.... 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 / CodeURI
Observation.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Observation.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.extension:authorDocument.value[x]:valueReference.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
Observation.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.coderequiredIHEPharmaceuticalAdviceStatusList
http://fhir.ch/ig/ch-emed/ValueSet/ihe-pharmaceuticaladvicestatuslist
Observation.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
Observation.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-obs-1errorObservationIn 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-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()
mtp-entry-only-with-referrorObservationA 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-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.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()
only-one-obs-referrorObservationA 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-referrorObservationA 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()

Differential View

This structure is derived from CHEMEDObservationList

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*CHEMEDObservationListCH EMED Observation (LIST)
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
... meta
.... extension D0..*Extension✕ This element is not supported
.... versionId D0..1id✕ This element is not supported
.... lastUpdated D0..1instant✕ This element is not supported
.... source D0..1uri✕ This element is not supported
.... security D0..*Coding✕ This element is not supported
.... tag D0..*Coding✕ This element is not supported
... implicitRules 0..0
... extension 1..*ExtensionExtension
.... value[x]:valueReference 1..1Reference(PADV Changed MedicationStatement) {r, b}The changed MedicationStatement
... extension:medicationRequestChanged 0..1CHEMEDExtMedicationRequestChangedCH EMED Extension
.... value[x]:valueReference 1..1Reference(PADV Changed MedicationRequest) {r, b}The changed MedicationRequest
... extension:parentDocument 1..1CHEMEDExtPharmaceuticalAdviceCH EMED Extension
... extension:authorDocument 0..1AuthorExtension
.... value[x]:valueReference 1..1Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson)Author of the content
... modifierExtension 0..0
... basedOn D0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)✕ This element is not supported
... partOf D0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)✕ This element is not supported
... category D0..*CodeableConcept✕ This element is not supported
... subject 0..1Reference(CH EMED EPR Patient) {r, b}Patient
... focus D0..*Reference(Resource)✕ This element is not supported
... encounter D0..1Reference(Encounter)✕ This element is not supported
... value[x] D0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period✕ This element is not supported
... dataAbsentReason D0..1CodeableConcept✕ This element is not supported
... interpretation D0..*CodeableConcept✕ This element is not supported
... note
.... id D0..1string✕ This element is not supported
.... extension D0..*Extension✕ This element is not supported
.... author[x] D0..1Reference(Practitioner | Patient | RelatedPerson | Organization), string✕ The note author is ignored, as it cannot be different than the document and/or entry's author
.... time D0..1dateTime✕ This element is not supported
.... text 1..1markdownThe annotation text content (as raw text, no markdown allowed).
... bodySite D0..1CodeableConcept✕ This element is not supported
... method D0..1CodeableConcept✕ This element is not supported
... specimen D0..1Reference(Specimen)✕ This element is not supported
... device D0..1Reference(Device | DeviceMetric)✕ This element is not supported
... referenceRange D0..*BackboneElement✕ This element is not supported
... hasMember D0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)✕ This element is not supported
... derivedFrom D0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)✕ This element is not supported
... component D0..*BackboneElement✕ This element is not supported

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
mtp-entry-only-with-referrorObservationA 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-referrorObservationA 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-referrorObservationA 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*CHEMEDObservationListCH EMED Observation (LIST)
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
... Slices for extension 1..*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}CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed
.... extension 0..0
.... url 1..1uri"http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(PADV Changed MedicationStatement) {r, b}The changed MedicationStatement
... medicationRequestChanged 0..1Reference(CH EMED MedicationRequest Changed) {r, b}CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed
.... extension 0..0
.... url 1..1uri"http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(PADV Changed MedicationRequest) {r, b}The changed MedicationRequest
... parentDocument 1..1(Complex)CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
... authorDocument 0..1Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
.... extension 0..0
.... url 1..1uri"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson)Author of the content
...... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... 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
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)✕ This element is not supported
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)✕ This element is not supported
... status ?!Σ1..1coderegistered | 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 Σ1..1CodeableConceptObservation code
Binding: IHE Pharmaceutical Advice Status List (required)
... subject Σ0..1Reference(CH EMED EPR Patient) {r, b}Patient
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... focus Σ0..*Reference(Resource)✕ This element is not supported
... encounter Σ0..1Reference(Encounter)✕ This element is not supported
... 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 Σ1..1instantDate/Time this version was made available
... performer Σ1..1Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson)The author of the medical decision, see also 'Guidance - Authorship'
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... value[x] ΣC0..1✕ This element is not supported
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason C0..1CodeableConcept✕ 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..1AnnotationCOMMENT: the actual comment. OK/CHANGE/REFUSE/CANCEL/SUSPEND: the reason why the action was done.
.... id 0..1string✕ This element is not supported
.... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
.... author[x] Σ0..1✕ The note author is ignored, as it cannot be different than the document and/or entry's author
..... authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
..... authorStringstring
.... time Σ0..1dateTime✕ This element is not supported
.... text Σ1..1markdownThe annotation text content (as raw text, no markdown allowed).
... bodySite 0..1CodeableConcept✕ This element is not supported
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConcept✕ This element is not supported
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)✕ This element is not supported
... device 0..1Reference(Device | DeviceMetric)✕ This element is not supported
... referenceRange C0..*BackboneElement✕ This element is not supported
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)✕ This element is not supported
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)✕ This element is not supported
... component Σ0..*BackboneElement✕ This element is not supported
.... 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.coderequiredIHEPharmaceuticalAdviceStatusList
http://fhir.ch/ig/ch-emed/ValueSet/ihe-pharmaceuticaladvicestatuslist
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-obs-1errorObservationIn 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-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()
mtp-entry-only-with-referrorObservationA 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-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.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()
only-one-obs-referrorObservationA 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-referrorObservationA 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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*CHEMEDObservationListCH EMED Observation (LIST)
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
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*Extension✕ This element is not supported
Slice: Unordered, Open by value:url
.... versionId Σ0..1id✕ This element is not supported
.... lastUpdated Σ0..1instant✕ This element is not supported
.... source Σ0..1uri✕ This element is not supported
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security Σ0..*Coding✕ This element is not supported
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*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..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 1..*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}CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(PADV Changed MedicationStatement) {r, b}The changed MedicationStatement
... medicationRequestChanged 0..1Reference(CH EMED MedicationRequest Changed) {r, b}CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationrequest-changed"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(PADV Changed MedicationRequest) {r, b}The changed MedicationRequest
... parentDocument 1..1(Complex)CH EMED Extension
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
... authorDocument 0..1Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson)Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author"
.... Slices for value[x] 1..1Reference()Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson)Author of the content
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... time 0..1dateTimeTimestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
...... 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
... 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)✕ This element is not supported
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)✕ This element is not supported
... status ?!Σ1..1coderegistered | 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