Set of definitional characteristics for a kind of observation or measurement produced or consumed by an orderable health care service.

In a catalog of health-related services that use or produce observations and measurements, this resource describes the expected characteristics of these observation / measurements.

An instance of this resource informs the consumer of a health-related service (such as a lab diagnostic test or panel) about how the observations used or produced by this service will look like.

An absolute URL that is used to identify this ObservationDefinition when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this ObservationDefinition is (or will be) published. The URL SHOULD include the major version of the ObservationDefinition. For more information see Technical and Business Versions.

Allows the ObservationDefinition to be referenced by a single globally unique identifier.

Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred. This is the URI that will be used when making canonical references to this resource.

Business identifiers assigned to this ObservationDefinition. by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server.

A code Allows identification of the ObservationDefinition as it is known by various participating systems and in a way that classifies remains consistent across servers.

This is a business identifier, not a resource identifier. It is best practice for the general type identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.

The identifier that is used to identify this version of observation. the ObservationDefinition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the ObservationDefinition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable.

There may be multiple different instances of an observationDefinition that have the same identifier but different versions.

Indicates the mechanism used to compare versions to determine which is more current.

If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.

A natural language name identifying the ObservationDefinition. This name should be usable as an identifier for the module by machine processing applications such as code generation.

Support human navigation and code generation.

Used The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

A short, descriptive, user-friendly title for the ObservationDefinition.

The current state of the ObservationDefinition.

A nominal state-transition diagram can be found in the Definition pattern documentation Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what kinds the current status is.

See guidance around (not) making local changes to elements here .

A flag to indicate that this ObservationDefinition is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.

Allows filtering of observations ObservationDefinition that are retrieved appropriate for use vs. not.. Experimental resources might include example instances in implementation guides, instances created solely for testing purposes, etc

The date (and optionally time) when the ObservationDefinition was last significantly changed. The date must change when the business version changes and displayed. it must change if the status code changes. In addition, it should change when the substantive content of the ObservationDefinition changes.

The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of observation the ObservationDefinition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

See guidance around (not) making local changes to elements here .

Helps establish the "authority/credibility" of the ObservationDefinition. May also allow for contact.

Usually an organization, but may be an individual. The publisher (or steward) of the ObservationDefinition is the organization or individual primarily responsible for the maintenance and upkeep of the ObservationDefinition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the ObservationDefinition. This item SHOULD be populated unless the information is available from context.

Contact details to assist a user in finding and communicating with the publisher.

May be a web site, an email address, a telephone number, etc.

See guidance around (not) making local changes to elements here .

A free text natural language description of the ObservationDefinition from the consumer's perspective.

This element allows various categorization schemes based on description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the owner’s definition paper world, etc. It is not a rendering of the category module as conveyed in the text field of the resource itself. This item SHOULD be populated unless the information is available from context.

The content was developed with a focus and effectively multiple intent of supporting the contexts that are listed. These contexts may be general categories can (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for one instance appropriate ObservationDefinition instances.

Assist in searching for appropriate content.

When multiple usageContexts are specified, there is no expectation for whether all or any of the contexts apply.

A jurisdiction in which the ObservationDefinition is intended to be used.

It may be possible for the ObservationDefinition to be used in jurisdictions other than those for which it was originally designed or intended.

DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)

Explains why this ObservationDefinition is needed and why it has been designed as it has.

This element does not describe the usage of the ObservationDefinition. The level Rather it is for traceability of granularity ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this ObservationDefinition.

Copyright statement relating to the ObservationDefinition and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the ObservationDefinition.

Consumers of the ObservationDefinition must be able to determine any legal restrictions on the use of the artifact and/or its content.

A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved').

Defines the content expected to be rendered in all representations of the artifact.

The copyright symbol and the '(c)' textual representation SHOULD NOT be included in this string. It will be added by software when rendering the category concepts notation. Full details about licensing, restrictions, warrantees, etc. goes in the value set. more general 'copyright' element.

The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage.

The date may be more recent than the approval date because of minor changes / editorial corrections.

See guidance around (not) making local changes to elements here .

The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date.

Describes what will If specified, this is usually after the approval date.

See guidance around (not) making local changes to elements here .

The period during which the ObservationDefinition content was or is planned to be observed. Sometimes effective.

The effective period for an ObservationDefinition determines when the content is applicable for usage and is independent of publication and review dates. For example, an observation definition intended to be used for the year 2021 might be published in 2020.

See guidance around (not) making local changes to elements here .

The canonical URL pointing to another FHIR-defined ObservationDefinition that is adhered to in whole or in part by this definition.

The URL pointing to an externally-defined observation definition, guideline or other definition that is called adhered to in whole or in part by this definition.

Observation definitions may be refinements of other definitions.

A code that describes the intended kind of subject of Observation instances conforming to this ObservationDefinition.

Examples: person, animal, device, air, surface ….

The type of individual/organization/device that is expected to act upon instances of this definition.

A code that classifies the general type of observation.

Knowing Used for filtering what kind kinds of observation is being made is essential to understanding the observation. observations are retrieved and displayed.

This element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used for one instance of ObservationDefinition. The level of granularity is defined by the category concepts in the value set.

A unique identifier assigned to Describes what will be observed. Sometimes this ObservationDefinition artifact. is called the observation "name".

The data types allowed for the value element of the instance observations conforming to this ObservationDefinition.

Multiple results allowed for observations conforming to this ObservationDefinition.

An example of observation allowing multiple results is "bacteria identified by culture". Conversely, the measurement of a potassium level allows a single result.

The body structure on the subject's body where the observation is to be made.

Only used if the defined observation is to be made directly on a body structure and if this body structure is not implied by code found in ObservationDefinition.code. Not used for in vitro diagnostic observations. Example: 14975008 |Forearm structure|.

The method or technique used to perform the observation.

In some cases, method can impact results.

Only used if not implicit in observation code. code Example: 702659008 |Automated count technique|.

The kind of specimen that this type of observation is produced on.

Only used for in vitro observations. When multiple occurrences of specimen are present, they are to be combined with a logical AND: all specified specimens are needed for the observation.

The measurement model of device or actual device used to produce observations of this type.

When multiple occurrences of device are present, they are to be combined with a logical OR: at least one of the specified devices is used to produce the observation.

The preferred name to be used when reporting the results of observations conforming to this ObservationDefinition.

Characteristics Units allowed for quantitative results of the valueQuantity element in the instance observations conforming to this observation. ObservationDefinition.

Customary unit used to report quantitative results A set of qualified values associated with a context and a set of conditions - provides a range for quantitative and ordinal observations conforming to this ObservationDefinition. and a collection of value sets for qualitative observations.

A concept defining the context for this set of qualified values.

SI unit used to report quantitative results of observations conforming to The target population this ObservationDefinition. set of qualified values applies to.

If this element is not present then the global population is assumed.

Factor The sex parameter for converting value expressed with SI unit to value expressed with customary unit. clinical use this set of qualified values applies to.

Number The age range this set of digits after decimal separator when qualified values applies to.

Some analytes vary greatly over age.

The gestational age this set of type Quantity. qualified values applies to.

Multiple ranges Description of results qualified by different contexts the criterion for ordinal or continuous observations conforming to this ObservationDefinition. which the qualified value is valid.

The category of interval range of values for continuous or ordinal observations conforming to that match the criteria of this ObservationDefinition. set of qualified values.

The low and high range of values determining defined for continuous or ordinal observations that match the interval. There may be only one criteria of the two. this set of qualified values.

The unit may be not relevant for ordinal values. In case it is there, it is the same as quantitativeDetails.unit. ObservationDefinition.unit.

Codes to indicate the health context the range applies to. For example, The set of valid coded results for qualitative observations that match the normal or therapeutic range. criteria of this set of qualified values.

Codes to indicate The set of normal coded results for qualitative observations that match the target population criteria of this reference range applies to. set of qualified values.

If this element is not present then The set of abnormal coded results for qualitative observations that match the global population is assumed. criteria of this set of qualified values.

Sex The set of critical coded results for qualitative observations that match the population the range applies to. criteria of this set of qualified values.

The age at which this reference range is applicable. This is a neonatal age (e.g. number expected coded interpretation values of weeks at term) if the meaning says so. an observation that matches this qualified interval. For example, high, low, normal.

The gestational age to which this reference range is applicable, in This ObservationDefinition defines a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the context target as a member of pregnancy. the group.

Text based condition for which the reference range is valid. Some observations have multiple component observations, expressed as separate code value pairs.

Component observations share the same attributes as the primary observation and are always treated as a part of it (they are not separable).

The set of valid coded results for the observations conforming to this ObservationDefinition. Describes what will be observed.

The set of normal coded results data types allowed for the observations conforming to value element of the instance of this ObservationDefinition. component observations.

The set of abnormal coded results Units allowed for the observation valueQuantity element in the instance observations conforming to this ObservationDefinition.

The A set of critical coded results qualified values associated with a context and a set of conditions - provides a range for the observation conforming to this ObservationDefinition. quantitative and ordinal observations and a collection of value sets for qualitative observations.