Release 5 R6 Ballot (1st Draft)

This page is part of the FHIR Specification (v5.0.0: R5 - STU v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes ). This is the The current published version in it's permanent home (it will always be available at this URL). is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Orders and Observations icon Work Group   Maturity Level : 0 Trial Use Use Context : Any

The canonical URL for this profile is:

http://hl7.org/fhir/StructureDefinition/devicemetricobservation

This profile describes the direct or derived, qualitative or quantitative physiological measurement, setting, or calculation data produced by a medical device or a device component.

This profile was published on Sat, Aug 11, 2018 00:00+1000 as a draft by Health Level Seven HL7 International (Orders / Orders and Observations Workgroup). Observations.

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

This structure is derived from Observation .

Summary

Mandatory: 5 elements
Must-Support: 12 elements
Prohibited: 4 elements

This indicates the differences between this profile and the base Observation structure.

Name Flags Card. Type Description & Constraints doco
. . Observation 0..* Observation Measurements and simple assertions
. . . identifier S 0..* Identifier Business Identifier for observation
. . . status S 1..1 code registered | preliminary | final | amended +
. . . code S 1..1 CodeableConcept Type of observation (code / type)
. . . encounter 0 .. 0
. . . effectiveDateTime S 1..1 dateTime Clinically relevant time/time-period for observation
. . . issued 0 .. 0
. . . value[x] S 0..1 Actual result
. . . . valueQuantity Quantity
. . . . valueCodeableConcept CodeableConcept
. . . . valueString string
. . . . valueRange Range
. . . . valueRatio Ratio
. . . . valueSampledData SampledData
. . . . valueTime time
. . . . valueDateTime dateTime
. . . . valuePeriod Period
. . . dataAbsentReason 0 .. 0
. . . interpretation 0..1 CodeableConcept High, low, normal, etc
. . . note 0..* Annotation Comments about the observation
. . . bodySite S 0..1 CodeableConcept Observed body part
. . . method S 0..1 CodeableConcept How it was done
. . . specimen 0 .. 0
. . . device S 1..1 Reference ( DeviceMetric ) A reference to the device that generates the measurements or the device settings for the device
. . . referenceRange S 0..1 BackboneElement Provides guide for interpretation
. . . hasMember S 0..* Reference ( Observation ) Related resource that belongs to the Observation group
. . . derivedFrom S 0..* Reference ( Observation ) Related resource from which the observation is made

doco Documentation for this format icon

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base Observation structure.

TU TU TU
Name Flags Card. Type Description & Constraints doco
. . Observation C icon 0..* Observation Measurements and simple assertions
. . . id Σ 0..1 id Logical id of this artifact
. . . meta Σ 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ 0..1 uri A set of rules under which this content was created
. . . language 0..1 code Language of the resource content
Binding: All Languages ( required ): IETF language tag for a human language

Additional Bindings Purpose
Common Languages Starter Set
. . . text 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . extension 0..* Extension Additional content defined by implementations
. . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored
. . . identifier S Σ 0..* Identifier Business Identifier for observation
. . . instantiates[x] Σ TU 0..1 canonical ( ObservationDefinition ), Reference ( ObservationDefinition ) Instantiates FHIR ObservationDefinition
. . . basedOn Σ 0..* Reference ( CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest ) Fulfills plan, proposal or order
. . . triggeredBy 0..* BackboneElement Triggering observation(s)
. . . . 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
. . . . observation Σ 1..1 Reference ( Observation ) Triggering observation
. . . . type Σ 1..1 code reflex | repeat | re-run
Binding: triggered Bytype ( required ): The type of TriggeredBy Observation.

. . . . reason 0..1 string Reason that the observation was triggered
. . . partOf Σ 0..* Reference ( MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy ) Part of referenced event
. . . status ?! S Σ 1..1 code registered | preliminary | final | amended +
Binding: Observation Status ( required ): Codes providing the status of an observation.

. . . category 0..* CodeableConcept Classification of type of observation
Binding: Observation Category Codes ( preferred ): Codes for high level observation categories.


. . . code S Σ C icon 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINC Codes ( example ): Codes identifying names of simple observations.

. . . subject S Σ 1..1 Reference ( Patient | Device ) Who and/or what the observation is about
. . . focus Σ TU 0..* Reference ( Resource ) What the observation is about, when it is not about the subject of record
. . . Slices for effective[x] Σ 1 .. 1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
. . . . effective[x]:effectiveDateTime S Σ 1..1 dateTime Clinically relevant time/time-period for observation
. . . performer Σ 0..* Reference ( Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson ) Who is responsible for the observation
. . . value[x] S Σ C icon 0..1 Actual result
. . . . valueQuantity Quantity
. . . . valueCodeableConcept CodeableConcept
. . . . valueString string
. . . . valueRange Range
. . . . valueRatio Ratio
. . . . valueSampledData SampledData
. . . . valueTime time
. . . . valueDateTime dateTime
. . . . valuePeriod Period
. . . interpretation 0..1 CodeableConcept High, low, normal, etc
Binding: Observation Interpretation Codes ( extensible ): Codes identifying interpretations of observations.


. . . note 0..* Annotation Comments about the observation
. . . bodySite S C icon 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures ( example ): SNOMED CT Body site concepts

. . . bodyStructure C icon TU 0..1 Reference ( BodyStructure ) Observed body structure
. . . method S 0..1 CodeableConcept How it was done
Binding: Observation Methods ( example ): Methods for simple observations.

. . . device S 1..1 Reference ( DeviceMetric ) A reference to the device that generates the measurements or the device settings for the device
. . . referenceRange S C icon 0..1 BackboneElement Provides guide for interpretation
. . . . 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 icon 0..1 SimpleQuantity Low Range, if relevant
. . . . high C icon 0..1 SimpleQuantity High Range, if relevant
. . . . normalValue 0..1 CodeableConcept Normal value, if relevant
Binding: Observation Reference Range Normal Value Codes ( extensible ): Codes identifying the normal value of the observation.

. . . . type 0..1 CodeableConcept Reference range qualifier
Binding: Observation Reference Range Meaning Codes ( preferred ): Code for the meaning of a reference range.

. . . . appliesTo 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes ( example ): Codes identifying the population the reference range applies to.


. . . . age 0..1 Range Applicable age range, if relevant
. . . . text C icon 0..1 markdown Text based reference range in an observation
. . . hasMember S Σ 0..* Reference ( Observation ) Related resource that belongs to the Observation group
. . . derivedFrom S Σ 0..* Reference ( Observation ) Related resource from which the observation is made
. . . component Σ C icon 0..* BackboneElement Component results
. . . . 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 C icon 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINC Codes ( 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
. . . . . valueAttachment Attachment
. . . . . valueReference Reference ( MolecularSequence )
. . . . dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: Data Absent Reason ( extensible ): Codes specifying why the result ( Observation.value[x] ) is missing.

. . . . interpretation 0..* CodeableConcept High, low, normal, etc
Binding: Observation Interpretation Codes ( extensible ): Codes identifying interpretations of observations.


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

doco Documentation for this format icon
<!-- DeviceMetricObservationProfile -->doco

<Observation xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>

 <identifier><!-- I 0..* Identifier 
     Business Identifier for observation --></identifier>
 <instantiates[x]><!-- I 0..1 canonical|Reference(ObservationDefinition) 
     Instantiates FHIR ObservationDefinition --></instantiates[x]>
 <basedOn><!-- I 0..* Reference(CarePlan) Fulfills plan, proposal or order --></basedOn>
 <triggeredBy> I 0..* BackboneElement  <!-- I 0..* Triggering observation(s) -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

  <observation><!-- I 1..1 Reference(Observation) 
      Triggering observation --></observation>
  <type value="[code]"/><!-- I 1..1 reflex | repeat | re-run   -->
  <reason value="[string]"/><!-- I 0..1 Reason that the observation was triggered -->
 </triggeredBy>
 <partOf><!-- I 0..* Reference(MedicationAdministration) Part of referenced event --></partOf>
 <status value="[code]"/><!-- I 1..1 registered | preliminary | final | amended +   -->
 <category><!-- I 0..* CodeableConcept Classification of  type of observation   --></category>
 <code><!-- I 1..1 CodeableConcept Type of observation (code / type)   --></code>
 <subject><!-- I 1..1 Reference(Patient) 
     Who and/or what the observation is about --></subject>
 <focus><!-- I 0..* Reference(Resource) 
     What the observation is about, when it is not about the subject of record --></focus>
 <encounter><!-- I 0..0 Reference(Encounter) 
     Healthcare event during which this observation is made --></encounter>
 <-- effectiveDateTime sliced by type:$this  in the specified orderClosed-->
 <effectiveDateTime value="[dateTime]"/><!-- I 1..1 Clinically relevant time/time-period for observation -->
 <issued value="[instant]"/><!-- I 0..0 Date/Time this version was made available -->
 <performer><!-- I 0..* Reference(Practitioner) 
     Who is responsible for the observation --></performer>
 <value[x]><!-- I 0..1 Quantity|CodeableConcept|string|Range|Ratio|
   SampledData|time|dateTime|Period Actual result --></value[x]>
 <dataAbsentReason><!-- I 0..0 CodeableConcept Why the result is missing   --></dataAbsentReason>
 <interpretation><!-- I 0..1 CodeableConcept High, low, normal, etc   --></interpretation>
 <note><!-- I 0..* Annotation Comments about the observation --></note>
 <bodySite><!-- I 0..1 CodeableConcept Observed body part   --></bodySite>
 <bodyStructure><!-- I 0..1 Reference(BodyStructure) Observed body structure --></bodyStructure>
 <method><!-- I 0..1 CodeableConcept How it was done   --></method>
 <specimen><!-- I 0..0 Reference(Specimen) Specimen used for this observation --></specimen>
 <device><!-- I 1..1 Reference(DeviceMetric) 
     A reference to the device that generates the measurements or the device settings for the device --></device>
 <referenceRange> I 0..1 BackboneElement  <!-- I 0..1 Provides guide for interpretation -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

  <low><!-- I 0..1 Quantity 
      Low Range, if relevant --></low>
  <high><!-- I 0..1 Quantity 
      High Range, if relevant --></high>
  <normalValue><!-- I 0..1 CodeableConcept Normal value, if relevant   --></normalValue>
  <type><!-- I 0..1 CodeableConcept Reference range qualifier   --></type>
  <appliesTo><!-- I 0..* CodeableConcept Reference range population   --></appliesTo>
  <age><!-- I 0..1 Range 
      Applicable age range, if relevant --></age>
  <text value="[markdown]"/><!-- I 0..1 Text based reference range in an observation -->
 </referenceRange>
 <hasMember><!-- I 0..* Reference(Observation) 
     Related resource that belongs to the Observation group --></hasMember>
 <derivedFrom><!-- I 0..* Reference(Observation) 
     Related resource from which the observation is made --></derivedFrom>
 <component> I 0..* BackboneElement  <!-- I 0..* Component results -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

  <code><!-- I 1..1 CodeableConcept Type of component observation (code / type)   --></code>
  <value[x]><!-- I 0..1 Quantity|CodeableConcept|string|
    boolean|integer|Range|Ratio|SampledData|time|dateTime|Period|Attachment|
    Reference(MolecularSequence) Actual component result --></value[x]>
  <dataAbsentReason><!-- I 0..1 CodeableConcept Why the component result is missing   --></dataAbsentReason>
  <interpretation><!-- I 0..* CodeableConcept High, low, normal, etc   --></interpretation>
  <referenceRange><!-- See http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange  Provides guide for interpretation of component result --></referenceRange>
 </component>
</Observation>
{ // DeviceMetricObservationProfile
  // from Element: extension
    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored

    "identifier" : [{ Identifier }], // IBusiness Identifier for observation
  // value[x]: Instantiates FHIR ObservationDefinition. One of these 2:
    "instantiatesCanonical" : "<canonical>", // IInstantiates FHIR ObservationDefinition
    "instantiatesReference" : { Reference(ObservationDefinition) }, // IInstantiates FHIR ObservationDefinition
    "basedOn" : [{ Reference(CarePlan) }], // IFulfills plan, proposal or order
    "triggeredBy" : [{ BackboneElement }], // ITriggering observation(s)
    "partOf" : [{ Reference(MedicationAdministration) }], // IPart of referenced event
    "status" : "<code>", // I R! registered | preliminary | final | amended +
    "category" : [{ CodeableConcept }], // IClassification of  type of observation
    "code" : { CodeableConcept }, // I R! Type of observation (code / type)
    "subject" : { Reference(Patient) }, // I R! Who and/or what the observation is about
    "focus" : [{ Reference(Resource) }], // IWhat the observation is about, when it is not about the subject of record
    "effectiveDateTime" : [ //  sliced by type:$this  in the specified order, Closed 
      { // Clinically relevant time/time-period for observation // I R! 
        // from Element: extension
      }
    ],
    "performer" : [{ Reference(Practitioner) }], // IWho is responsible for the observation
  // value[x]: Actual result. One of these 9:
    "valueQuantity" : { Quantity }, // IActual result
    "valueCodeableConcept" : { CodeableConcept }, // IActual result
    "valueString" : "<string>", // IActual result
    "valueRange" : { Range }, // IActual result
    "valueRatio" : { Ratio }, // IActual result
    "valueSampledData" : { SampledData }, // IActual result
    "valueTime" : "<time>", // IActual result
    "valueDateTime" : "<dateTime>", // IActual result
    "valuePeriod" : { Period }, // IActual result
    "interpretation" : { CodeableConcept }, // IHigh, low, normal, etc
    "note" : [{ Annotation }], // IComments about the observation
    "bodySite" : { CodeableConcept }, // IObserved body part
    "bodyStructure" : { Reference(BodyStructure) }, // IObserved body structure
    "method" : { CodeableConcept }, // IHow it was done
    "device" : { Reference(DeviceMetric) }, // I R! A reference to the device that generates the measurements or the device settings for the device
    "referenceRange" : { BackboneElement }, // IProvides guide for interpretation
    "hasMember" : [{ Reference(Observation) }], // IRelated resource that belongs to the Observation group
    "derivedFrom" : [{ Reference(Observation) }], // IRelated resource from which the observation is made
    "component" : [{ BackboneElement }], // IComponent results
  }

This structure is derived from Observation .

Summary

Mandatory: 5 elements
Must-Support: 12 elements
Prohibited: 4 elements

Differential View

This indicates the differences between this profile and the base Observation structure.

Name Flags Card. Type Description & Constraints doco
. . Observation 0..* Observation Measurements and simple assertions
. . . identifier S 0..* Identifier Business Identifier for observation
. . . status S 1..1 code registered | preliminary | final | amended +
. . . code S 1..1 CodeableConcept Type of observation (code / type)
. . . encounter 0 .. 0
. . . effectiveDateTime S 1..1 dateTime Clinically relevant time/time-period for observation
. . . issued 0 .. 0
. . . value[x] S 0..1 Actual result
. . . . valueQuantity Quantity
. . . . valueCodeableConcept CodeableConcept
. . . . valueString string
. . . . valueRange Range
. . . . valueRatio Ratio
. . . . valueSampledData SampledData
. . . . valueTime time
. . . . valueDateTime dateTime
. . . . valuePeriod Period
. . . dataAbsentReason 0 .. 0
. . . interpretation 0..1 CodeableConcept High, low, normal, etc
. . . note 0..* Annotation Comments about the observation
. . . bodySite S 0..1 CodeableConcept Observed body part
. . . method S 0..1 CodeableConcept How it was done
. . . specimen 0 .. 0
. . . device S 1..1 Reference ( DeviceMetric ) A reference to the device that generates the measurements or the device settings for the device
. . . referenceRange S 0..1 BackboneElement Provides guide for interpretation
. . . hasMember S 0..* Reference ( Observation ) Related resource that belongs to the Observation group
. . . derivedFrom S 0..* Reference ( Observation ) Related resource from which the observation is made

doco Documentation for this format icon

Snapshot View

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base Observation structure.

TU TU TU
Name Flags Card. Type Description & Constraints doco
. . Observation C icon 0..* Observation Measurements and simple assertions
. . . id Σ 0..1 id Logical id of this artifact
. . . meta Σ 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ 0..1 uri A set of rules under which this content was created
. . . language 0..1 code Language of the resource content
Binding: All Languages ( required ): IETF language tag for a human language

Additional Bindings Purpose
Common Languages Starter Set
. . . text 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . extension 0..* Extension Additional content defined by implementations
. . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored
. . . identifier S Σ 0..* Identifier Business Identifier for observation
. . . instantiates[x] Σ TU 0..1 canonical ( ObservationDefinition ), Reference ( ObservationDefinition ) Instantiates FHIR ObservationDefinition
. . . basedOn Σ 0..* Reference ( CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest ) Fulfills plan, proposal or order
. . . triggeredBy 0..* BackboneElement Triggering observation(s)
. . . . 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
. . . . observation Σ 1..1 Reference ( Observation ) Triggering observation
. . . . type Σ 1..1 code reflex | repeat | re-run
Binding: triggered Bytype ( required ): The type of TriggeredBy Observation.

. . . . reason 0..1 string Reason that the observation was triggered
. . . partOf Σ 0..* Reference ( MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy ) Part of referenced event
. . . status ?! S Σ 1..1 code registered | preliminary | final | amended +
Binding: Observation Status ( required ): Codes providing the status of an observation.

. . . category 0..* CodeableConcept Classification of type of observation
Binding: Observation Category Codes ( preferred ): Codes for high level observation categories.


. . . code S Σ C icon 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINC Codes ( example ): Codes identifying names of simple observations.

. . . subject S Σ 1..1 Reference ( Patient | Device ) Who and/or what the observation is about
. . . focus Σ TU 0..* Reference ( Resource ) What the observation is about, when it is not about the subject of record
. . . Slices for effective[x] Σ 1 .. 1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
. . . . effective[x]:effectiveDateTime S Σ 1..1 dateTime Clinically relevant time/time-period for observation
. . . performer Σ 0..* Reference ( Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson ) Who is responsible for the observation
. . . value[x] S Σ C icon 0..1 Actual result
. . . . valueQuantity Quantity
. . . . valueCodeableConcept CodeableConcept
. . . . valueString string
. . . . valueRange Range
. . . . valueRatio Ratio
. . . . valueSampledData SampledData
. . . . valueTime time
. . . . valueDateTime dateTime
. . . . valuePeriod Period
. . . interpretation 0..1 CodeableConcept High, low, normal, etc
Binding: Observation Interpretation Codes ( extensible ): Codes identifying interpretations of observations.


. . . note 0..* Annotation Comments about the observation
. . . bodySite S C icon 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures ( example ): SNOMED CT Body site concepts

. . . bodyStructure C icon TU 0..1 Reference ( BodyStructure ) Observed body structure
. . . method S 0..1 CodeableConcept How it was done
Binding: Observation Methods ( example ): Methods for simple observations.

. . . device S 1..1 Reference ( DeviceMetric ) A reference to the device that generates the measurements or the device settings for the device
. . . referenceRange S C icon 0..1 BackboneElement Provides guide for interpretation
. . . . 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 icon 0..1 SimpleQuantity Low Range, if relevant
. . . . high C icon 0..1 SimpleQuantity High Range, if relevant
. . . . normalValue 0..1 CodeableConcept Normal value, if relevant
Binding: Observation Reference Range Normal Value Codes ( extensible ): Codes identifying the normal value of the observation.

. . . . type 0..1 CodeableConcept Reference range qualifier
Binding: Observation Reference Range Meaning Codes ( preferred ): Code for the meaning of a reference range.

. . . . appliesTo 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes ( example ): Codes identifying the population the reference range applies to.


. . . . age 0..1 Range Applicable age range, if relevant
. . . . text C icon 0..1 markdown Text based reference range in an observation
. . . hasMember S Σ 0..* Reference ( Observation ) Related resource that belongs to the Observation group
. . . derivedFrom S Σ 0..* Reference ( Observation ) Related resource from which the observation is made
. . . component Σ C icon 0..* BackboneElement Component results
. . . . 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 C icon 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINC Codes ( 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
. . . . . valueAttachment Attachment
. . . . . valueReference Reference ( MolecularSequence )
. . . . dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: Data Absent Reason ( extensible ): Codes specifying why the result ( Observation.value[x] ) is missing.

. . . . interpretation 0..* CodeableConcept High, low, normal, etc
Binding: Observation Interpretation Codes ( extensible ): Codes identifying interpretations of observations.


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

doco Documentation for this format icon

XML Template

<!-- DeviceMetricObservationProfile -->doco

<Observation xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>

 <identifier><!-- I 0..* Identifier 
     Business Identifier for observation --></identifier>
 <instantiates[x]><!-- I 0..1 canonical|Reference(ObservationDefinition) 
     Instantiates FHIR ObservationDefinition --></instantiates[x]>
 <basedOn><!-- I 0..* Reference(CarePlan) Fulfills plan, proposal or order --></basedOn>
 <triggeredBy> I 0..* BackboneElement  <!-- I 0..* Triggering observation(s) -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

  <observation><!-- I 1..1 Reference(Observation) 
      Triggering observation --></observation>
  <type value="[code]"/><!-- I 1..1 reflex | repeat | re-run   -->
  <reason value="[string]"/><!-- I 0..1 Reason that the observation was triggered -->
 </triggeredBy>
 <partOf><!-- I 0..* Reference(MedicationAdministration) Part of referenced event --></partOf>
 <status value="[code]"/><!-- I 1..1 registered | preliminary | final | amended +   -->
 <category><!-- I 0..* CodeableConcept Classification of  type of observation   --></category>
 <code><!-- I 1..1 CodeableConcept Type of observation (code / type)   --></code>
 <subject><!-- I 1..1 Reference(Patient) 
     Who and/or what the observation is about --></subject>
 <focus><!-- I 0..* Reference(Resource) 
     What the observation is about, when it is not about the subject of record --></focus>
 <encounter><!-- I 0..0 Reference(Encounter) 
     Healthcare event during which this observation is made --></encounter>
 <-- effectiveDateTime sliced by type:$this  in the specified orderClosed-->
 <effectiveDateTime value="[dateTime]"/><!-- I 1..1 Clinically relevant time/time-period for observation -->
 <issued value="[instant]"/><!-- I 0..0 Date/Time this version was made available -->
 <performer><!-- I 0..* Reference(Practitioner) 
     Who is responsible for the observation --></performer>
 <value[x]><!-- I 0..1 Quantity|CodeableConcept|string|Range|Ratio|
   SampledData|time|dateTime|Period Actual result --></value[x]>
 <dataAbsentReason><!-- I 0..0 CodeableConcept Why the result is missing   --></dataAbsentReason>
 <interpretation><!-- I 0..1 CodeableConcept High, low, normal, etc   --></interpretation>
 <note><!-- I 0..* Annotation Comments about the observation --></note>
 <bodySite><!-- I 0..1 CodeableConcept Observed body part   --></bodySite>
 <bodyStructure><!-- I 0..1 Reference(BodyStructure) Observed body structure --></bodyStructure>
 <method><!-- I 0..1 CodeableConcept How it was done   --></method>
 <specimen><!-- I 0..0 Reference(Specimen) Specimen used for this observation --></specimen>
 <device><!-- I 1..1 Reference(DeviceMetric) 
     A reference to the device that generates the measurements or the device settings for the device --></device>
 <referenceRange> I 0..1 BackboneElement  <!-- I 0..1 Provides guide for interpretation -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

  <low><!-- I 0..1 Quantity 
      Low Range, if relevant --></low>
  <high><!-- I 0..1 Quantity 
      High Range, if relevant --></high>
  <normalValue><!-- I 0..1 CodeableConcept Normal value, if relevant   --></normalValue>
  <type><!-- I 0..1 CodeableConcept Reference range qualifier   --></type>
  <appliesTo><!-- I 0..* CodeableConcept Reference range population   --></appliesTo>
  <age><!-- I 0..1 Range 
      Applicable age range, if relevant --></age>
  <text value="[markdown]"/><!-- I 0..1 Text based reference range in an observation -->
 </referenceRange>
 <hasMember><!-- I 0..* Reference(Observation) 
     Related resource that belongs to the Observation group --></hasMember>
 <derivedFrom><!-- I 0..* Reference(Observation) 
     Related resource from which the observation is made --></derivedFrom>
 <component> I 0..* BackboneElement  <!-- I 0..* Component results -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

  <code><!-- I 1..1 CodeableConcept Type of component observation (code / type)   --></code>
  <value[x]><!-- I 0..1 Quantity|CodeableConcept|string|
    boolean|integer|Range|Ratio|SampledData|time|dateTime|Period|Attachment|
    Reference(MolecularSequence) Actual component result --></value[x]>
  <dataAbsentReason><!-- I 0..1 CodeableConcept Why the component result is missing   --></dataAbsentReason>
  <interpretation><!-- I 0..* CodeableConcept High, low, normal, etc   --></interpretation>
  <referenceRange><!-- See http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange  Provides guide for interpretation of component result --></referenceRange>
 </component>
</Observation>

JSON Template

{ // DeviceMetricObservationProfile
  // from Element: extension
    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored

    "identifier" : [{ Identifier }], // IBusiness Identifier for observation
  // value[x]: Instantiates FHIR ObservationDefinition. One of these 2:
    "instantiatesCanonical" : "<canonical>", // IInstantiates FHIR ObservationDefinition
    "instantiatesReference" : { Reference(ObservationDefinition) }, // IInstantiates FHIR ObservationDefinition
    "basedOn" : [{ Reference(CarePlan) }], // IFulfills plan, proposal or order
    "triggeredBy" : [{ BackboneElement }], // ITriggering observation(s)
    "partOf" : [{ Reference(MedicationAdministration) }], // IPart of referenced event
    "status" : "<code>", // I R! registered | preliminary | final | amended +
    "category" : [{ CodeableConcept }], // IClassification of  type of observation
    "code" : { CodeableConcept }, // I R! Type of observation (code / type)
    "subject" : { Reference(Patient) }, // I R! Who and/or what the observation is about
    "focus" : [{ Reference(Resource) }], // IWhat the observation is about, when it is not about the subject of record
    "effectiveDateTime" : [ //  sliced by type:$this  in the specified order, Closed 
      { // Clinically relevant time/time-period for observation // I R! 
        // from Element: extension
      }
    ],
    "performer" : [{ Reference(Practitioner) }], // IWho is responsible for the observation
  // value[x]: Actual result. One of these 9:
    "valueQuantity" : { Quantity }, // IActual result
    "valueCodeableConcept" : { CodeableConcept }, // IActual result
    "valueString" : "<string>", // IActual result
    "valueRange" : { Range }, // IActual result
    "valueRatio" : { Ratio }, // IActual result
    "valueSampledData" : { SampledData }, // IActual result
    "valueTime" : "<time>", // IActual result
    "valueDateTime" : "<dateTime>", // IActual result
    "valuePeriod" : { Period }, // IActual result
    "interpretation" : { CodeableConcept }, // IHigh, low, normal, etc
    "note" : [{ Annotation }], // IComments about the observation
    "bodySite" : { CodeableConcept }, // IObserved body part
    "bodyStructure" : { Reference(BodyStructure) }, // IObserved body structure
    "method" : { CodeableConcept }, // IHow it was done
    "device" : { Reference(DeviceMetric) }, // I R! A reference to the device that generates the measurements or the device settings for the device
    "referenceRange" : { BackboneElement }, // IProvides guide for interpretation
    "hasMember" : [{ Reference(Observation) }], // IRelated resource that belongs to the Observation group
    "derivedFrom" : [{ Reference(Observation) }], // IRelated resource from which the observation is made
    "component" : [{ BackboneElement }], // IComponent results
  }

 

Alternate definitions: Master Definition ( XML , JSON ), Schematron

Path Name Conformance ValueSet
Observation.language All Languages required All Languages
Observation.triggeredBy.type triggered Bytype required triggered Bytype
Observation.status Observation Status required Observation Status
Observation.category Observation Category Codes preferred Observation Category Codes
Observation.code LOINC Codes example LOINC Codes
Observation.interpretation Observation Interpretation Codes extensible Observation Interpretation Codes
Observation.bodySite SNOMED CT Body Structures example SNOMED CT Body Structures
Observation.method Observation Methods example Observation Methods
Observation.referenceRange.normalValue Observation Reference Range Normal Value Codes extensible Observation Reference Range Normal Value Codes
Observation.referenceRange.type Observation Reference Range Meaning Codes preferred Observation Reference Range Meaning Codes
Observation.referenceRange.appliesTo Observation Reference Range Applies To Codes example Observation Reference Range Applies To Codes
Observation.component.code LOINC Codes example LOINC Codes
Observation.component.dataAbsentReason Data Absent Reason extensible Data Absent Reason
Observation.component.interpretation Observation Interpretation Codes extensible Observation Interpretation Codes
. .