FHIR Release 3 (STU) 4

This page is part of the FHIR Specification (v3.0.2: (v4.0.1: R4 - Mixed Normative and STU 3). ) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R4 R3 R2

(No assigned work group) Orders and Observations Work Group   Maturity Level : 1 Informative Trial Use Use Context : Any

The official 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 Mon, Nov 17, 2014 00:00+1100 as a draft by Health Level Seven International (Health Care Devices).

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

This structure is derived from Observation .

Summary

Mandatory: 5 elements (+1 nested mandatory element)
Must-Support: 13 12 elements
Prohibited: 4 elements

This structure is derived from Observation .

.. * 0 .. * 1 .. 1 0 1 0 .. 0 .. 1 0 .. 1 1 .. 1
Name Flags Card. Type Description & Constraints doco
. . Observation 0 0..*
. . . identifier S 0..* Identifier
. . . status S 1 .. 1 1..1 code
. . . code S 1..1 CodeableConcept
. . . subject S 1..1 Reference ( Patient ), Reference ( | Device )
. . . context encounter 0 .. 0
. . . effectiveDateTime S 1..1 dateTime
. . . issued 0 .. 0
. . . value[x] S 0..1 ..
. . . . valueQuantity Quantity ,
. . . . valueCodeableConcept CodeableConcept ,
. . . . valueString string ,
. . . . valueRange Range ,
. . . . valueRatio Ratio ,
. . . . valueSampledData SampledData , Attachment ,
. . . . valueTime time ,
. . . . valueDateTime dateTime ,
. . . . valuePeriod Period
. . . dataAbsentReason 0 .. 0
. . . interpretation 1 0..1 CodeableConcept
. . comment . note 0 .. 1 0..* string Annotation
. . . bodySite S 0..1 CodeableConcept
. . . method S 0 .. 1 0..1 CodeableConcept
. . . specimen 0 .. 0
. . . device S 1..1 Reference ( DeviceMetric )
. . . referenceRange S 0..1 BackboneElement
. . related . hasMember S 0 .. 1 0..* BackboneElement type Reference ( Observation S 0 .. 1 ) code
. . target . derivedFrom S 0..* Reference ( Observation )

doco Documentation for this format
Actual result string Resource related to this observation 0..1 has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by I xml:id (or equivalent in JSON) Σ Actual component result
Name Flags Card. Type Description & Constraints doco
. . Observation I 0..* Measurements and simple assertions
. . . id Σ 0..1 id string Logical id of this artifact
. . . meta Σ I 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ I 0..1 uri A set of rules under which this content was created
. . . language I 0..1 code Language of the resource content
Binding: Common Languages ( extensible preferred )
Max Binding: All Languages
. . . text I 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . extension I 0..* Extension Additional Content content defined by implementations
. . . modifierExtension ?! I 0..* Extension Extensions that cannot be ignored
. . . identifier S Σ I 0..* Identifier Business Identifier for observation
. . . basedOn Σ I 0..* Reference ( CarePlan ), Reference ( | DeviceRequest ), Reference ( | ImmunizationRecommendation ), Reference ( | MedicationRequest ), Reference ( | NutritionOrder ), Reference ( ProcedureRequest ), Reference ( ReferralRequest | ServiceRequest ) Fulfills plan, proposal or order
. . . partOf Σ I 0..* Reference ( MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy ) Part of referenced event
. . . status ?! S Σ I 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus ( required )
. . . category I 0..* CodeableConcept Classification of type of observation
Binding: Observation Category Codes ( preferred )
. . . code S Σ I 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINC Codes ( example )
. . . subject S Σ I 1..1 Reference ( Patient ), Reference ( | Device ) Who and/or what this the observation is about
. . . focus Σ I 0..* Reference ( Resource ) What the observation is about, when it is not about the subject of record
... effective[x] Σ I (Slice Definition) Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
... . effectiveDateTime effective[x]:effectiveDateTime S Σ I 1..1 dateTime Clinically relevant time/time-period for observation
. . . performer Σ I 0..* Reference ( Practitioner ), Reference | PractitionerRole ( | Organization ), Reference | CareTeam ( | Patient ), Reference ( | RelatedPerson ) Who is responsible for the observation
. . . value[x] S Σ I 0..1 Actual result
.... valueQuantity Quantity ,
. . . . valueCodeableConcept CodeableConcept ,
. . . . valueString string ,
. . . . valueRange Range ,
. . . . valueRatio Ratio ,
. . . . valueSampledData SampledData , Attachment ,
. . . . valueTime time ,
. . . . valueDateTime dateTime ,
. . . . valuePeriod Period
. . . interpretation I 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes ( extensible )
. . comment . note I 0..1 0..* Annotation Comments about result the observation
. . . bodySite S I 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures ( example )
. . . method S I 0..1 CodeableConcept How it was done
Binding: Observation Methods ( example )
. . . device S I 1..1 Reference ( DeviceMetric ) (Measurement) Device
. . . referenceRange S I 0..1 BackboneElement Provides guide for interpretation
. . . . id 0..1 string xml:id (or equivalent in JSON) Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional Content content defined by implementations
. . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . low I 0..1 SimpleQuantity Low Range, if relevant
. . . . high I 0..1 SimpleQuantity High Range, if relevant
. . . . type I 0..1 CodeableConcept Reference range qualifier
Binding: Observation Reference Range Meaning Codes ( extensible preferred )
. . . . appliesTo I 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes ( example )
. . . . age I 0..1 Range Applicable age range, if relevant
. . . . text I 0..1 string Text based reference range in an observation
. . . hasMember S Σ I 0..* Reference ( Observation ) Related resource that belongs to the Observation group
. . related . derivedFrom S Σ I 0..1 0..* Reference ( Observation ) Related measurements the observation is made from
... component Σ I 0..* BackboneElement Component results
. . . . id 0..1 string xml:id (or equivalent in JSON) Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional Content content defined by implementations
. . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . type . code S Σ I 1..1 code CodeableConcept Type of component observation (code / type)
Binding: ObservationRelationshipType LOINC Codes ( required example )
. . . target . value[x] S Σ I 1..1 0..1 Reference ( Observation ) Resource that is related to this one Actual component result
. . component . . . valueQuantity Quantity Σ
. . . . . valueCodeableConcept 0..* BackboneElement CodeableConcept Component results
. . . . id . valueString 0..1 string
. . . extension . . valueBoolean 0..* Extension boolean Additional Content defined by implementations
. . . . modifierExtension . valueInteger integer ?!
. . . . . valueRange 0..* Extension Range Extensions that cannot be ignored
. . . . code . valueRatio Ratio Σ
. . . . . valueSampledData 1..1 CodeableConcept SampledData Type of component observation (code / type) Binding:
. . . . . valueTime LOINC Codes ( example time )
. . . value[x] . . valueDateTime Σ 0..1 Quantity , CodeableConcept , string , Range , Ratio , SampledData , Attachment , time , dateTime ,
. . . . . valuePeriod Period
. . . . dataAbsentReason I 0..1 CodeableConcept Why the component result is missing
Binding: Observation Value Absent Reason DataAbsentReason ( extensible )
. . . . interpretation I 0..1 0..* CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes ( extensible )
. . . . referenceRange I 0..* Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result

doco Documentation for this format
<!-- Device Metric Observation Profile -->doco

< xmlns="http://hl7.org/fhir"

<Observation xmlns="http://hl7.org/fhir"

>
  <!-- from Element: extension -->
 <
 <</meta>
 <
 <
 <

 <id><!-- 0..1 string Logical id of this artifact --></id>
 <meta><!-- ?? 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- ?? 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- ?? 0..1 Language of the resource content   -->
 <text><!-- ?? 0..1 Narrative 

     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <</modifierExtension>
 <

 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- ?? 0..* Identifier 

     Business Identifier for observation --></identifier>
 <)|
   </basedOn>
 <
 <</category>
 <</code>
 <
     Who and/or what this is about</subject>
 <
     Healthcare event during which this observation is made</context>
 <
 <
 <

 <basedOn><!-- ?? 0..* Reference(CarePlan) Fulfills plan, proposal or order --></basedOn>
 <partOf><!-- ?? 0..* Reference(MedicationAdministration) Part of referenced event --></partOf>
 <status value="[code]"/><!-- ?? 1..1 registered | preliminary | final | amended +   -->
 <category><!-- ?? 0..* CodeableConcept Classification of  type of observation   --></category>
 <code><!-- ?? 1..1 CodeableConcept Type of observation (code / type)   --></code>
 <subject><!-- ?? 1..1 Reference(Patient) 
     Who and/or what the observation is about --></subject>
 <focus><!-- ?? 0..* Reference(Resource) 
     What the observation is about, when it is not about the subject of record --></focus>
 <encounter><!-- ?? 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]"/><!-- ?? 1..1 Clinically relevant time/time-period for observation -->
 <issued value="[instant]"/><!-- ?? 0..0 Date/Time this version was made available -->
 <performer><!-- ?? 0..* Reference(Practitioner) 

     Who is responsible for the observation --></performer>
 <|
   </value[x]>
 <</dataAbsentReason>
 <</interpretation>
 <
 <</bodySite>
 <</method>
 <</specimen>
 <</device>
 <
  <</modifierExtension>
  <

 <value[x]><!-- ?? 0..1 Quantity|CodeableConcept|string|Range|Ratio|
   SampledData|time|dateTime|Period Actual result --></value[x]>

 <dataAbsentReason><!-- ?? 0..0 CodeableConcept Why the result is missing   --></dataAbsentReason>
 <interpretation><!-- ?? 0..1 CodeableConcept High, low, normal, etc.   --></interpretation>
 <note><!-- ?? 0..* Annotation Comments about the observation --></note>
 <bodySite><!-- ?? 0..1 CodeableConcept Observed body part   --></bodySite>
 <method><!-- ?? 0..1 CodeableConcept How it was done   --></method>
 <specimen><!-- ?? 0..0 Reference(Specimen) Specimen used for this observation --></specimen>
 <device><!-- ?? 1..1 Reference(DeviceMetric) (Measurement) Device --></device>
 <referenceRange> ?? 0..1 BackboneElement  <!-- ?? 0..1 Provides guide for interpretation -->
  <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <low><!-- ?? 0..1 Quantity 

      Low Range, if relevant --></low>
  <

  <high><!-- ?? 0..1 Quantity 

      High Range, if relevant --></high>
  <</type>
  <</appliesTo>
  <

  <type><!-- ?? 0..1 CodeableConcept Reference range qualifier   --></type>
  <appliesTo><!-- ?? 0..* CodeableConcept Reference range population   --></appliesTo>
  <age><!-- ?? 0..1 Range 

      Applicable age range, if relevant --></age>
  <

  <text value="[string]"/><!-- ?? 0..1 Text based reference range in an observation -->

 </referenceRange>
 <
  <</modifierExtension>
  <
  <
      Resource that is related to this one</target>
 </related>

 <hasMember><!-- ?? 0..* Reference(Observation) 
     Related resource that belongs to the Observation group --></hasMember>
 <derivedFrom><!-- ?? 0..* Reference(Observation) 
     Related measurements the observation is made from --></derivedFrom>

 <component> ?? 0..* BackboneElement  <!-- ?? 0..* Component results -->
  <</modifierExtension>
  <</code>
  <|
    

  <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- ?? 1..1 CodeableConcept Type of component observation (code / type)   --></code>
  <value[x]><!-- ?? 0..1 Quantity|CodeableConcept|string|
    boolean|integer|Range|Ratio|SampledData|time|dateTime|Period 
      Actual component result --></value[x]>
  <</dataAbsentReason>
  <</interpretation>

  <dataAbsentReason><!-- ?? 0..1 CodeableConcept Why the component result is missing   --></dataAbsentReason>
  <interpretation><!-- ?? 0..* CodeableConcept High, low, normal, etc.   --></interpretation>

  <referenceRange><!-- See #Observation.referenceRange  Provides guide for interpretation of component result --></referenceRange>
 </component>
</Observation>
{ // Device Metric Observation Profile
  // from Element: extension
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    "meta" : { Meta }, // C?Metadata about the resource
    "implicitRules" : "<uri>", // C?A set of rules under which this content was created
    "language" : "<code>", // C?Language of the resource content
    "text" : { Narrative }, // C?Text summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "modifierExtension" : [{ Extension }], // C?Extensions that cannot be ignored
    "identifier" : [{ Identifier }], // C?Business Identifier for observation
    "basedOn" : [{ Reference(CarePlan) }], // C?Fulfills plan, proposal or order
    "partOf" : [{ Reference(MedicationAdministration) }], // C?Part of referenced event
    "status" : "<code>", // C? R! registered | preliminary | final | amended +
    "category" : [{ CodeableConcept }], // C?Classification of  type of observation
    "code" : { CodeableConcept }, // C? R! Type of observation (code / type)
    "subject" : { Reference(Patient) }, // C? R! Who and/or what the observation is about
    "focus" : [{ Reference(Resource) }], // C?What 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 // C? R! 
        // from Element: extension
      }
    ],
    "performer" : [{ Reference(Practitioner) }], // C?Who is responsible for the observation
// value[x]: Actual result. One of these 9:

    "valueQuantity" : { Quantity }, // C?Actual result
    "valueCodeableConcept" : { CodeableConcept }, // C?Actual result
    "valueString" : "<string>", // C?Actual result
    "valueRange" : { Range }, // C?Actual result
    "valueRatio" : { Ratio }, // C?Actual result
    "valueSampledData" : { SampledData }, // C?Actual result
    "valueTime" : "<time>", // C?Actual result
    "valueDateTime" : "<dateTime>", // C?Actual result
    "valuePeriod" : { Period }, // C?Actual result
    "interpretation" : { CodeableConcept }, // C?High, low, normal, etc.
    "note" : [{ Annotation }], // C?Comments about the observation
    "bodySite" : { CodeableConcept } // C?Observed body part
    "method" : { CodeableConcept }, // C?How it was done
    "device" : { Reference(DeviceMetric) }, // C? R! (Measurement) Device
    "referenceRange" : { BackboneElement }, // C?Provides guide for interpretation
    "hasMember" : [{ Reference(Observation) }], // C?Related resource that belongs to the Observation group
    "derivedFrom" : [{ Reference(Observation) }], // C?Related measurements the observation is made from
    "component" : [{ BackboneElement }], // C?Component results

  }

This structure is derived from Observation .

Summary

Mandatory: 5 elements (+1 nested mandatory element)
Must-Support: 13 12 elements
Prohibited: 4 elements

Differential View

This structure is derived from Observation .

.. * 0 .. * 1 .. 1 0 1 0 .. 0 .. 1 0 .. 1 1 .. 1
Name Flags Card. Type Description & Constraints doco
. . Observation 0 0..*
. . . identifier S 0..* Identifier
. . . status S 1 .. 1 1..1 code
. . . code S 1..1 CodeableConcept
. . . subject S 1..1 Reference ( Patient ), Reference ( | Device )
. . . context encounter 0 .. 0
. . . effectiveDateTime S 1..1 dateTime
. . . issued 0 .. 0
. . . value[x] S 0..1 ..
. . . . valueQuantity Quantity ,
. . . . valueCodeableConcept CodeableConcept ,
. . . . valueString string ,
. . . . valueRange Range ,
. . . . valueRatio Ratio ,
. . . . valueSampledData SampledData , Attachment ,
. . . . valueTime time ,
. . . . valueDateTime dateTime ,
. . . . valuePeriod Period
. . . dataAbsentReason 0 .. 0
. . . interpretation 1 0..1 CodeableConcept
. . comment . note 0 .. 1 0..* string Annotation
. . . bodySite S 0..1 CodeableConcept
. . . method S 0 .. 1 0..1 CodeableConcept
. . . specimen 0 .. 0
. . . device S 1..1 Reference ( DeviceMetric )
. . . referenceRange S 0..1 BackboneElement
. . related . hasMember S 0 .. 1 0..* BackboneElement type Reference ( Observation S 0 .. 1 ) code
. . target . derivedFrom S 0..* Reference ( Observation )

doco Documentation for this format

Snapshot View

Actual result string Resource related to this observation 0..1 has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by I xml:id (or equivalent in JSON) Σ Actual component result
Name Flags Card. Type Description & Constraints doco
. . Observation I 0..* Measurements and simple assertions
. . . id Σ 0..1 id string Logical id of this artifact
. . . meta Σ I 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ I 0..1 uri A set of rules under which this content was created
. . . language I 0..1 code Language of the resource content
Binding: Common Languages ( extensible preferred )
Max Binding: All Languages
. . . text I 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . extension I 0..* Extension Additional Content content defined by implementations
. . . modifierExtension ?! I 0..* Extension Extensions that cannot be ignored
. . . identifier S Σ I 0..* Identifier Business Identifier for observation
. . . basedOn Σ I 0..* Reference ( CarePlan ), Reference ( | DeviceRequest ), Reference ( | ImmunizationRecommendation ), Reference ( | MedicationRequest ), Reference ( | NutritionOrder ), Reference ( ProcedureRequest ), Reference ( ReferralRequest | ServiceRequest ) Fulfills plan, proposal or order
. . . partOf Σ I 0..* Reference ( MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy ) Part of referenced event
. . . status ?! S Σ I 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus ( required )
. . . category I 0..* CodeableConcept Classification of type of observation
Binding: Observation Category Codes ( preferred )
. . . code S Σ I 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINC Codes ( example )
. . . subject S Σ I 1..1 Reference ( Patient ), Reference ( | Device ) Who and/or what this the observation is about
. . . focus Σ I 0..* Reference ( Resource ) What the observation is about, when it is not about the subject of record
... effective[x] Σ I (Slice Definition) Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
... . effectiveDateTime effective[x]:effectiveDateTime S Σ I 1..1 dateTime Clinically relevant time/time-period for observation
. . . performer Σ I 0..* Reference ( Practitioner ), Reference | PractitionerRole ( | Organization ), Reference | CareTeam ( | Patient ), Reference ( | RelatedPerson ) Who is responsible for the observation
. . . value[x] S Σ I 0..1 Actual result
.... valueQuantity Quantity ,
. . . . valueCodeableConcept CodeableConcept ,
. . . . valueString string ,
. . . . valueRange Range ,
. . . . valueRatio Ratio ,
. . . . valueSampledData SampledData , Attachment ,
. . . . valueTime time ,
. . . . valueDateTime dateTime ,
. . . . valuePeriod Period
. . . interpretation I 0..1 CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes ( extensible )
. . comment . note I 0..1 0..* Annotation Comments about result the observation
. . . bodySite S I 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures ( example )
. . . method S I 0..1 CodeableConcept How it was done
Binding: Observation Methods ( example )
. . . device S I 1..1 Reference ( DeviceMetric ) (Measurement) Device
. . . referenceRange S I 0..1 BackboneElement Provides guide for interpretation
. . . . id 0..1 string xml:id (or equivalent in JSON) Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional Content content defined by implementations
. . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . low I 0..1 SimpleQuantity Low Range, if relevant
. . . . high I 0..1 SimpleQuantity High Range, if relevant
. . . . type I 0..1 CodeableConcept Reference range qualifier
Binding: Observation Reference Range Meaning Codes ( extensible preferred )
. . . . appliesTo I 0..* CodeableConcept Reference range population
Binding: Observation Reference Range Applies To Codes ( example )
. . . . age I 0..1 Range Applicable age range, if relevant
. . . . text I 0..1 string Text based reference range in an observation
. . . hasMember S Σ I 0..* Reference ( Observation ) Related resource that belongs to the Observation group
. . related . derivedFrom S Σ I 0..1 0..* Reference ( Observation ) Related measurements the observation is made from
... component Σ I 0..* BackboneElement Component results
. . . . id 0..1 string xml:id (or equivalent in JSON) Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional Content content defined by implementations
. . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . type . code S Σ I 1..1 code CodeableConcept Type of component observation (code / type)
Binding: ObservationRelationshipType LOINC Codes ( required example )
. . . target . value[x] S Σ I 1..1 0..1 Reference ( Observation ) Resource that is related to this one Actual component result
. . component . . . valueQuantity Quantity Σ
. . . . . valueCodeableConcept 0..* BackboneElement CodeableConcept Component results
. . . . id . valueString 0..1 string
. . . extension . . valueBoolean 0..* Extension boolean Additional Content defined by implementations
. . . . modifierExtension . valueInteger integer ?!
. . . . . valueRange 0..* Extension Range Extensions that cannot be ignored
. . . . code . valueRatio Ratio Σ
. . . . . valueSampledData 1..1 CodeableConcept SampledData Type of component observation (code / type) Binding:
. . . . . valueTime LOINC Codes ( example time )
. . . value[x] . . valueDateTime Σ 0..1 Quantity , CodeableConcept , string , Range , Ratio , SampledData , Attachment , time , dateTime ,
. . . . . valuePeriod Period
. . . . dataAbsentReason I 0..1 CodeableConcept Why the component result is missing
Binding: Observation Value Absent Reason DataAbsentReason ( extensible )
. . . . interpretation I 0..1 0..* CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes ( extensible )
. . . . referenceRange I 0..* Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result

doco Documentation for this format

XML Template

<!-- Device Metric Observation Profile -->doco

< xmlns="http://hl7.org/fhir"

<Observation xmlns="http://hl7.org/fhir"

>
  <!-- from Element: extension -->
 <
 <</meta>
 <
 <
 <

 <id><!-- 0..1 string Logical id of this artifact --></id>
 <meta><!-- ?? 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- ?? 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- ?? 0..1 Language of the resource content   -->
 <text><!-- ?? 0..1 Narrative 

     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <</modifierExtension>
 <

 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- ?? 0..* Identifier 

     Business Identifier for observation --></identifier>
 <)|
   </basedOn>
 <
 <</category>
 <</code>
 <
     Who and/or what this is about</subject>
 <
     Healthcare event during which this observation is made</context>
 <
 <
 <

 <basedOn><!-- ?? 0..* Reference(CarePlan) Fulfills plan, proposal or order --></basedOn>
 <partOf><!-- ?? 0..* Reference(MedicationAdministration) Part of referenced event --></partOf>
 <status value="[code]"/><!-- ?? 1..1 registered | preliminary | final | amended +   -->
 <category><!-- ?? 0..* CodeableConcept Classification of  type of observation   --></category>
 <code><!-- ?? 1..1 CodeableConcept Type of observation (code / type)   --></code>
 <subject><!-- ?? 1..1 Reference(Patient) 
     Who and/or what the observation is about --></subject>
 <focus><!-- ?? 0..* Reference(Resource) 
     What the observation is about, when it is not about the subject of record --></focus>
 <encounter><!-- ?? 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]"/><!-- ?? 1..1 Clinically relevant time/time-period for observation -->
 <issued value="[instant]"/><!-- ?? 0..0 Date/Time this version was made available -->
 <performer><!-- ?? 0..* Reference(Practitioner) 

     Who is responsible for the observation --></performer>
 <|
   </value[x]>
 <</dataAbsentReason>
 <</interpretation>
 <
 <</bodySite>
 <</method>
 <</specimen>
 <</device>
 <
  <</modifierExtension>
  <

 <value[x]><!-- ?? 0..1 Quantity|CodeableConcept|string|Range|Ratio|
   SampledData|time|dateTime|Period Actual result --></value[x]>

 <dataAbsentReason><!-- ?? 0..0 CodeableConcept Why the result is missing   --></dataAbsentReason>
 <interpretation><!-- ?? 0..1 CodeableConcept High, low, normal, etc.   --></interpretation>
 <note><!-- ?? 0..* Annotation Comments about the observation --></note>
 <bodySite><!-- ?? 0..1 CodeableConcept Observed body part   --></bodySite>
 <method><!-- ?? 0..1 CodeableConcept How it was done   --></method>
 <specimen><!-- ?? 0..0 Reference(Specimen) Specimen used for this observation --></specimen>
 <device><!-- ?? 1..1 Reference(DeviceMetric) (Measurement) Device --></device>
 <referenceRange> ?? 0..1 BackboneElement  <!-- ?? 0..1 Provides guide for interpretation -->
  <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <low><!-- ?? 0..1 Quantity 

      Low Range, if relevant --></low>
  <

  <high><!-- ?? 0..1 Quantity 

      High Range, if relevant --></high>
  <</type>
  <</appliesTo>
  <

  <type><!-- ?? 0..1 CodeableConcept Reference range qualifier   --></type>
  <appliesTo><!-- ?? 0..* CodeableConcept Reference range population   --></appliesTo>
  <age><!-- ?? 0..1 Range 

      Applicable age range, if relevant --></age>
  <

  <text value="[string]"/><!-- ?? 0..1 Text based reference range in an observation -->

 </referenceRange>
 <
  <</modifierExtension>
  <
  <
      Resource that is related to this one</target>
 </related>

 <hasMember><!-- ?? 0..* Reference(Observation) 
     Related resource that belongs to the Observation group --></hasMember>
 <derivedFrom><!-- ?? 0..* Reference(Observation) 
     Related measurements the observation is made from --></derivedFrom>

 <component> ?? 0..* BackboneElement  <!-- ?? 0..* Component results -->
  <</modifierExtension>
  <</code>
  <|
    

  <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- ?? 1..1 CodeableConcept Type of component observation (code / type)   --></code>
  <value[x]><!-- ?? 0..1 Quantity|CodeableConcept|string|
    boolean|integer|Range|Ratio|SampledData|time|dateTime|Period 
      Actual component result --></value[x]>
  <</dataAbsentReason>
  <</interpretation>

  <dataAbsentReason><!-- ?? 0..1 CodeableConcept Why the component result is missing   --></dataAbsentReason>
  <interpretation><!-- ?? 0..* CodeableConcept High, low, normal, etc.   --></interpretation>

  <referenceRange><!-- See #Observation.referenceRange  Provides guide for interpretation of component result --></referenceRange>
 </component>
</Observation>

JSON Template

{ // Device Metric Observation Profile
  // from Element: extension
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    "meta" : { Meta }, // C?Metadata about the resource
    "implicitRules" : "<uri>", // C?A set of rules under which this content was created
    "language" : "<code>", // C?Language of the resource content
    "text" : { Narrative }, // C?Text summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "modifierExtension" : [{ Extension }], // C?Extensions that cannot be ignored
    "identifier" : [{ Identifier }], // C?Business Identifier for observation
    "basedOn" : [{ Reference(CarePlan) }], // C?Fulfills plan, proposal or order
    "partOf" : [{ Reference(MedicationAdministration) }], // C?Part of referenced event
    "status" : "<code>", // C? R! registered | preliminary | final | amended +
    "category" : [{ CodeableConcept }], // C?Classification of  type of observation
    "code" : { CodeableConcept }, // C? R! Type of observation (code / type)
    "subject" : { Reference(Patient) }, // C? R! Who and/or what the observation is about
    "focus" : [{ Reference(Resource) }], // C?What 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 // C? R! 
        // from Element: extension
      }
    ],
    "performer" : [{ Reference(Practitioner) }], // C?Who is responsible for the observation
// value[x]: Actual result. One of these 9:

    "valueQuantity" : { Quantity }, // C?Actual result
    "valueCodeableConcept" : { CodeableConcept }, // C?Actual result
    "valueString" : "<string>", // C?Actual result
    "valueRange" : { Range }, // C?Actual result
    "valueRatio" : { Ratio }, // C?Actual result
    "valueSampledData" : { SampledData }, // C?Actual result
    "valueTime" : "<time>", // C?Actual result
    "valueDateTime" : "<dateTime>", // C?Actual result
    "valuePeriod" : { Period }, // C?Actual result
    "interpretation" : { CodeableConcept }, // C?High, low, normal, etc.
    "note" : [{ Annotation }], // C?Comments about the observation
    "bodySite" : { CodeableConcept } // C?Observed body part
    "method" : { CodeableConcept }, // C?How it was done
    "device" : { Reference(DeviceMetric) }, // C? R! (Measurement) Device
    "referenceRange" : { BackboneElement }, // C?Provides guide for interpretation
    "hasMember" : [{ Reference(Observation) }], // C?Related resource that belongs to the Observation group
    "derivedFrom" : [{ Reference(Observation) }], // C?Related measurements the observation is made from
    "component" : [{ BackboneElement }], // C?Component results

  }

 

Other representations of profile: Alternate definitions: Master Definition ( XML , JSON ), Schematron

Path Name Conformance ValueSet
Observation.language Common Languages extensible preferred Common Languages
Observation.status ObservationStatus required ObservationStatus
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.type Observation Reference Range Meaning Codes extensible preferred Observation Reference Range Meaning Codes
Observation.referenceRange.appliesTo Observation Reference Range Applies To Codes example Observation Reference Range Applies To Codes
Observation.related.type ObservationRelationshipType required ObservationRelationshipType Observation.component.code LOINC Codes example LOINC Codes
Observation.component.dataAbsentReason Observation Value Absent Reason DataAbsentReason extensible Observation Value Absent Reason DataAbsentReason
Observation.component.interpretation Observation Interpretation Codes extensible Observation Interpretation Codes
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