FHIR Release 3 (STU) 4

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10.1.14.6 10.1.15.6 StructureDefinition: Observation-Genetics

(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/observation-genetics

Describes how the observation resource is used to report structured genetic test results

This profile was published on Mon, Mar 14, 2016 00:00+1100 as a draft by Health Level Seven International (Clinical Genomics).

10.1.14.6.1 10.1.15.6.1 Formal Views of Profile Content

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

This structure is derived from Observation .

Summary

Extensions

This structure refers to these extensions:

This structure is derived from Observation .

0 .. * observation-geneticsDNASequenceVariantName 0 .. 1 CodeableConcept DNA sequence variant URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNASequenceVariantName Binding: ???? ( preferred ) observation-geneticsDNAVariantId 0 .. 1 CodeableConcept DNA sequence variant ID URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNAVariantId observation-geneticsDNASequenceVariantType Name of allele Allele frequency CodeableConcept 0 .. 1 CodeableConcept Genomic source class uri 0 .. * Reference ( Sequence ) Sequence Reference ( Observation )
Name Flags Card. Type Description & Constraints doco
. . Observation 0 .. 1 CodeableConcept DNA sequence variant type URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNASequenceVariantType observation-geneticsAminoAcidChangeName 0 .. 1 CodeableConcept Amino acid change URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChangeName Binding: ???? ( preferred ) observation-geneticsAminoAcidChangeType 0..* 0 .. 1 CodeableConcept Amino Acid Change Type URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChangeType
. . . observation-geneticsGene 0 .. 1 0..1 CodeableConcept HGNC gene symbol
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsGene
Binding: ???? H g n c ( preferred )
. . . observation-geneticsDNARegionName 0 .. 1 0..1 string DNA region name
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName
. . observation-geneticsAlleleName . observation-geneticsCopyNumberEvent 0 .. 1 0..1 CodeableConcept Copy number variation
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAlleleName http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent Binding: ???? ( preferred )
. . . observation-geneticsAllelicState observation-geneticsGenomicSourceClass 0 .. 1 0..1 CodeableConcept The level of occurrence of a single DNA sequence variant within a set of chromosomes: Heteroplasmic / Homoplasmic / Homozygous / Heterozygous / Hemizygous Genomic source class
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAllelicState http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass
. . observation-geneticsAllelicFrequency . observation-geneticsInterpretation 0 .. 1 0..1 decimal Reference ( Observation ) Clinical interpretations for variant
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAllelicFrequency http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation
. . observation-geneticsCopyNumberEvent . observation-geneticsVariant 0 .. 1 0..1 (Complex) Copy number variation Variant
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant
. . observation-geneticsGenomicSourceClass . observation-geneticsAminoAcidChange 0..1 (Complex) AminoAcidChange
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange
. . observation-geneticsPhaseSet . observation-geneticsAllele 0 .. 1 0..1 (Complex) Phase set identifier (UUID/OID) Allele
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele
. . observation-geneticsSequence . observation-geneticsAncestry 0..1 (Complex) Ancestry
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsSequence http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry
. . observation-geneticsInterpretation . observation-geneticsPhaseSet 0 .. 1 0..* (Complex) Clinical interpretations for variant Phase set
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet

doco Documentation for this format
observation-geneticsDNASequenceVariantName I 0..1 CodeableConcept DNA sequence variant URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNASequenceVariantName Binding: ???? ( preferred ) observation-geneticsDNAVariantId I 0..1 CodeableConcept DNA sequence variant ID URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNAVariantId observation-geneticsDNASequenceVariantType I 0..1 CodeableConcept DNA sequence variant type URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNASequenceVariantType observation-geneticsAminoAcidChangeName I 0..1 CodeableConcept Amino acid change URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChangeName Binding: ???? ( preferred ) 0..1 Amino Acid Change Type The level of occurrence of a single DNA sequence variant within a set of chromosomes: Heteroplasmic / Homoplasmic / Homozygous / Heterozygous / Hemizygous CodeableConcept Copy number variation uri Phase set identifier (UUID/OID) 0..1 Reference ( Observation ) Clinical interpretations for variant string xml:id (or equivalent in JSON) xml:id (or equivalent in JSON) Resource that is related to this one I 0..* Component results Σ
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
. . observation-geneticsAminoAcidChangeType . extension I 0..* CodeableConcept Extension Extension
URL: Slice: http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChangeType Unordered, Open by value:url
. . . observation-geneticsGene I 0..1 CodeableConcept HGNC gene symbol
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsGene
Binding: ???? H g n c ( preferred )
. . . observation-geneticsDNARegionName I 0..1 string DNA region name
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName
. . . observation-geneticsAlleleName observation-geneticsCopyNumberEvent I 0..1 CodeableConcept Name of allele Copy number variation
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAlleleName http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent
Binding: ???? ( preferred )
. . observation-geneticsAllelicState . observation-geneticsGenomicSourceClass I 0..1 CodeableConcept Genomic source class
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAllelicState http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass
. . . observation-geneticsAllelicFrequency observation-geneticsInterpretation I 0..1 decimal Reference ( Observation ) Allele frequency Clinical interpretations for variant
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAllelicFrequency http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation
. . observation-geneticsCopyNumberEvent . observation-geneticsVariant I 0..1 (Complex) Variant
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant
. . observation-geneticsGenomicSourceClass . observation-geneticsAminoAcidChange I 0..1 CodeableConcept (Complex) Genomic source class AminoAcidChange
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange
. . observation-geneticsPhaseSet . observation-geneticsAllele I 0..1 (Complex) Allele
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele
. . observation-geneticsSequence . observation-geneticsAncestry I 0..* 0..1 Reference ( Sequence ) (Complex) Sequence Ancestry
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsSequence http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry
. . observation-geneticsInterpretation . observation-geneticsPhaseSet I 0..* (Complex) Phase set
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet
. . . modifierExtension ?! I 0..* Extension Extensions that cannot be ignored
. . . identifier 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 ?! 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 Σ I 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINC Codes ( example )
. . . subject Σ I 0..1 Reference ( Patient ), Reference ( | Group ), Reference ( | Device ), Reference ( | Location ) Who and/or what this the observation is about
. . . context focus Σ I 0..1 0..* Reference ( Encounter Resource ), ) What the observation is about, when it is not about the subject of record
... encounter Σ I 0..1 Reference ( EpisodeOfCare Encounter ) Healthcare event during which this observation is made
. . . effective[x] Σ I 0..1 dateTime , Period Clinically relevant time/time-period for observation
. . . . effectiveDateTime dateTime
. . . . effectivePeriod Period
. . . . effectiveTiming Timing
... . effectiveInstant instant
... issued Σ I 0..1 instant Date/Time this version was made available
. . . performer Σ I 0..* Reference ( Practitioner ), Reference | PractitionerRole ( | Organization ), Reference | CareTeam ( | Patient ), Reference ( | RelatedPerson ) Who is responsible for the observation
. . . value[x] Σ I 0..1 Actual result
.... valueQuantity Quantity ,
. . . . valueCodeableConcept CodeableConcept ,
. . . . valueString string ,
. . . . valueBoolean boolean ,
. . . . valueInteger integer
.... valueRange Range ,
. . . . valueRatio Ratio ,
. . . . valueSampledData SampledData , Attachment ,
. . . . valueTime time ,
. . . . valueDateTime dateTime ,
. . . . valuePeriod Period Actual result
. . . dataAbsentReason I 0..1 CodeableConcept Why the 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 )
. . comment . note I 0..1 0..* Annotation Comments about result the observation
. . . bodySite I 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures ( example )
. . . method I 0..1 CodeableConcept How it was done
Binding: Observation Methods ( example )
. . . specimen I 0..1 Reference ( Specimen ) Specimen used for this observation
. . . device I 0..1 Reference ( Device ), Reference ( | DeviceMetric ) (Measurement) Device
. . . referenceRange I 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
. . . . id 0..1 string 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 Σ I 0..* Reference ( Observation | QuestionnaireResponse | MolecularSequence ) Related resource that belongs to the Observation group
... derivedFrom Σ I 0..* Reference ( DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence ) Related measurements the observation is made from
.. . related component Σ I 0..* BackboneElement Resource related to this observation Component results
. . . . id 0..1 string 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 Σ I 0..1 1..1 code CodeableConcept has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Type of component observation (code / type)
Binding: ObservationRelationshipType LOINC Codes ( required example )
. . . target . value[x] Σ I 1..1 0..1 Reference ( Observation ), Reference ( QuestionnaireResponse ), Reference ( Sequence ) Actual component result
. . . . . component valueQuantity Quantity Σ
. . . . . valueCodeableConcept BackboneElement CodeableConcept
. . . . . id valueString 0..1 string xml:id (or equivalent in JSON)
. . . . extension . valueBoolean boolean
. . . . . valueInteger 0..* Extension integer Additional Content defined by implementations
. . . . modifierExtension . valueRange Range ?!
. . . . . valueRatio 0..* Extension Ratio Extensions that cannot be ignored
. . . . code . valueSampledData SampledData Σ
. . . . . valueTime 1..1 CodeableConcept time Type of component observation (code / type) Binding:
. . . . . valueDateTime LOINC Codes ( example dateTime )
. . . value[x] . . valuePeriod Σ 0..1 Quantity , CodeableConcept , string , Range , Ratio , SampledData , Attachment , time , dateTime , Period Actual component result
. . . . 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 
<!-- Observation-genetics -->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><!-- ?? 0..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..1 Reference(Encounter) 
     Healthcare event during which this observation is made --></encounter>
 <effective[x]><!-- ?? 0..1 dateTime|Period|Timing|instant 

     Clinically relevant time/time-period for observation --></effective[x]>
 <
 <

 <issued value="[instant]"/><!-- ?? 0..1 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|boolean|integer|
   Range|Ratio|SampledData|time|dateTime|Period Actual result --></value[x]>

 <dataAbsentReason><!-- ?? 0..1 CodeableConcept Why the result is missing   --></dataAbsentReason>
 <interpretation><!-- ?? 0..* 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..1 Reference(Specimen) Specimen used for this observation --></specimen>
 <device><!-- ?? 0..1 Reference(Device) (Measurement) Device --></device>
 <referenceRange> ?? 0..* BackboneElement  <!-- ?? 0..* 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(DocumentReference) 
     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>

{ // Observation-genetics
  // from Element: extension
    "
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    "
      { // 
        // from Element: 
      },
      { // 
        // from Element: 
      },
      { // 
        // from Element: 
      },
      { // 
        // from Element: 
      },
      { // 
        // from Element: 
      },

    "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
    "extension" : [ //  sliced by value:url  in the specified order, Open 

      { // HGNC gene symbol // C?
        // from Element: extension
      },
      { // DNA region name // C?
        // from Element: extension
      },
      { // 

      { // Copy number variation // C?

        // from Element: extension
      },
      { // 

      { // Genomic source class // C?

        // from Element: extension
      },
      { // 

      { // Clinical interpretations for variant // C?

        // from Element: extension
      },
      { // 

      { // Variant // C?

        // from Element: extension
      },
      { // 

      { // AminoAcidChange // C?

        // from Element: extension
      },
      { // 

      { // Allele // C?

        // from Element: extension
      },
      { // 

      { // Ancestry // C?

        // from Element: extension
      },
      { // 

      { // Phase set // C?

        // from Element: extension
      }
    ],
    "
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    "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?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
    "encounter" : { Reference(Encounter) }, // C?Healthcare event during which this observation is made
// value[x]: Clinically relevant time/time-period for observation. One of these 4:

    "effectiveDateTime" : "<dateTime>", // C?Clinically relevant time/time-period for observation
    "effectivePeriod" : { Period }, // C?Clinically relevant time/time-period for observation
    "effectiveTiming" : { Timing }, // C?Clinically relevant time/time-period for observation
    "effectiveInstant" : "<instant>", // C?Clinically relevant time/time-period for observation
    "issued" : "<instant>", // C?Date/Time this version was made available
    "performer" : [{ Reference(Practitioner) }], // C?Who is responsible for the observation

// value[x]: Actual result. One of these 11:
    "
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    "valueQuantity" : { Quantity }, // C?Actual result
    "valueCodeableConcept" : { CodeableConcept }, // C?Actual result
    "valueString" : "<string>", // C?Actual result
    "valueBoolean" : <boolean>, // C?Actual result
    "valueInteger" : <integer>, // 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
    "dataAbsentReason" : { CodeableConcept }, // C?Why the result is missing
    "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
    "specimen" : { Reference(Specimen) }, // C?Specimen used for this observation
    "device" : { Reference(Device) }, // C?(Measurement) Device
    "referenceRange" : [{ BackboneElement }] // C?Provides guide for interpretation
    "hasMember" : [{ Reference(Observation) }], // C?Related resource that belongs to the Observation group
    "derivedFrom" : [{ Reference(DocumentReference) }], // C?Related measurements the observation is made from
    "component" : [{ BackboneElement }], // C?Component results

  }

This structure is derived from Observation .

Summary

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from Observation .

0 .. * observation-geneticsDNASequenceVariantName 0 .. 1 CodeableConcept DNA sequence variant URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNASequenceVariantName Binding: ???? ( preferred ) observation-geneticsDNAVariantId 0 .. 1 CodeableConcept DNA sequence variant ID URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNAVariantId observation-geneticsDNASequenceVariantType 0 .. 1 CodeableConcept DNA sequence variant type URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNASequenceVariantType observation-geneticsAminoAcidChangeName 0 .. 1 CodeableConcept Name of allele Allele frequency CodeableConcept 0 .. 1 CodeableConcept Genomic source class uri 0 .. * Reference ( Sequence ) Sequence Reference ( Observation )
Name Flags Card. Type Description & Constraints doco
. . Observation Amino acid change URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChangeName Binding: ???? ( preferred ) observation-geneticsAminoAcidChangeType 0 .. 1 0..* CodeableConcept Amino Acid Change Type URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChangeType
. . . observation-geneticsGene 0 .. 1 0..1 CodeableConcept HGNC gene symbol
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsGene
Binding: ???? H g n c ( preferred )
. . . observation-geneticsDNARegionName 0 .. 1 0..1 string DNA region name
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName
. . observation-geneticsAlleleName . observation-geneticsCopyNumberEvent 0 .. 1 0..1 CodeableConcept Copy number variation
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAlleleName http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent Binding: ???? ( preferred )
. . . observation-geneticsAllelicState observation-geneticsGenomicSourceClass 0 .. 1 0..1 CodeableConcept The level of occurrence of a single DNA sequence variant within a set of chromosomes: Heteroplasmic / Homoplasmic / Homozygous / Heterozygous / Hemizygous Genomic source class
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAllelicState http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass
. . observation-geneticsAllelicFrequency . observation-geneticsInterpretation 0 .. 1 0..1 decimal Reference ( Observation ) Clinical interpretations for variant
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAllelicFrequency http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation
. . observation-geneticsCopyNumberEvent . observation-geneticsVariant 0 .. 1 0..1 (Complex) Copy number variation Variant
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant
. . observation-geneticsGenomicSourceClass . observation-geneticsAminoAcidChange 0..1 (Complex) AminoAcidChange
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange
. . observation-geneticsPhaseSet . observation-geneticsAllele 0 .. 1 0..1 (Complex) Phase set identifier (UUID/OID) Allele
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele
. . observation-geneticsSequence . observation-geneticsAncestry 0..1 (Complex) Ancestry
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsSequence http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry
. . observation-geneticsInterpretation . observation-geneticsPhaseSet 0 .. 1 0..* (Complex) Clinical interpretations for variant Phase set
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet

doco Documentation for this format

Snapshot View

observation-geneticsDNASequenceVariantName I 0..1 CodeableConcept DNA sequence variant URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNASequenceVariantName Binding: ???? ( preferred ) observation-geneticsDNAVariantId I 0..1 CodeableConcept DNA sequence variant ID URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNAVariantId observation-geneticsDNASequenceVariantType I 0..1 CodeableConcept DNA sequence variant type URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNASequenceVariantType observation-geneticsAminoAcidChangeName I 0..1 CodeableConcept Amino acid change URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChangeName Binding: ???? ( preferred ) 0..1 Amino Acid Change Type The level of occurrence of a single DNA sequence variant within a set of chromosomes: Heteroplasmic / Homoplasmic / Homozygous / Heterozygous / Hemizygous CodeableConcept Copy number variation uri Phase set identifier (UUID/OID) 0..1 Reference ( Observation ) Clinical interpretations for variant string xml:id (or equivalent in JSON) xml:id (or equivalent in JSON) Resource that is related to this one I 0..* Component results Σ
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
. . observation-geneticsAminoAcidChangeType . extension I 0..* CodeableConcept Extension Extension
URL: Slice: http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChangeType Unordered, Open by value:url
. . . observation-geneticsGene I 0..1 CodeableConcept HGNC gene symbol
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsGene
Binding: ???? H g n c ( preferred )
. . . observation-geneticsDNARegionName I 0..1 string DNA region name
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName
. . . observation-geneticsAlleleName observation-geneticsCopyNumberEvent I 0..1 CodeableConcept Name of allele Copy number variation
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAlleleName http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent
Binding: ???? ( preferred )
. . observation-geneticsAllelicState . observation-geneticsGenomicSourceClass I 0..1 CodeableConcept Genomic source class
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAllelicState http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass
. . . observation-geneticsAllelicFrequency observation-geneticsInterpretation I 0..1 decimal Reference ( Observation ) Allele frequency Clinical interpretations for variant
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsAllelicFrequency http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation
. . observation-geneticsCopyNumberEvent . observation-geneticsVariant I 0..1 (Complex) Variant
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant
. . observation-geneticsGenomicSourceClass . observation-geneticsAminoAcidChange I 0..1 CodeableConcept (Complex) Genomic source class AminoAcidChange
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange
. . observation-geneticsPhaseSet . observation-geneticsAllele I 0..1 (Complex) Allele
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele
. . observation-geneticsSequence . observation-geneticsAncestry I 0..* 0..1 Reference ( Sequence ) (Complex) Sequence Ancestry
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsSequence http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry
. . observation-geneticsInterpretation . observation-geneticsPhaseSet I 0..* (Complex) Phase set
URL: http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet
. . . modifierExtension ?! I 0..* Extension Extensions that cannot be ignored
. . . identifier 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 ?! 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 Σ I 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINC Codes ( example )
. . . subject Σ I 0..1 Reference ( Patient ), Reference ( | Group ), Reference ( | Device ), Reference ( | Location ) Who and/or what this the observation is about
. . . context focus Σ I 0..1 0..* Reference ( Encounter Resource ), ) What the observation is about, when it is not about the subject of record
... encounter Σ I 0..1 Reference ( EpisodeOfCare Encounter ) Healthcare event during which this observation is made
. . . effective[x] Σ I 0..1 dateTime , Period Clinically relevant time/time-period for observation
. . . . effectiveDateTime dateTime
. . . . effectivePeriod Period
. . . . effectiveTiming Timing
... . effectiveInstant instant
... issued Σ I 0..1 instant Date/Time this version was made available
. . . performer Σ I 0..* Reference ( Practitioner ), Reference | PractitionerRole ( | Organization ), Reference | CareTeam ( | Patient ), Reference ( | RelatedPerson ) Who is responsible for the observation
. . . value[x] Σ I 0..1 Actual result
.... valueQuantity Quantity ,
. . . . valueCodeableConcept CodeableConcept ,
. . . . valueString string ,
. . . . valueBoolean boolean ,
. . . . valueInteger integer
.... valueRange Range ,
. . . . valueRatio Ratio ,
. . . . valueSampledData SampledData , Attachment ,
. . . . valueTime time ,
. . . . valueDateTime dateTime ,
. . . . valuePeriod Period Actual result
. . . dataAbsentReason I 0..1 CodeableConcept Why the 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 )
. . comment . note I 0..1 0..* Annotation Comments about result the observation
. . . bodySite I 0..1 CodeableConcept Observed body part
Binding: SNOMED CT Body Structures ( example )
. . . method I 0..1 CodeableConcept How it was done
Binding: Observation Methods ( example )
. . . specimen I 0..1 Reference ( Specimen ) Specimen used for this observation
. . . device I 0..1 Reference ( Device ), Reference ( | DeviceMetric ) (Measurement) Device
. . . referenceRange I 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
. . . . id 0..1 string 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 Σ I 0..* Reference ( Observation | QuestionnaireResponse | MolecularSequence ) Related resource that belongs to the Observation group
... derivedFrom Σ I 0..* Reference ( DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence ) Related measurements the observation is made from
.. . related component Σ I 0..* BackboneElement Resource related to this observation Component results
. . . . id 0..1 string 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 Σ I 0..1 1..1 code CodeableConcept has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Type of component observation (code / type)
Binding: ObservationRelationshipType LOINC Codes ( required example )
. . . target . value[x] Σ I 1..1 0..1 Reference ( Observation ), Reference ( QuestionnaireResponse ), Reference ( Sequence ) Actual component result
. . . . . component valueQuantity Quantity Σ
. . . . . valueCodeableConcept BackboneElement CodeableConcept
. . . . . id valueString 0..1 string xml:id (or equivalent in JSON)
. . . . extension . valueBoolean boolean
. . . . . valueInteger 0..* Extension integer Additional Content defined by implementations
. . . . modifierExtension . valueRange Range ?!
. . . . . valueRatio 0..* Extension Ratio Extensions that cannot be ignored
. . . . code . valueSampledData SampledData Σ
. . . . . valueTime 1..1 CodeableConcept time Type of component observation (code / type) Binding:
. . . . . valueDateTime LOINC Codes ( example dateTime )
. . . value[x] . . valuePeriod Σ 0..1 Quantity , CodeableConcept , string , Range , Ratio , SampledData , Attachment , time , dateTime , Period Actual component result
. . . . 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 

<!-- Observation-genetics -->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><!-- ?? 0..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..1 Reference(Encounter) 
     Healthcare event during which this observation is made --></encounter>
 <effective[x]><!-- ?? 0..1 dateTime|Period|Timing|instant 

     Clinically relevant time/time-period for observation --></effective[x]>
 <
 <

 <issued value="[instant]"/><!-- ?? 0..1 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|boolean|integer|
   Range|Ratio|SampledData|time|dateTime|Period Actual result --></value[x]>

 <dataAbsentReason><!-- ?? 0..1 CodeableConcept Why the result is missing   --></dataAbsentReason>
 <interpretation><!-- ?? 0..* 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..1 Reference(Specimen) Specimen used for this observation --></specimen>
 <device><!-- ?? 0..1 Reference(Device) (Measurement) Device --></device>
 <referenceRange> ?? 0..* BackboneElement  <!-- ?? 0..* 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(DocumentReference) 
     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 

{ // Observation-genetics
  // from Element: extension
    "
    "
    "
    "
    "
    "
      { // 
        // from Element: 
      },
      { // 
        // from Element: 
      },
      { // 
        // from Element: 
      },
      { // 
        // from Element: 
      },
      { // 
        // from Element: 
      },

    "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
    "extension" : [ //  sliced by value:url  in the specified order, Open 

      { // HGNC gene symbol // C?
        // from Element: extension
      },
      { // DNA region name // C?
        // from Element: extension
      },
      { // 

      { // Copy number variation // C?

        // from Element: extension
      },
      { // 

      { // Genomic source class // C?

        // from Element: extension
      },
      { // 

      { // Clinical interpretations for variant // C?

        // from Element: extension
      },
      { // 

      { // Variant // C?

        // from Element: extension
      },
      { // 

      { // AminoAcidChange // C?

        // from Element: extension
      },
      { // 

      { // Allele // C?

        // from Element: extension
      },
      { // 

      { // Ancestry // C?

        // from Element: extension
      },
      { // 

      { // Phase set // C?

        // from Element: extension
      }
    ],
    "
    "

    "
    "
    "
    "
    "
    "
    "
    "
    "
    "

    "
    "
    "
    "

    "
    "

    "
    "
    "

    "
    "
    "
    "

    "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?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
    "encounter" : { Reference(Encounter) }, // C?Healthcare event during which this observation is made
// value[x]: Clinically relevant time/time-period for observation. One of these 4:

    "effectiveDateTime" : "<dateTime>", // C?Clinically relevant time/time-period for observation
    "effectivePeriod" : { Period }, // C?Clinically relevant time/time-period for observation
    "effectiveTiming" : { Timing }, // C?Clinically relevant time/time-period for observation
    "effectiveInstant" : "<instant>", // C?Clinically relevant time/time-period for observation
    "issued" : "<instant>", // C?Date/Time this version was made available
    "performer" : [{ Reference(Practitioner) }], // C?Who is responsible for the observation

// value[x]: Actual result. One of these 11:
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "

    "
    "
    "
    "
    "

    "valueQuantity" : { Quantity }, // C?Actual result
    "valueCodeableConcept" : { CodeableConcept }, // C?Actual result
    "valueString" : "<string>", // C?Actual result
    "valueBoolean" : <boolean>, // C?Actual result
    "valueInteger" : <integer>, // 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
    "dataAbsentReason" : { CodeableConcept }, // C?Why the result is missing
    "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
    "specimen" : { Reference(Specimen) }, // C?Specimen used for this observation
    "device" : { Reference(Device) }, // C?(Measurement) Device
    "referenceRange" : [{ BackboneElement }] // C?Provides guide for interpretation
    "hasMember" : [{ Reference(Observation) }], // C?Related resource that belongs to the Observation group
    "derivedFrom" : [{ Reference(DocumentReference) }], // C?Related measurements the observation is made from
    "component" : [{ BackboneElement }], // C?Component results

  }

 

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

10.1.14.6.2 10.1.15.6.2 Terminology Bindings

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.dataAbsentReason Observation Value Absent Reason DataAbsentReason extensible Observation Value Absent Reason DataAbsentReason
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

10.1.14.6.3 10.1.15.6.3 Constraints

Rule
Id Path Details Requirements
obs-3 Observation.referenceRange Must have at least a low or a high or text
Expression : low.exists() or high.exists() or text.exists()
.