Implementation Guide
23.1.0 - R4 APIs

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Resource Profile: Profile - Athena Observation

Official URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile Version: 23.1.0
Active as of 2022-03-01 Computable Name: AthenaObservation

athena observation profile

This Observation profile is part of the set of resource profiles supported by the API Server used with the athenaPractice and athenaFlow products. It further describes read, search, create and update capabilities of these products.

Overview

This resource captures measurements and simple assertions made about a patient, device, or other subject.

Scope and Usage

This profile is used to define the content that will be returned by the API Server in response to requests to access Observation resources. All elements listed in the differential profile view are Supported, which means that the API Server is capable of supplying these fields from the product database when they have been populated via the product or its APIs.

The profile also defines the content that must be supplied to the API Server in response to requests to populate Observation resources. Fields which are marked as Mandatory in this profile are those that must be supplied to the API Server in content used to populate a resource.

Source

The Observation resource is derived from the OBS and other related tables in athenaPractice and athenaFlow. Specific detail can be found in the Mappings tab in the profile detail page.

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... id S 0..1 id Unique Id for this particular observation
... meta S 0..1 Meta Unique Id for this particular observation
.... versionId 0..1 id Version specific identifier
.... lastUpdated 0..1 instant When the resource version last changed
.... Slices for profile 2..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:Athena Allergy Profile 1..1 canonical() Profiles this resource claims to conform to
Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile
..... profile:US Core Observation Lab Profile 0..1 canonical() This USCore profile is supported only for obsterms with category Laboratory
..... profile:US Core Pediatric BMI For Age Profile 0..1 canonical() This USCore profile is supported only for obsterm with HDID 22346
..... profile:US Core Pulse Oximetry Profile 0..1 canonical() This USCore profile is supported only for obsterm with HDID 2173
..... profile:US Core Pediatric Head Occipital-frontal Circumference Percentile Profile 0..1 canonical() This USCore profile is supported only for obsterm with HDID 5346
..... profile:US Core Pediatric Weight For Height Profile 0..1 canonical() This USCore profile is supported only for obsterm with HDID 29139
..... profile:US Core Smokingstatus Profile 0..1 canonical() This USCore profile is supported only for obsterm with LOINC code 72166-2
..... profile:US Core Blood Pressure Profile 0..1 canonical() This USCore profile is supported only for obsterm with HDID BP-PANEL
.... Slices for security 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
..... security:SENSITIVECHART 0..1 Coding Security Labels applied to this resource
..... security:CONFABBR 0..1 Coding Security Labels applied to this resource
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
.... tag 1..2 Coding Tags applied to this resource
... identifier 0..* Identifier Unique Id for this particular observation
... Slices for category 0..1 CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:CodeableConcept
.... category:FHIRCATEGORY 0..1 CodeableConcept Classification of type of observation
..... coding 0..1 Coding Code defined by a terminology system
.... category:PANELCATEGORY 0..1 CodeableConcept Classification of type of observation
..... coding 0..1 Coding Code defined by a terminology system
.... category:HG_GROUPID 0..1 CodeableConcept Classification of type of observation
..... coding 0..1 Coding Code defined by a terminology system
..... text 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConcept Type of observation (code / type)
.... Slices for coding 0..4 Coding Code defined by a terminology system
Slice: Unordered, Open by value:coding
..... coding:TOCODE 0..1 Coding Code defined by a terminology system
..... coding:HDID 0..1 Coding Code defined by a terminology system
..... coding:C1_CODE 0..1 Coding Code defined by a terminology system
..... coding:C2_CODE 0..1 Coding Code defined by a terminology system
.... text 0..1 string Plain text representation of the concept
... subject S 0..1 Reference(Patient) Who and/or what this is about
... encounter S 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] S 0..1 dateTime Clinically relevant time/time-period for observation
... issued S 0..1 instant Date/Time this was made available
... Slices for performer 1..2 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Open by value:type
.... performer:PractitionerPerformer S 1..1 Reference(Practitioner) Who is responsible for the observation
.... performer:OrganizationPerformer S 0..1 Reference(Organization) Who is responsible for the observation
... value[x] S 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
... dataAbsentReason 0..1 CodeableConcept Why the result is missing
... interpretation 0..1 CodeableConcept High, low, normal, etc.
... note 0..1 Annotation Comments about result
... referenceRange 0..1 BackboneElement Provides guide for interpretation
.... text 0..1 string Provides guide for interpretation
... component 0..1 BackboneElement Only supported for USCore pulse Oximetry profile
.... code 0..1 CodeableConcept Type of component observation (code / type)
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:coding
...... coding:TOCODE 0..1 Coding Code defined by a terminology system
...... coding:HDID 0..1 Coding Code defined by a terminology system
.... value[x] 0..1 Quantity Actual component result
.... dataAbsentReason 0..1 CodeableConcept Why the component result is missing

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id SΣ 0..1 id Unique Id for this particular observation
... meta SΣ 0..1 Meta Unique Id for this particular observation
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... Slices for profile Σ 2..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:Athena Allergy Profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile
..... profile:US Core Observation Lab Profile Σ 0..1 canonical() This USCore profile is supported only for obsterms with category Laboratory
..... profile:US Core Pediatric BMI For Age Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 22346
..... profile:US Core Pulse Oximetry Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 2173
..... profile:US Core Pediatric Head Occipital-frontal Circumference Percentile Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 5346
..... profile:US Core Pediatric Weight For Height Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 29139
..... profile:US Core Smokingstatus Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with LOINC code 72166-2
..... profile:US Core Blood Pressure Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID BP-PANEL
.... Slices for security Σ 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier Σ 0..* Identifier Unique Id for this particular observation
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category 0..1 CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:CodeableConcept
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:FHIRCATEGORY 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding Σ 0..1 Coding Code defined by a terminology system
.... category:PANELCATEGORY 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding Σ 0..1 Coding Code defined by a terminology system
.... category:HG_GROUPID 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding Σ 0..1 Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... Slices for coding Σ 0..4 Coding Code defined by a terminology system
Slice: Unordered, Open by value:coding
..... coding:TOCODE Σ 0..1 Coding Code defined by a terminology system
..... coding:HDID Σ 0..1 Coding Code defined by a terminology system
..... coding:C1_CODE Σ 0..1 Coding Code defined by a terminology system
..... coding:C2_CODE Σ 0..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 0..1 Reference(Patient) Who and/or what this is about
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 dateTime Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Date/Time this was made available
... Slices for performer Σ 1..2 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Open by value:type
.... performer:PractitionerPerformer SΣ 1..1 Reference(Practitioner) Who is responsible for the observation
.... performer:OrganizationPerformer SΣ 0..1 Reference(Organization) Who is responsible for the observation
... value[x] SΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..1 Annotation Comments about result
... referenceRange C 0..1 BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text 0..1 string Provides guide for interpretation
... component Σ 0..1 BackboneElement Only supported for USCore pulse Oximetry profile
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:coding
...... coding:TOCODE Σ 0..1 Coding Code defined by a terminology system
...... coding:HDID Σ 0..1 Coding Code defined by a terminology system
.... value[x] Σ 0..1 Quantity Actual component result
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Observation.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Observation.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Observation.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:FHIRCATEGORYpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:PANELCATEGORYpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:HG_GROUPIDpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id SΣ 0..1 id Unique Id for this particular observation
... meta SΣ 0..1 Meta Unique Id for this particular observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... Slices for profile Σ 2..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:Athena Allergy Profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile
..... profile:US Core Observation Lab Profile Σ 0..1 canonical() This USCore profile is supported only for obsterms with category Laboratory
..... profile:US Core Pediatric BMI For Age Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 22346
..... profile:US Core Pulse Oximetry Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 2173
..... profile:US Core Pediatric Head Occipital-frontal Circumference Percentile Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 5346
..... profile:US Core Pediatric Weight For Height Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 29139
..... profile:US Core Smokingstatus Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with LOINC code 72166-2
..... profile:US Core Blood Pressure Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID BP-PANEL
.... Slices for security Σ 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique Id for this particular observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category 0..1 CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:CodeableConcept
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:FHIRCATEGORY 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..1 Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... category:PANELCATEGORY 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..1 Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... category:HG_GROUPID 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..1 Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..4 Coding Code defined by a terminology system
Slice: Unordered, Open by value:coding
..... coding:TOCODE Σ 0..1 Coding Code defined by a terminology system
..... coding:HDID Σ 0..1 Coding Code defined by a terminology system
..... coding:C1_CODE Σ 0..1 Coding Code defined by a terminology system
..... coding:C2_CODE Σ 0..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 0..1 Reference(Patient) Who and/or what this is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 dateTime Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Date/Time this was made available
... Slices for performer Σ 1..2 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Open by value:type
.... performer:PractitionerPerformer SΣ 1..1 Reference(Practitioner) Who is responsible for the observation
.... performer:OrganizationPerformer SΣ 0..1 Reference(Organization) Who is responsible for the observation
... value[x] SΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..1 Annotation Comments about result
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..1 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 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Provides guide for interpretation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 0..1 BackboneElement Only supported for USCore pulse Oximetry profile
.... 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 0..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:coding
...... coding:TOCODE Σ 0..1 Coding Code defined by a terminology system
...... coding:HDID Σ 0..1 Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... value[x] Σ 0..1 Quantity Actual component result
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Observation.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Observation.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Observation.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:FHIRCATEGORYpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:PANELCATEGORYpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:HG_GROUPIDpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 4 elements(4 nested mandatory elements)
Must-Support: 11 elements
Fixed: 1 element

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.meta.profile
  • The element 1 is sliced based on the value of Observation.meta.security
  • The element 1 is sliced based on the value of Observation.category
  • The element 1 is sliced based on the value of Observation.code.coding
  • The element 1 is sliced based on the value of Observation.performer
  • The element 1 is sliced based on the value of Observation.component.code.coding

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... id S 0..1 id Unique Id for this particular observation
... meta S 0..1 Meta Unique Id for this particular observation
.... versionId 0..1 id Version specific identifier
.... lastUpdated 0..1 instant When the resource version last changed
.... Slices for profile 2..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:Athena Allergy Profile 1..1 canonical() Profiles this resource claims to conform to
Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile
..... profile:US Core Observation Lab Profile 0..1 canonical() This USCore profile is supported only for obsterms with category Laboratory
..... profile:US Core Pediatric BMI For Age Profile 0..1 canonical() This USCore profile is supported only for obsterm with HDID 22346
..... profile:US Core Pulse Oximetry Profile 0..1 canonical() This USCore profile is supported only for obsterm with HDID 2173
..... profile:US Core Pediatric Head Occipital-frontal Circumference Percentile Profile 0..1 canonical() This USCore profile is supported only for obsterm with HDID 5346
..... profile:US Core Pediatric Weight For Height Profile 0..1 canonical() This USCore profile is supported only for obsterm with HDID 29139
..... profile:US Core Smokingstatus Profile 0..1 canonical() This USCore profile is supported only for obsterm with LOINC code 72166-2
..... profile:US Core Blood Pressure Profile 0..1 canonical() This USCore profile is supported only for obsterm with HDID BP-PANEL
.... Slices for security 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
..... security:SENSITIVECHART 0..1 Coding Security Labels applied to this resource
..... security:CONFABBR 0..1 Coding Security Labels applied to this resource
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
.... tag 1..2 Coding Tags applied to this resource
... identifier 0..* Identifier Unique Id for this particular observation
... Slices for category 0..1 CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:CodeableConcept
.... category:FHIRCATEGORY 0..1 CodeableConcept Classification of type of observation
..... coding 0..1 Coding Code defined by a terminology system
.... category:PANELCATEGORY 0..1 CodeableConcept Classification of type of observation
..... coding 0..1 Coding Code defined by a terminology system
.... category:HG_GROUPID 0..1 CodeableConcept Classification of type of observation
..... coding 0..1 Coding Code defined by a terminology system
..... text 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConcept Type of observation (code / type)
.... Slices for coding 0..4 Coding Code defined by a terminology system
Slice: Unordered, Open by value:coding
..... coding:TOCODE 0..1 Coding Code defined by a terminology system
..... coding:HDID 0..1 Coding Code defined by a terminology system
..... coding:C1_CODE 0..1 Coding Code defined by a terminology system
..... coding:C2_CODE 0..1 Coding Code defined by a terminology system
.... text 0..1 string Plain text representation of the concept
... subject S 0..1 Reference(Patient) Who and/or what this is about
... encounter S 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] S 0..1 dateTime Clinically relevant time/time-period for observation
... issued S 0..1 instant Date/Time this was made available
... Slices for performer 1..2 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Open by value:type
.... performer:PractitionerPerformer S 1..1 Reference(Practitioner) Who is responsible for the observation
.... performer:OrganizationPerformer S 0..1 Reference(Organization) Who is responsible for the observation
... value[x] S 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
... dataAbsentReason 0..1 CodeableConcept Why the result is missing
... interpretation 0..1 CodeableConcept High, low, normal, etc.
... note 0..1 Annotation Comments about result
... referenceRange 0..1 BackboneElement Provides guide for interpretation
.... text 0..1 string Provides guide for interpretation
... component 0..1 BackboneElement Only supported for USCore pulse Oximetry profile
.... code 0..1 CodeableConcept Type of component observation (code / type)
..... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:coding
...... coding:TOCODE 0..1 Coding Code defined by a terminology system
...... coding:HDID 0..1 Coding Code defined by a terminology system
.... value[x] 0..1 Quantity Actual component result
.... dataAbsentReason 0..1 CodeableConcept Why the component result is missing

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id SΣ 0..1 id Unique Id for this particular observation
... meta SΣ 0..1 Meta Unique Id for this particular observation
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... Slices for profile Σ 2..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:Athena Allergy Profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile
..... profile:US Core Observation Lab Profile Σ 0..1 canonical() This USCore profile is supported only for obsterms with category Laboratory
..... profile:US Core Pediatric BMI For Age Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 22346
..... profile:US Core Pulse Oximetry Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 2173
..... profile:US Core Pediatric Head Occipital-frontal Circumference Percentile Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 5346
..... profile:US Core Pediatric Weight For Height Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 29139
..... profile:US Core Smokingstatus Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with LOINC code 72166-2
..... profile:US Core Blood Pressure Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID BP-PANEL
.... Slices for security Σ 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier Σ 0..* Identifier Unique Id for this particular observation
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category 0..1 CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:CodeableConcept
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:FHIRCATEGORY 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding Σ 0..1 Coding Code defined by a terminology system
.... category:PANELCATEGORY 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding Σ 0..1 Coding Code defined by a terminology system
.... category:HG_GROUPID 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding Σ 0..1 Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... Slices for coding Σ 0..4 Coding Code defined by a terminology system
Slice: Unordered, Open by value:coding
..... coding:TOCODE Σ 0..1 Coding Code defined by a terminology system
..... coding:HDID Σ 0..1 Coding Code defined by a terminology system
..... coding:C1_CODE Σ 0..1 Coding Code defined by a terminology system
..... coding:C2_CODE Σ 0..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 0..1 Reference(Patient) Who and/or what this is about
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 dateTime Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Date/Time this was made available
... Slices for performer Σ 1..2 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Open by value:type
.... performer:PractitionerPerformer SΣ 1..1 Reference(Practitioner) Who is responsible for the observation
.... performer:OrganizationPerformer SΣ 0..1 Reference(Organization) Who is responsible for the observation
... value[x] SΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..1 Annotation Comments about result
... referenceRange C 0..1 BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text 0..1 string Provides guide for interpretation
... component Σ 0..1 BackboneElement Only supported for USCore pulse Oximetry profile
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:coding
...... coding:TOCODE Σ 0..1 Coding Code defined by a terminology system
...... coding:HDID Σ 0..1 Coding Code defined by a terminology system
.... value[x] Σ 0..1 Quantity Actual component result
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Observation.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Observation.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Observation.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:FHIRCATEGORYpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:PANELCATEGORYpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:HG_GROUPIDpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id SΣ 0..1 id Unique Id for this particular observation
... meta SΣ 0..1 Meta Unique Id for this particular observation
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... Slices for profile Σ 2..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:Athena Allergy Profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile
..... profile:US Core Observation Lab Profile Σ 0..1 canonical() This USCore profile is supported only for obsterms with category Laboratory
..... profile:US Core Pediatric BMI For Age Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 22346
..... profile:US Core Pulse Oximetry Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 2173
..... profile:US Core Pediatric Head Occipital-frontal Circumference Percentile Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 5346
..... profile:US Core Pediatric Weight For Height Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID 29139
..... profile:US Core Smokingstatus Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with LOINC code 72166-2
..... profile:US Core Blood Pressure Profile Σ 0..1 canonical() This USCore profile is supported only for obsterm with HDID BP-PANEL
.... Slices for security Σ 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique Id for this particular observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category 0..1 CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:CodeableConcept
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:FHIRCATEGORY 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..1 Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... category:PANELCATEGORY 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..1 Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... category:HG_GROUPID 0..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..1 Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..4 Coding Code defined by a terminology system
Slice: Unordered, Open by value:coding
..... coding:TOCODE Σ 0..1 Coding Code defined by a terminology system
..... coding:HDID Σ 0..1 Coding Code defined by a terminology system
..... coding:C1_CODE Σ 0..1 Coding Code defined by a terminology system
..... coding:C2_CODE Σ 0..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 0..1 Reference(Patient) Who and/or what this is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 dateTime Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Date/Time this was made available
... Slices for performer Σ 1..2 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Open by value:type
.... performer:PractitionerPerformer SΣ 1..1 Reference(Practitioner) Who is responsible for the observation
.... performer:OrganizationPerformer SΣ 0..1 Reference(Organization) Who is responsible for the observation
... value[x] SΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..1 Annotation Comments about result
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..1 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 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Provides guide for interpretation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 0..1 BackboneElement Only supported for USCore pulse Oximetry profile
.... 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 0..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding