MII IG ICU
2027.0.0-ballot.3 -
Germany
MII IG ICU
2027.0.0-ballot.3 -
Germany
This page is part of the MII IG ICU (v2027.0.0-ballot.3: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/mii-pr-icu-muv-kopfumfang | Version: 2027.0.0-ballot.3 | |||
| Active as of 2026-09-17 | Computable Name: MII_PR_ICU_MUV_Kopfumfang | |||
"Head circumference (Observation)" is a characteristic of the generic profile for monitoring and vital data (Observation). See there for more detailed information regarding explanations of the items or reference of the entries in the FHIR resource to the Logical Model.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and their representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Observation |
C | 0..* | VitalSignDE_Kopfumfang(1.6.0) | Measurements and simple assertions Constraints: obs-7, obs-6, vs-de-2 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
  Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
   category:VSCat |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |
  id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations | |
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |
| display |
0..1 | string | Representation defined by the system | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
 text |
0..1 | string | Plain text representation of the concept | |
 category:sct |
S | 0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
 coding |
SΣ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 1..1 | string | Representation defined by the system |
| code |
SΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
 Slices for coding |
SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:loinc |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9843-4 |
| coding:snomed |
SΣ | 1..1 | Coding | Code defined by a terminology system Binding: VitalSignDE_Kopfumfang_SNOMED_CT (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
 subject |
SΣC | 1..1 | Reference(Patient) | Who and/or what the observation is about Constraints: ref-1 |
| Slices for effective[x] |
SΣC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: vs-de-1 | |
 effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
 effective[x]:effectiveDateTime |
SΣC | 0..1 | dateTime | Clinically relevant time/time-period for observation Constraints: vs-de-1 |
| Slices for value[x] |
SΣC | 0..1 | Actual result Slice: Unordered, Closed by type:$this | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| value[x]:valueQuantity |
SΣC | 0..1 | Quantity | Actual result Binding: VitalSignDE_Body_Length_UCUM (required) Required Pattern: At least the following |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
SΣ | 1..1 | string | Unit representation Fixed Value: centimeter |
| system |
SΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded form of the unit Binding: UCUM Vitals Common DE (required) Fixed Value: cm |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system Fixed Value: (Complex) |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 69536005 |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:sct | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.code.coding:snomed | Base | required | VitalSignDE_Kopfumfang_SNOMED_CT | 📦1.6.0 | de.basisprofil.r4 v1.6 |
| Observation.value[x]:valueQuantity | Base | required | VitalSignDE_Body_Length_UCUM | 📦1.6.0 | de.basisprofil.r4 v1.6 |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | required | UCUM Vitals Common DE | 📦1.6.0 | de.basisprofil.r4 v1.6 |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| ref-1 | error | Observation.subject | SHALL have a contained resource if a local reference is provided |
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
|
| vs-de-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | If Observation.effective[x] has a value then that value shall be precise to the day |
(($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
|
| vs-de-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | VitalSignDE_Kopfumfang(1.6.0) | Measurements and simple assertions | |
 status |
S | 1..1 | code | registered | preliminary | final | amended + |
| Slices for category |
Content/Rules for all slices | |||
| category:sct |
S | 0..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following |
| coding |
S | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following |
| system |
S | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| display |
S | 1..1 | string | Representation defined by the system |
| code |
S | 1..1 | CodeableConcept | Type of observation (code / type) |
| coding |
S | 2..* | Coding | Code defined by a terminology system |
| Slices for coding |
Content/Rules for all slices | |||
| coding:loinc |
1..1 | Coding | Code defined by a terminology system | |
| system |
S | 1..1 | uri | Identity of the terminology system |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| coding:snomed |
S | 1..1 | Coding | Code defined by a terminology system |
| system |
S | 1..1 | uri | Identity of the terminology system |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| subject |
S | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| Slices for effective[x] |
S | 1..1 | dateTime, Period | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this |
| effective[x]:effectiveDateTime |
S | 0..1 | dateTime | Clinically relevant time/time-period for observation |
| value[x] |
S | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result |
| Slices for value[x] |
Content/Rules for all slices | |||
| value[x]:valueQuantity |
S | 0..1 | Quantity | Actual result Required Pattern: At least the following |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 1..1 | string | Unit representation Fixed Value: centimeter |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
S | 1..1 | code | Coded form of the unit Fixed Value: cm |
| dataAbsentReason |
S | 0..1 | CodeableConcept | Why the result is missing |
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Required Pattern: At least the following |
| coding |
S | 0..* | Coding | Code defined by a terminology system Fixed Value: (Complex) |
| system |
S | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
S | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 69536005 |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | VitalSignDE_Kopfumfang(1.6.0) | Measurements and simple assertions Constraints: obs-7, obs-6, vs-de-2 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
ΣC | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Constraints: ref-1 | ||||
| partOf |
ΣC | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event Constraints: ref-1 | ||||
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| category:VSCat |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category:sct |
S | 0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||
| 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 |
SΣ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| 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 |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
SΣ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| 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 |
SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:loinc |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| 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 |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9843-4 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:snomed |
SΣ | 1..1 | Coding | Code defined by a terminology system Binding: VitalSignDE_Kopfumfang_SNOMED_CT (required) Required Pattern: At least the following | ||||
| 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 |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 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 | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣC | 1..1 | Reference(Patient) | Who and/or what the observation is about Constraints: ref-1 | ||||
| focus |
ΣC | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record Constraints: ref-1 | ||||
| encounter |
ΣC | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made Constraints: ref-1 | ||||
| Slices for effective[x] |
SΣC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: vs-de-1 | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectiveDateTime |
SΣC | 0..1 | dateTime | Clinically relevant time/time-period for observation Constraints: vs-de-1 | ||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
ΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation Constraints: ref-1 | ||||
| Slices for value[x] |
SΣC | 0..1 | Actual result Slice: Unordered, Closed by type:$this | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| value[x]:valueQuantity |
SΣC | 0..1 | Quantity | Actual result Binding: VitalSignDE_Body_Length_UCUM (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 1..1 | string | Unit representation Fixed Value: centimeter | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded form of the unit Binding: UCUM Vitals Common DE (required) Fixed Value: cm | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the 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. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Required Pattern: At least the following | ||||
| 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 |
SΣ | 0..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | ||||
| 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 |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 69536005 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen |
C | 0..1 | Reference(Specimen) | Specimen used for this observation Constraints: ref-1 | ||||
| device |
C | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device Constraints: ref-1 | ||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant Constraints: qty-3, sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant Constraints: qty-3, sqty-1 | ||||
| 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 |
C | 0..1 | Range | Applicable age range, if relevant Constraints: rng-2 | ||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
ΣC | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Constraints: ref-1 | ||||
| derivedFrom |
ΣC | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from Constraints: ref-1 | ||||
| component |
ΣC | 0..* | BackboneElement | Component results Constraints: vs-de-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| Slices for value[x] |
Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| value[x]:valueQuantity |
Σ | 0..1 | Quantity | Actual component result | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
Σ | 1..1 | string | Unit representation | ||||
| system |
ΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code |
Σ | 1..1 | code | Coded form of the unit | ||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:sct | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.code.coding:snomed | Base | required | VitalSignDE_Kopfumfang_SNOMED_CT | 📦1.6.0 | de.basisprofil.r4 v1.6 |
| Observation.value[x]:valueQuantity | Base | required | VitalSignDE_Body_Length_UCUM | 📦1.6.0 | de.basisprofil.r4 v1.6 |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | required | UCUM Vitals Common DE | 📦1.6.0 | de.basisprofil.r4 v1.6 |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📦4.0.1 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text |
low.exists() or high.exists() or text.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| qty-3 | error | Observation.referenceRange.low, Observation.referenceRange.high | If a code for the unit is present, the system SHALL also be present |
code.empty() or system.exists()
|
| ref-1 | error | Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom | SHALL have a contained resource if a local reference is provided |
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
|
| rng-2 | error | Observation.referenceRange.age | If present, low SHALL have a lower value than high |
low.empty() or high.empty() or (low <= high)
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| vs-de-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | If Observation.effective[x] has a value then that value shall be precise to the day |
(($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
|
| vs-de-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
| vs-de-3 | error | Observation.component | If there is no a value a data absent reason must be present |
value.exists() xor dataAbsentReason.exists()
|
Summary
Mandatory: 1 element(5 nested mandatory elements)
Must-Support: 27 elements
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | VitalSignDE_Kopfumfang(1.6.0) | Measurements and simple assertions Constraints: obs-7, obs-6, vs-de-2 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
| category:VSCat |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| category:sct |
S | 0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 1..1 | string | Representation defined by the system |
| code |
SΣ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| Slices for coding |
SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:loinc |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9843-4 |
| coding:snomed |
SΣ | 1..1 | Coding | Code defined by a terminology system Binding: VitalSignDE_Kopfumfang_SNOMED_CT (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| subject |
SΣC | 1..1 | Reference(Patient) | Who and/or what the observation is about Constraints: ref-1 |
| Slices for effective[x] |
SΣC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: vs-de-1 | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effective[x]:effectiveDateTime |
SΣC | 0..1 | dateTime | Clinically relevant time/time-period for observation Constraints: vs-de-1 |
| Slices for value[x] |
SΣC | 0..1 | Actual result Slice: Unordered, Closed by type:$this | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| value[x]:valueQuantity |
SΣC | 0..1 | Quantity | Actual result Binding: VitalSignDE_Body_Length_UCUM (required) Required Pattern: At least the following |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
SΣ | 1..1 | string | Unit representation Fixed Value: centimeter |
| system |
SΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded form of the unit Binding: UCUM Vitals Common DE (required) Fixed Value: cm |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system Fixed Value: (Complex) |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 69536005 |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:sct | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.code.coding:snomed | Base | required | VitalSignDE_Kopfumfang_SNOMED_CT | 📦1.6.0 | de.basisprofil.r4 v1.6 |
| Observation.value[x]:valueQuantity | Base | required | VitalSignDE_Body_Length_UCUM | 📦1.6.0 | de.basisprofil.r4 v1.6 |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | required | UCUM Vitals Common DE | 📦1.6.0 | de.basisprofil.r4 v1.6 |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| ref-1 | error | Observation.subject | SHALL have a contained resource if a local reference is provided |
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
|
| vs-de-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | If Observation.effective[x] has a value then that value shall be precise to the day |
(($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
|
| vs-de-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | VitalSignDE_Kopfumfang(1.6.0) | Measurements and simple assertions | |
| status |
S | 1..1 | code | registered | preliminary | final | amended + |
| Slices for category |
Content/Rules for all slices | |||
| category:sct |
S | 0..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following |
| coding |
S | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following |
| system |
S | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| display |
S | 1..1 | string | Representation defined by the system |
| code |
S | 1..1 | CodeableConcept | Type of observation (code / type) |
| coding |
S | 2..* | Coding | Code defined by a terminology system |
| Slices for coding |
Content/Rules for all slices | |||
| coding:loinc |
1..1 | Coding | Code defined by a terminology system | |
| system |
S | 1..1 | uri | Identity of the terminology system |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| coding:snomed |
S | 1..1 | Coding | Code defined by a terminology system |
| system |
S | 1..1 | uri | Identity of the terminology system |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| subject |
S | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| Slices for effective[x] |
S | 1..1 | dateTime, Period | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this |
| effective[x]:effectiveDateTime |
S | 0..1 | dateTime | Clinically relevant time/time-period for observation |
| value[x] |
S | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result |
| Slices for value[x] |
Content/Rules for all slices | |||
| value[x]:valueQuantity |
S | 0..1 | Quantity | Actual result Required Pattern: At least the following |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 1..1 | string | Unit representation Fixed Value: centimeter |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
S | 1..1 | code | Coded form of the unit Fixed Value: cm |
| dataAbsentReason |
S | 0..1 | CodeableConcept | Why the result is missing |
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Required Pattern: At least the following |
| coding |
S | 0..* | Coding | Code defined by a terminology system Fixed Value: (Complex) |
| system |
S | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
S | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 69536005 |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | VitalSignDE_Kopfumfang(1.6.0) | Measurements and simple assertions Constraints: obs-7, obs-6, vs-de-2 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
ΣC | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Constraints: ref-1 | ||||
| partOf |
ΣC | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event Constraints: ref-1 | ||||
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| category:VSCat |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category:sct |
S | 0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||
| 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 |
SΣ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| 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 |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
SΣ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| 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 |
SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:loinc |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| 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 |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9843-4 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:snomed |
SΣ | 1..1 | Coding | Code defined by a terminology system Binding: VitalSignDE_Kopfumfang_SNOMED_CT (required) Required Pattern: At least the following | ||||
| 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 |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 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 | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣC | 1..1 | Reference(Patient) | Who and/or what the observation is about Constraints: ref-1 | ||||
| focus |
ΣC | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record Constraints: ref-1 | ||||
| encounter |
ΣC | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made Constraints: ref-1 | ||||
| Slices for effective[x] |
SΣC | 1..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: vs-de-1 | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectiveDateTime |
SΣC | 0..1 | dateTime | Clinically relevant time/time-period for observation Constraints: vs-de-1 | ||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
ΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation Constraints: ref-1 | ||||
| Slices for value[x] |
SΣC | 0..1 | Actual result Slice: Unordered, Closed by type:$this | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| value[x]:valueQuantity |
SΣC | 0..1 | Quantity | Actual result Binding: VitalSignDE_Body_Length_UCUM (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 1..1 | string | Unit representation Fixed Value: centimeter | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded form of the unit Binding: UCUM Vitals Common DE (required) Fixed Value: cm | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the 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. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Required Pattern: At least the following | ||||
| 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 |
SΣ | 0..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | ||||
| 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 |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 69536005 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen |
C | 0..1 | Reference(Specimen) | Specimen used for this observation Constraints: ref-1 | ||||
| device |
C | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device Constraints: ref-1 | ||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant Constraints: qty-3, sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant Constraints: qty-3, sqty-1 | ||||
| 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 |
C | 0..1 | Range | Applicable age range, if relevant Constraints: rng-2 | ||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
ΣC | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Constraints: ref-1 | ||||
| derivedFrom |
ΣC | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from Constraints: ref-1 | ||||
| component |
ΣC | 0..* | BackboneElement | Component results Constraints: vs-de-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| Slices for value[x] |
Σ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| value[x]:valueQuantity |
Σ | 0..1 | Quantity | Actual component result | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
Σ | 1..1 | string | Unit representation | ||||
| system |
ΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code |
Σ | 1..1 | code | Coded form of the unit | ||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:sct | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.code.coding:snomed | Base | required | VitalSignDE_Kopfumfang_SNOMED_CT | 📦1.6.0 | de.basisprofil.r4 v1.6 |
| Observation.value[x]:valueQuantity | Base | required | VitalSignDE_Body_Length_UCUM | 📦1.6.0 | de.basisprofil.r4 v1.6 |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | required | UCUM Vitals Common DE | 📦1.6.0 | de.basisprofil.r4 v1.6 |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📦4.0.1 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text |
low.exists() or high.exists() or text.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| qty-3 | error | Observation.referenceRange.low, Observation.referenceRange.high | If a code for the unit is present, the system SHALL also be present |
code.empty() or system.exists()
|
| ref-1 | error | Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom | SHALL have a contained resource if a local reference is provided |
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
|
| rng-2 | error | Observation.referenceRange.age | If present, low SHALL have a lower value than high |
low.empty() or high.empty() or (low <= high)
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| vs-de-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | If Observation.effective[x] has a value then that value shall be precise to the day |
(($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
|
| vs-de-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
| vs-de-3 | error | Observation.component | If there is no a value a data absent reason must be present |
value.exists() xor dataAbsentReason.exists()
|
Summary
Mandatory: 1 element(5 nested mandatory elements)
Must-Support: 27 elements
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron