DIPS Core Implementation Guide
0.1.0 - ci-build Norway

DIPS Core Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: DIPSVitalSignsObservationGCS

Official URL: http://dips.no/fhir/StructureDefinition/DIPSVitalSignsObservationGCS Version: 0.1.0
Draft as of 2026-09-29 Computable Name: DIPSVitalSignsObservationGCS

Fifteen point scale used to assess impairment of consciousness in response to defined stimuli. More correctly known as the Modified Glasgow coma scale.

To record clinical responses of the subject of care to defined stimuli as an objective assessment of the level of consciousness.

The DIPS Glasgow Coma Score Profile inherits from the FHIR Observation resource; refer to it for scope and usage definitions

Example Usage Scenarios:

The following are example usage scenarios for this profile:

Query the recorded Glasgow Coma Score observation(s) belonging to one clinical document (journal entry)

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DIPSJournalId 0..* Reference() Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSJournalId
.... extension:DIPSLocation 0..1 Coding Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSLocation
Binding: DIPSLocation (required)
.... extension:confoundingFactor 0..1 CodeableConcept Optional Extensions Element
URL: http://dips.no/fhir/StructureDefinition/DIPSVitalSignsObservationConfoundingFactor
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:RelativeEhrUri Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-RelativeEhrUri
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:VersionIdependentId Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-VersionIndependentId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:Id Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-ObservationId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalId Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/externalId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalFhirId Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/external-fhirid
..... value Σ 1..1 string The value that is unique
Example General: 123456
... category 1..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... coding Σ 1..* Coding Code defined by a terminology system
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: survey
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for coding Σ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GCSTotal Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9269-2
...... display Σ 0..1 string Representation defined by the system
Required Pattern: Glasgow coma score total
... subject Σ 1..1 Reference(DIPSVitalSignsObservationSubjectReference) Who and/or what the observation is about
... encounter Σ 0..1 Reference(DIPSVitalSignsObservationEncounterReference) Healthcare event during which this observation is made
... effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
... Slices for performer Σ 1..* Reference(PractitionerRole | Practitioner | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ 0..1 Reference(DIPSVitalSignsPerformerAuthorReference) Who is responsible for the observation
.... performer:organization Σ 0..1 Reference(DIPSVitalSignsObservationOrganizationReference) Who is responsible for the observation
... value[x] ΣC 1..1 Quantity Actual result
.... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... code Σ 1..1 code Coded form of the unit
Fixed Value: {ScoreOf}
... Slices for component Σ 3..3 BackboneElement Component results
Slice: Unordered, Open by value:code.coding.code
.... component:All Slices Content/Rules for all slices
..... 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.
.... component:BestEyeResponse Σ 1..1 BackboneElement Component results
..... 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.
...... coding Σ 1..1 Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9267-6
..... value[x] Σ 1..1 CodeableConcept Actual component result
Binding: DIPSGCSEyeOpeningScore (required)
...... coding Σ 1..* Coding Code defined by a terminology system
..... interpretation 1..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL355-9 (required)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
.... component:BestVerbalResponse Σ 1..1 BackboneElement Component results
..... 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.
...... coding Σ 1..1 Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9270-0
..... value[x] Σ 1..1 CodeableConcept Actual component result
Binding: DIPSGCSVerbalScore (required)
...... coding Σ 1..* Coding Code defined by a terminology system
..... interpretation 1..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL356-7 (required)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
.... component:BestMotorResponse Σ 1..1 BackboneElement Component results
..... 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.
...... coding Σ 1..1 Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9268-4
..... value[x] Σ 1..1 CodeableConcept Actual component result
Binding: DIPSGCSMotorScore (required)
...... coding Σ 1..* Coding Code defined by a terminology system
..... interpretation 1..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL357-5 (required)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org

doco Documentation for this format

Terminology Bindings

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.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestEyeResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestEyeResponse.​value[x] Base required DIPSGCSEyeOpeningScore 📦0.1.0 This IG
Observation.component:BestEyeResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestEyeResponse.​interpretation.coding Base required GCS_1_Eye 📦0.1.0 This IG
Observation.component:BestVerbalResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​value[x] Base required DIPSGCSVerbalScore 📦0.1.0 This IG
Observation.component:BestVerbalResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​interpretation.coding Base required GCS_2_Verbal 📦0.1.0 This IG
Observation.component:BestMotorResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​value[x] Base required DIPSGCSMotorScore 📦0.1.0 This IG
Observation.component:BestMotorResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​interpretation.coding Base required GCS_3_Motor 📦0.1.0 This IG

Constraints

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()

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation Measurements and simple assertions
... implicitRules 0..0 A set of rules under which this content was created
... language 0..0 Language of the resource content
... contained 0..0 Contained, inline Resources
.... extension:DIPSJournalId 0..* Reference() Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSJournalId
.... extension:DIPSLocation 0..1 Coding Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSLocation
Binding: DIPSLocation (required)
.... extension:confoundingFactor 0..1 CodeableConcept Optional Extensions Element
URL: http://dips.no/fhir/StructureDefinition/DIPSVitalSignsObservationConfoundingFactor
... Slices for identifier 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:RelativeEhrUri 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-RelativeEhrUri
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:VersionIdependentId 0..1 Identifier Business Identifier for observation
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-VersionIndependentId
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:Id 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-ObservationId
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:ExternalId 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/externalId
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:ExternalFhirId 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/external-fhirid
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
... basedOn 0..0 Fulfills plan, proposal or order
... partOf 0..0 Part of referenced event
... category 1..* CodeableConcept Classification of type of observation
.... id 0..0 Unique id for inter-element referencing
.... coding 1..* Coding Code defined by a terminology system
..... id 0..0 Unique id for inter-element referencing
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..0 Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: survey
..... userSelected 0..0 If this coding was chosen directly by the user
.... text 0..0 Plain text representation of the concept
... code
.... id 0..0 Unique id for inter-element referencing
.... Slices for coding 1..1 Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GCSTotal 1..1 Coding Code defined by a terminology system
...... id 0..0 Unique id for inter-element referencing
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9269-2
...... display 0..1 string Representation defined by the system
Required Pattern: Glasgow coma score total
...... userSelected 0..0 If this coding was chosen directly by the user
.... text 0..0 Plain text representation of the concept
... subject 1..1 Reference(DIPSVitalSignsObservationSubjectReference) Who and/or what the observation is about
... focus 0..0 What the observation is about, when it is not about the subject of record
... encounter 0..1 Reference(DIPSVitalSignsObservationEncounterReference) Healthcare event during which this observation is made
... effective[x] 1..1 dateTime Clinically relevant time/time-period for observation
... issued 0..0 Date/Time this version was made available
... Slices for performer 1..* Reference(PractitionerRole | Practitioner | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author 0..1 Reference(DIPSVitalSignsPerformerAuthorReference) Who is responsible for the observation
.... performer:organization 0..1 Reference(DIPSVitalSignsObservationOrganizationReference) Who is responsible for the observation
... value[x] 1..1 Quantity Actual result
.... id 0..0 Unique id for inter-element referencing
.... comparator 0..0 < | <= | >= | > - how to understand the value
.... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... code 1..1 code Coded form of the unit
Fixed Value: {ScoreOf}
... dataAbsentReason 0..0 Why the result is missing
... bodySite 0..0 Observed body part
... method 0..0 How it was done
... specimen 0..0 Specimen used for this observation
... device 0..0 (Measurement) Device
... referenceRange 0..0 Provides guide for interpretation
... hasMember 0..0 Related resource that belongs to the Observation group
... Slices for component 3..3 BackboneElement Component results
Slice: Unordered, Open by value:code.coding.code
.... component:BestEyeResponse 1..1 BackboneElement Component results
..... id 0..0 Unique id for inter-element referencing
..... code
...... id 0..0 Unique id for inter-element referencing
...... coding 1..1 Coding Code defined by a terminology system
....... id 0..0 Unique id for inter-element referencing
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9267-6
....... userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... value[x] 1..1 CodeableConcept Actual component result
Binding: DIPSGCSEyeOpeningScore (required)
...... coding 1..* Coding Code defined by a terminology system
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 1..* CodeableConcept High, low, normal, etc.
...... id 0..0 Unique id for inter-element referencing
...... coding 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL355-9 (required)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... referenceRange 0..0 Provides guide for interpretation of component result
.... component:BestVerbalResponse 1..1 BackboneElement Component results
..... id 0..0 Unique id for inter-element referencing
..... code
...... id 0..0 Unique id for inter-element referencing
...... coding 1..1 Coding Code defined by a terminology system
....... id 0..0 Unique id for inter-element referencing
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9270-0
....... userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... value[x] 1..1 CodeableConcept Actual component result
Binding: DIPSGCSVerbalScore (required)
...... coding 1..* Coding Code defined by a terminology system
..... interpretation 1..* CodeableConcept High, low, normal, etc.
...... coding 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL356-7 (required)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
.... component:BestMotorResponse 1..1 BackboneElement Component results
..... id 0..0 Unique id for inter-element referencing
..... code
...... id 0..0 Unique id for inter-element referencing
...... coding 1..1 Coding Code defined by a terminology system
....... id 0..0 Unique id for inter-element referencing
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9268-4
....... userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... value[x] 1..1 CodeableConcept Actual component result
Binding: DIPSGCSMotorScore (required)
...... coding 1..* Coding Code defined by a terminology system
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 1..* CodeableConcept High, low, normal, etc.
...... id 0..0 Unique id for inter-element referencing
...... coding 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL357-5 (required)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... referenceRange 0..0 Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component:BestEyeResponse.​value[x] Base required DIPSGCSEyeOpeningScore 📦0.1.0 This IG
Observation.component:BestEyeResponse.​interpretation.coding Base required GCS_1_Eye 📦0.1.0 This IG
Observation.component:BestVerbalResponse.​value[x] Base required DIPSGCSVerbalScore 📦0.1.0 This IG
Observation.component:BestVerbalResponse.​interpretation.coding Base required GCS_2_Verbal 📦0.1.0 This IG
Observation.component:BestMotorResponse.​value[x] Base required DIPSGCSMotorScore 📦0.1.0 This IG
Observation.component:BestMotorResponse.​interpretation.coding Base required GCS_3_Motor 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... 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
.... extension:DIPSJournalId 0..* Reference() Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSJournalId
.... extension:DIPSLocation 0..1 Coding Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSLocation
Binding: DIPSLocation (required)
.... extension:confoundingFactor 0..1 CodeableConcept Optional Extensions Element
URL: http://dips.no/fhir/StructureDefinition/DIPSVitalSignsObservationConfoundingFactor
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:RelativeEhrUri Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-RelativeEhrUri
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:VersionIdependentId Σ 0..1 Identifier Business Identifier for 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
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-VersionIndependentId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:Id Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-ObservationId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalId Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/externalId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalFhirId Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/external-fhirid
..... value Σ 1..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 1..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..* Coding Code defined by a terminology system
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: survey
..... display Σ 0..1 string Representation defined by the system
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GCSTotal Σ 1..1 Coding Code defined by a terminology system
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 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 Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9269-2
...... display Σ 0..1 string Representation defined by the system
Required Pattern: Glasgow coma score total
... subject Σ 1..1 Reference(DIPSVitalSignsObservationSubjectReference) Who and/or what the observation is about
... encounter Σ 0..1 Reference(DIPSVitalSignsObservationEncounterReference) Healthcare event during which this observation is made
... effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
... Slices for performer Σ 1..* Reference(PractitionerRole | Practitioner | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ 0..1 Reference(DIPSVitalSignsPerformerAuthorReference) Who is responsible for the observation
.... performer:organization Σ 0..1 Reference(DIPSVitalSignsObservationOrganizationReference) Who is responsible for the observation
... value[x] ΣC 1..1 Quantity Actual result
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... value Σ 0..1 decimal Numerical value (with implicit precision)
.... unit Σ 0..1 string Unit representation
.... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... code Σ 1..1 code Coded form of the unit
Fixed Value: {ScoreOf}
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component Σ 3..3 BackboneElement Component results
Slice: Unordered, Open by value:code.coding.code
.... component:All Slices Content/Rules for all slices
..... 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 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] Σ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... 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
.... component:BestEyeResponse Σ 1..1 BackboneElement Component results
..... extension 0..* Extension Additional content defined by implementations
..... 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.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..1 Coding Code defined by a terminology system
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 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 Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9267-6
....... display Σ 0..1 string Representation defined by the system
..... value[x] Σ 1..1 CodeableConcept Actual component result
Binding: DIPSGCSEyeOpeningScore (required)
...... 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 1..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
..... interpretation 1..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL355-9 (required)
....... 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
Fixed Value: http://loinc.org
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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
.... component:BestVerbalResponse Σ 1..1 BackboneElement Component results
..... extension 0..* Extension Additional content defined by implementations
..... 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.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..1 Coding Code defined by a terminology system
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 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 Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9270-0
....... display Σ 0..1 string Representation defined by the system
..... value[x] Σ 1..1 CodeableConcept Actual component result
Binding: DIPSGCSVerbalScore (required)
...... 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 1..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
..... 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 1..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of 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
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL356-7 (required)
....... 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
Fixed Value: http://loinc.org
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:BestMotorResponse Σ 1..1 BackboneElement Component results
..... extension 0..* Extension Additional content defined by implementations
..... 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.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..1 Coding Code defined by a terminology system
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 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 Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9268-4
....... display Σ 0..1 string Representation defined by the system
..... value[x] Σ 1..1 CodeableConcept Actual component result
Binding: DIPSGCSMotorScore (required)
...... 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 1..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
..... interpretation 1..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL357-5 (required)
....... 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
Fixed Value: http://loinc.org
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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

doco Documentation for this format

Terminology Bindings

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.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍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.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestEyeResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestEyeResponse.​value[x] Base required DIPSGCSEyeOpeningScore 📦0.1.0 This IG
Observation.component:BestEyeResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestEyeResponse.​interpretation.coding Base required GCS_1_Eye 📦0.1.0 This IG
Observation.component:BestVerbalResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​value[x] Base required DIPSGCSVerbalScore 📦0.1.0 This IG
Observation.component:BestVerbalResponse.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​interpretation.coding Base required GCS_2_Verbal 📦0.1.0 This IG
Observation.component:BestMotorResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​value[x] Base required DIPSGCSMotorScore 📦0.1.0 This IG
Observation.component:BestMotorResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​interpretation.coding Base required GCS_3_Motor 📦0.1.0 This IG

Constraints

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()

This structure is derived from Observation

Summary

Mandatory: 41 elements(10 nested mandatory elements)
Fixed: 20 elements
Prohibited: 70 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.identifier
  • 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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DIPSJournalId 0..* Reference() Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSJournalId
.... extension:DIPSLocation 0..1 Coding Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSLocation
Binding: DIPSLocation (required)
.... extension:confoundingFactor 0..1 CodeableConcept Optional Extensions Element
URL: http://dips.no/fhir/StructureDefinition/DIPSVitalSignsObservationConfoundingFactor
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:RelativeEhrUri Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-RelativeEhrUri
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:VersionIdependentId Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-VersionIndependentId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:Id Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-ObservationId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalId Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/externalId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalFhirId Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/external-fhirid
..... value Σ 1..1 string The value that is unique
Example General: 123456
... category 1..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... coding Σ 1..* Coding Code defined by a terminology system
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: survey
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for coding Σ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GCSTotal Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9269-2
...... display Σ 0..1 string Representation defined by the system
Required Pattern: Glasgow coma score total
... subject Σ 1..1 Reference(DIPSVitalSignsObservationSubjectReference) Who and/or what the observation is about
... encounter Σ 0..1 Reference(DIPSVitalSignsObservationEncounterReference) Healthcare event during which this observation is made
... effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
... Slices for performer Σ 1..* Reference(PractitionerRole | Practitioner | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ 0..1 Reference(DIPSVitalSignsPerformerAuthorReference) Who is responsible for the observation
.... performer:organization Σ 0..1 Reference(DIPSVitalSignsObservationOrganizationReference) Who is responsible for the observation
... value[x] ΣC 1..1 Quantity Actual result
.... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... code Σ 1..1 code Coded form of the unit
Fixed Value: {ScoreOf}
... Slices for component Σ 3..3 BackboneElement Component results
Slice: Unordered, Open by value:code.coding.code
.... component:All Slices Content/Rules for all slices
..... 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.
.... component:BestEyeResponse Σ 1..1 BackboneElement Component results
..... 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.
...... coding Σ 1..1 Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9267-6
..... value[x] Σ 1..1 CodeableConcept Actual component result
Binding: DIPSGCSEyeOpeningScore (required)
...... coding Σ 1..* Coding Code defined by a terminology system
..... interpretation 1..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL355-9 (required)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
.... component:BestVerbalResponse Σ 1..1 BackboneElement Component results
..... 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.
...... coding Σ 1..1 Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9270-0
..... value[x] Σ 1..1 CodeableConcept Actual component result
Binding: DIPSGCSVerbalScore (required)
...... coding Σ 1..* Coding Code defined by a terminology system
..... interpretation 1..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL356-7 (required)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
.... component:BestMotorResponse Σ 1..1 BackboneElement Component results
..... 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.
...... coding Σ 1..1 Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9268-4
..... value[x] Σ 1..1 CodeableConcept Actual component result
Binding: DIPSGCSMotorScore (required)
...... coding Σ 1..* Coding Code defined by a terminology system
..... interpretation 1..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL357-5 (required)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org

doco Documentation for this format

Terminology Bindings

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.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestEyeResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestEyeResponse.​value[x] Base required DIPSGCSEyeOpeningScore 📦0.1.0 This IG
Observation.component:BestEyeResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestEyeResponse.​interpretation.coding Base required GCS_1_Eye 📦0.1.0 This IG
Observation.component:BestVerbalResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​value[x] Base required DIPSGCSVerbalScore 📦0.1.0 This IG
Observation.component:BestVerbalResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​interpretation.coding Base required GCS_2_Verbal 📦0.1.0 This IG
Observation.component:BestMotorResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​value[x] Base required DIPSGCSMotorScore 📦0.1.0 This IG
Observation.component:BestMotorResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​interpretation.coding Base required GCS_3_Motor 📦0.1.0 This IG

Constraints

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()

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation Measurements and simple assertions
... implicitRules 0..0 A set of rules under which this content was created
... language 0..0 Language of the resource content
... contained 0..0 Contained, inline Resources
.... extension:DIPSJournalId 0..* Reference() Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSJournalId
.... extension:DIPSLocation 0..1 Coding Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSLocation
Binding: DIPSLocation (required)
.... extension:confoundingFactor 0..1 CodeableConcept Optional Extensions Element
URL: http://dips.no/fhir/StructureDefinition/DIPSVitalSignsObservationConfoundingFactor
... Slices for identifier 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:RelativeEhrUri 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-RelativeEhrUri
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:VersionIdependentId 0..1 Identifier Business Identifier for observation
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-VersionIndependentId
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:Id 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-ObservationId
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:ExternalId 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/externalId
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:ExternalFhirId 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/external-fhirid
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
... basedOn 0..0 Fulfills plan, proposal or order
... partOf 0..0 Part of referenced event
... category 1..* CodeableConcept Classification of type of observation
.... id 0..0 Unique id for inter-element referencing
.... coding 1..* Coding Code defined by a terminology system
..... id 0..0 Unique id for inter-element referencing
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..0 Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: survey
..... userSelected 0..0 If this coding was chosen directly by the user
.... text 0..0 Plain text representation of the concept
... code
.... id 0..0 Unique id for inter-element referencing
.... Slices for coding 1..1 Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GCSTotal 1..1 Coding Code defined by a terminology system
...... id 0..0 Unique id for inter-element referencing
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9269-2
...... display 0..1 string Representation defined by the system
Required Pattern: Glasgow coma score total
...... userSelected 0..0 If this coding was chosen directly by the user
.... text 0..0 Plain text representation of the concept
... subject 1..1 Reference(DIPSVitalSignsObservationSubjectReference) Who and/or what the observation is about
... focus 0..0 What the observation is about, when it is not about the subject of record
... encounter 0..1 Reference(DIPSVitalSignsObservationEncounterReference) Healthcare event during which this observation is made
... effective[x] 1..1 dateTime Clinically relevant time/time-period for observation
... issued 0..0 Date/Time this version was made available
... Slices for performer 1..* Reference(PractitionerRole | Practitioner | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author 0..1 Reference(DIPSVitalSignsPerformerAuthorReference) Who is responsible for the observation
.... performer:organization 0..1 Reference(DIPSVitalSignsObservationOrganizationReference) Who is responsible for the observation
... value[x] 1..1 Quantity Actual result
.... id 0..0 Unique id for inter-element referencing
.... comparator 0..0 < | <= | >= | > - how to understand the value
.... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... code 1..1 code Coded form of the unit
Fixed Value: {ScoreOf}
... dataAbsentReason 0..0 Why the result is missing
... bodySite 0..0 Observed body part
... method 0..0 How it was done
... specimen 0..0 Specimen used for this observation
... device 0..0 (Measurement) Device
... referenceRange 0..0 Provides guide for interpretation
... hasMember 0..0 Related resource that belongs to the Observation group
... Slices for component 3..3 BackboneElement Component results
Slice: Unordered, Open by value:code.coding.code
.... component:BestEyeResponse 1..1 BackboneElement Component results
..... id 0..0 Unique id for inter-element referencing
..... code
...... id 0..0 Unique id for inter-element referencing
...... coding 1..1 Coding Code defined by a terminology system
....... id 0..0 Unique id for inter-element referencing
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9267-6
....... userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... value[x] 1..1 CodeableConcept Actual component result
Binding: DIPSGCSEyeOpeningScore (required)
...... coding 1..* Coding Code defined by a terminology system
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 1..* CodeableConcept High, low, normal, etc.
...... id 0..0 Unique id for inter-element referencing
...... coding 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL355-9 (required)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... referenceRange 0..0 Provides guide for interpretation of component result
.... component:BestVerbalResponse 1..1 BackboneElement Component results
..... id 0..0 Unique id for inter-element referencing
..... code
...... id 0..0 Unique id for inter-element referencing
...... coding 1..1 Coding Code defined by a terminology system
....... id 0..0 Unique id for inter-element referencing
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9270-0
....... userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... value[x] 1..1 CodeableConcept Actual component result
Binding: DIPSGCSVerbalScore (required)
...... coding 1..* Coding Code defined by a terminology system
..... interpretation 1..* CodeableConcept High, low, normal, etc.
...... coding 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL356-7 (required)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
.... component:BestMotorResponse 1..1 BackboneElement Component results
..... id 0..0 Unique id for inter-element referencing
..... code
...... id 0..0 Unique id for inter-element referencing
...... coding 1..1 Coding Code defined by a terminology system
....... id 0..0 Unique id for inter-element referencing
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 9268-4
....... userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... value[x] 1..1 CodeableConcept Actual component result
Binding: DIPSGCSMotorScore (required)
...... coding 1..* Coding Code defined by a terminology system
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 1..* CodeableConcept High, low, normal, etc.
...... id 0..0 Unique id for inter-element referencing
...... coding 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL357-5 (required)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... referenceRange 0..0 Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component:BestEyeResponse.​value[x] Base required DIPSGCSEyeOpeningScore 📦0.1.0 This IG
Observation.component:BestEyeResponse.​interpretation.coding Base required GCS_1_Eye 📦0.1.0 This IG
Observation.component:BestVerbalResponse.​value[x] Base required DIPSGCSVerbalScore 📦0.1.0 This IG
Observation.component:BestVerbalResponse.​interpretation.coding Base required GCS_2_Verbal 📦0.1.0 This IG
Observation.component:BestMotorResponse.​value[x] Base required DIPSGCSMotorScore 📦0.1.0 This IG
Observation.component:BestMotorResponse.​interpretation.coding Base required GCS_3_Motor 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... 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
.... extension:DIPSJournalId 0..* Reference() Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSJournalId
.... extension:DIPSLocation 0..1 Coding Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSLocation
Binding: DIPSLocation (required)
.... extension:confoundingFactor 0..1 CodeableConcept Optional Extensions Element
URL: http://dips.no/fhir/StructureDefinition/DIPSVitalSignsObservationConfoundingFactor
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:RelativeEhrUri Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-RelativeEhrUri
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:VersionIdependentId Σ 0..1 Identifier Business Identifier for 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
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-VersionIndependentId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:Id Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-ObservationId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalId Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/externalId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalFhirId Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/external-fhirid
..... value Σ 1..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 1..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..* Coding Code defined by a terminology system
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: survey
..... display Σ 0..1 string Representation defined by the system
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GCSTotal Σ 1..1 Coding Code defined by a terminology system
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 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 Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9269-2
...... display Σ 0..1 string Representation defined by the system
Required Pattern: Glasgow coma score total
... subject Σ 1..1 Reference(DIPSVitalSignsObservationSubjectReference) Who and/or what the observation is about
... encounter Σ 0..1 Reference(DIPSVitalSignsObservationEncounterReference) Healthcare event during which this observation is made
... effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
... Slices for performer Σ 1..* Reference(PractitionerRole | Practitioner | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ 0..1 Reference(DIPSVitalSignsPerformerAuthorReference) Who is responsible for the observation
.... performer:organization Σ 0..1 Reference(DIPSVitalSignsObservationOrganizationReference) Who is responsible for the observation
... value[x] ΣC 1..1 Quantity Actual result
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... value Σ 0..1 decimal Numerical value (with implicit precision)
.... unit Σ 0..1 string Unit representation
.... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... code Σ 1..1 code Coded form of the unit
Fixed Value: {ScoreOf}
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component Σ 3..3 BackboneElement Component results
Slice: Unordered, Open by value:code.coding.code
.... component:All Slices Content/Rules for all slices
..... 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 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] Σ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... 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
.... component:BestEyeResponse Σ 1..1 BackboneElement Component results
..... extension 0..* Extension Additional content defined by implementations
..... 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.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..1 Coding Code defined by a terminology system
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 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 Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9267-6
....... display Σ 0..1 string Representation defined by the system
..... value[x] Σ 1..1 CodeableConcept Actual component result
Binding: DIPSGCSEyeOpeningScore (required)
...... 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 1..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
..... interpretation 1..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL355-9 (required)
....... 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
Fixed Value: http://loinc.org
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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
.... component:BestVerbalResponse Σ 1..1 BackboneElement Component results
..... extension 0..* Extension Additional content defined by implementations
..... 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.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..1 Coding Code defined by a terminology system
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 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 Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9270-0
....... display Σ 0..1 string Representation defined by the system
..... value[x] Σ 1..1 CodeableConcept Actual component result
Binding: DIPSGCSVerbalScore (required)
...... 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 1..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
..... 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 1..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of 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
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL356-7 (required)
....... 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
Fixed Value: http://loinc.org
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:BestMotorResponse Σ 1..1 BackboneElement Component results
..... extension 0..* Extension Additional content defined by implementations
..... 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.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..1 Coding Code defined by a terminology system
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 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 Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 9268-4
....... display Σ 0..1 string Representation defined by the system
..... value[x] Σ 1..1 CodeableConcept Actual component result
Binding: DIPSGCSMotorScore (required)
...... 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 1..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
..... interpretation 1..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..* Coding Code defined by a terminology system
Binding: LOINC Answer List LL357-5 (required)
....... 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
Fixed Value: http://loinc.org
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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

doco Documentation for this format

Terminology Bindings

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.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍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.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestEyeResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestEyeResponse.​value[x] Base required DIPSGCSEyeOpeningScore 📦0.1.0 This IG
Observation.component:BestEyeResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestEyeResponse.​interpretation.coding Base required GCS_1_Eye 📦0.1.0 This IG
Observation.component:BestVerbalResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​value[x] Base required DIPSGCSVerbalScore 📦0.1.0 This IG
Observation.component:BestVerbalResponse.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​interpretation.coding Base required GCS_2_Verbal 📦0.1.0 This IG
Observation.component:BestMotorResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​value[x] Base required DIPSGCSMotorScore 📦0.1.0 This IG
Observation.component:BestMotorResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​interpretation.coding Base required GCS_3_Motor 📦0.1.0 This IG

Constraints

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()

This structure is derived from Observation

Summary

Mandatory: 41 elements(10 nested mandatory elements)
Fixed: 20 elements
Prohibited: 70 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.identifier
  • 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

 

Other representations of profile: CSV, Excel, Schematron

Notes:

Interactions:

This resource only supports search - there is no GET [base]/Observation/[id] read-by-id operation, and no create or update through the standard REST interface.

Search Parameters:

  1. SHALL support searching Observation using the documentId search parameter:

    GET [base]/Observation?documentId=[id]

    Example:

    1. GET [base]/Observation?documentId=1008442

    Implementation Notes: documentId identifies the DIPS clinical document (journal entry) the vital sign was recorded in, not the Observation's own resource id. Fetches a bundle containing every vital sign Observation recorded in that document whose type matches this profile ([how to search by string]).

  2. At least one of patient, fhirId, externalFhirId or documentId is required, or the search is rejected with a 422 error. Of these, only documentId currently returns matching results - patient, fhirId and externalFhirId are accepted by this validation but the search behind them is not yet implemented, so a request using only one of them returns an empty bundle rather than an error or a result.

  3. The standard _profile search parameter can also be appended to a request:

    GET [base]/Observation?documentId=[id]&_profile=[profile]

    Example:

    1. GET [base]/Observation?documentId=1008442&_profile=DIPSVitalSignsObservationGCS

    Implementation Notes: _profile is not currently read by this endpoint - it has no effect on the result, whether or not it's present, and whichever profile is passed. It is accepted here only because it is a standard FHIR search parameter the underlying framework parses generically; nothing in the vital sign search code consults it. The set of values it is meant to take, once implemented, is the 13 DIPSVitalSignsObservation* profile ids - see the "FHIR VitalSign Observation" section of Documentation for the full list.

Operation: $SaveExtData

  1. SHALL support linking an externally recorded value to a DIPS clinical document:

    POST [base]/Observation/$SaveExtData

    Example:

     POST [base]/Observation/$SaveExtData

 <Parameters xmlns="http://hl7.org/fhir">
     <parameter>
         <name value="FhirId"/>
         <valueString value="[fhir resource id]"/>
     </parameter>
     <parameter>
         <name value="ExternalId"/>
         <valueString value="18730-7773-External_Identifier_value"/>
     </parameter>
     <parameter>
         <name value="Source"/>
         <valueString value="MetaVision"/>
     </parameter>
     <parameter>
         <name value="JournalId"/>
         <valueString value="1008442"/>
     </parameter>
     <parameter>
         <name value="IssuedTime"/>
         <valueDateTime value="2026-03-03T11:00:00+02:00"/>
     </parameter>
     <parameter>
         <name value="VersionID"/>
         <valueString value="1"/>
     </parameter>
 </Parameters>

    Implementation Notes: JournalId (the operation's name for documentId) is required and must be numeric, and must identify a document that already exists in DIPS - the operation records a mapping from that document to an externally sourced value, it does not create the document. ExternalId and Source together identify the external record being linked; a request repeating a JournalId/Source pair already mapped is rejected with a 400 error.