Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
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..*	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
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		1..1	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat		0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:ConsciousnessCode	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 1104441000000107
subject	Σ	1..1	Reference(DIPSPatient)	Who and/or what the observation is about
encounter	Σ	0..1	Reference(DIPSR4Encounter)	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(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by type:type
performer:Author	Σ	0..*	Reference(DIPSPractitionerRole | DIPSPractitioner)	Who is responsible for the observation
performer:organization	Σ	0..*	Reference(DIPSOrganization)	Who is responsible for the observation
value[x]	ΣC	1..1	CodeableConcept	Actual result Binding: SNOMED CT Consciousness Structures (required)
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: SNOMED CT Consciousness Structures (required)
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
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.category:VSCat	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.value[x]	Base	required	SNOMED CT Consciousness Structures	📦0.1.0	This IG
Observation.value[x].​coding	Base	required	SNOMED CT Consciousness Structures	📦0.1.0	This IG
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.

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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
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..*	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
Slices for category		1..1	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code
category:VSCat		0..1	CodeableConcept	Classification of type of observation
id		0..0		Unique id for inter-element referencing
coding
id		0..0		Unique id for inter-element referencing
system		0..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..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:ConsciousnessCode		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://snomed.info/sct
version		0..0		Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1104441000000107
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(DIPSPatient)	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(DIPSR4Encounter)	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(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by type:type
performer:Author		0..*	Reference(DIPSPractitionerRole | DIPSPractitioner)	Who is responsible for the observation
performer:organization		0..*	Reference(DIPSOrganization)	Who is responsible for the observation
value[x]		1..1	CodeableConcept	Actual result Binding: SNOMED CT Consciousness Structures (required)
id		0..0		Unique id for inter-element referencing
coding		1..1	Coding	Code defined by a terminology system Binding: SNOMED CT Consciousness Structures (required)
id		0..0		Unique id for inter-element referencing
system		1..1	uri	Identity of the terminology system
version		0..0		Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0		If this coding was chosen directly by the user
dataAbsentReason		0..0		Why the result is missing
interpretation		0..0		High, low, normal, etc.
note		0..0		Comments about the observation
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
component		0..0		Component results
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.value[x]	Base	required	SNOMED CT Consciousness Structures	📦0.1.0	This IG
Observation.value[x].​coding	Base	required	SNOMED CT Consciousness Structures	📦0.1.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
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..*	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.
Slices for category		1..1	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat		0..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	0..*	Coding	Code defined by a terminology system
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..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..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:ConsciousnessCode	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://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 1104441000000107
display	Σ	0..1	string	Representation defined by the system
subject	Σ	1..1	Reference(DIPSPatient)	Who and/or what the observation is about
encounter	Σ	0..1	Reference(DIPSR4Encounter)	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(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by type:type
performer:Author	Σ	0..*	Reference(DIPSPractitionerRole | DIPSPractitioner)	Who is responsible for the observation
performer:organization	Σ	0..*	Reference(DIPSOrganization)	Who is responsible for the observation
value[x]	ΣC	1..1	CodeableConcept	Actual result Binding: SNOMED CT Consciousness Structures (required)
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 Binding: SNOMED CT Consciousness Structures (required)
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
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.category:VSCat	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.value[x]	Base	required	SNOMED CT Consciousness Structures	📦0.1.0	This IG
Observation.value[x].​coding	Base	required	SNOMED CT Consciousness Structures	📦0.1.0	This IG
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.

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()

Summary

Mandatory: 12 elements(11 nested mandatory elements)
Fixed: 9 elements
Prohibited: 54 elements

Structures

This structure refers to these other structures:

• DIPSPatient (http://dips.no/fhir/R4/StructureDefinition/DIPSPatient)
• DIPSR4Encounter (http://dips.no/fhir/R4/StructureDefinition/DIPSR4Encounter)
• DIPSPractitionerRole (http://dips.no/fhir/R4/StructureDefinition/DIPSPractitionerRole)
• DIPSPractitioner (http://dips.no/fhir/R4/StructureDefinition/DIPSPractitioner)
• DIPSOrganization (http://dips.no/fhir/R4/StructureDefinition/DIPSOrganization)

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.category
• The element 2 is sliced based on the values of Observation.code.coding
• The element 1 is sliced based on the value of Observation.performer

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
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..*	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
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category		1..1	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat		0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:ConsciousnessCode	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 1104441000000107
subject	Σ	1..1	Reference(DIPSPatient)	Who and/or what the observation is about
encounter	Σ	0..1	Reference(DIPSR4Encounter)	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(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by type:type
performer:Author	Σ	0..*	Reference(DIPSPractitionerRole | DIPSPractitioner)	Who is responsible for the observation
performer:organization	Σ	0..*	Reference(DIPSOrganization)	Who is responsible for the observation
value[x]	ΣC	1..1	CodeableConcept	Actual result Binding: SNOMED CT Consciousness Structures (required)
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: SNOMED CT Consciousness Structures (required)
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
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.category:VSCat	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.value[x]	Base	required	SNOMED CT Consciousness Structures	📦0.1.0	This IG
Observation.value[x].​coding	Base	required	SNOMED CT Consciousness Structures	📦0.1.0	This IG
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.

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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
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..*	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
Slices for category		1..1	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code
category:VSCat		0..1	CodeableConcept	Classification of type of observation
id		0..0		Unique id for inter-element referencing
coding
id		0..0		Unique id for inter-element referencing
system		0..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..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:ConsciousnessCode		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://snomed.info/sct
version		0..0		Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1104441000000107
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(DIPSPatient)	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(DIPSR4Encounter)	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(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by type:type
performer:Author		0..*	Reference(DIPSPractitionerRole | DIPSPractitioner)	Who is responsible for the observation
performer:organization		0..*	Reference(DIPSOrganization)	Who is responsible for the observation
value[x]		1..1	CodeableConcept	Actual result Binding: SNOMED CT Consciousness Structures (required)
id		0..0		Unique id for inter-element referencing
coding		1..1	Coding	Code defined by a terminology system Binding: SNOMED CT Consciousness Structures (required)
id		0..0		Unique id for inter-element referencing
system		1..1	uri	Identity of the terminology system
version		0..0		Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0		If this coding was chosen directly by the user
dataAbsentReason		0..0		Why the result is missing
interpretation		0..0		High, low, normal, etc.
note		0..0		Comments about the observation
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
component		0..0		Component results
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.value[x]	Base	required	SNOMED CT Consciousness Structures	📦0.1.0	This IG
Observation.value[x].​coding	Base	required	SNOMED CT Consciousness Structures	📦0.1.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
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..*	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.
Slices for category		1..1	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat		0..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	0..*	Coding	Code defined by a terminology system
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..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..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:ConsciousnessCode	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://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 1104441000000107
display	Σ	0..1	string	Representation defined by the system
subject	Σ	1..1	Reference(DIPSPatient)	Who and/or what the observation is about
encounter	Σ	0..1	Reference(DIPSR4Encounter)	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(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by type:type
performer:Author	Σ	0..*	Reference(DIPSPractitionerRole | DIPSPractitioner)	Who is responsible for the observation
performer:organization	Σ	0..*	Reference(DIPSOrganization)	Who is responsible for the observation
value[x]	ΣC	1..1	CodeableConcept	Actual result Binding: SNOMED CT Consciousness Structures (required)
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 Binding: SNOMED CT Consciousness Structures (required)
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
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.category:VSCat	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.value[x]	Base	required	SNOMED CT Consciousness Structures	📦0.1.0	This IG
Observation.value[x].​coding	Base	required	SNOMED CT Consciousness Structures	📦0.1.0	This IG
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.

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()

Summary

Mandatory: 12 elements(11 nested mandatory elements)
Fixed: 9 elements
Prohibited: 54 elements

Structures

This structure refers to these other structures:

• DIPSPatient (http://dips.no/fhir/R4/StructureDefinition/DIPSPatient)
• DIPSR4Encounter (http://dips.no/fhir/R4/StructureDefinition/DIPSR4Encounter)
• DIPSPractitionerRole (http://dips.no/fhir/R4/StructureDefinition/DIPSPractitionerRole)
• DIPSPractitioner (http://dips.no/fhir/R4/StructureDefinition/DIPSPractitioner)
• DIPSOrganization (http://dips.no/fhir/R4/StructureDefinition/DIPSOrganization)

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.category
• The element 2 is sliced based on the values of Observation.code.coding
• The element 1 is sliced based on the value of Observation.performer