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: NoImplVitalSignsObservationGCS

Official URL: http://dips.no/fhir/R4/StructureDefinition/NoImplVitalSignsObservationGCS Version: 0.1.0
Draft as of 2026-09-03 Computable Name: NoImplVitalSignsObservationGCS

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.

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
... 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
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
.... 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(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(PractitionerRole | Practitioner | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ 0..1 Reference(DIPSPractitionerRole | DIPSPractitioner) Who is responsible for the observation
.... performer:organization Σ 0..1 Reference(DIPSOrganization) 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 Quantity Actual component result
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
Required Pattern: {ScoreOf}
..... interpretation 1..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... text Σ 1..1 string Plain text representation of the concept
.... 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 Quantity Actual component result
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... code Σ 1..1 code Coded form of the unit
..... interpretation 1..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... text Σ 1..1 string Plain text representation of the concept
.... 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 Quantity Actual component result
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
..... interpretation 1..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... text Σ 1..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.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.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​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()

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
... 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)
... 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(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(PractitionerRole | Practitioner | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author 0..1 Reference(DIPSPractitionerRole | DIPSPractitioner) Who is responsible for the observation
.... performer:organization 0..1 Reference(DIPSOrganization) 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
... 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
... 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 Quantity Actual component result
...... id 0..0 Unique id for inter-element referencing
...... value 1..1 decimal Numerical value (with implicit precision)
...... comparator 0..0 < | <= | >= | > - how to understand the value
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Required Pattern: {ScoreOf}
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 1..1 CodeableConcept High, low, normal, etc.
...... id 0..0 Unique id for inter-element referencing
...... coding 0..0 Code defined by a terminology system
...... text 1..1 string Plain text representation of the concept
..... 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 Quantity Actual component result
...... id 0..0 Unique id for inter-element referencing
...... value 1..1 decimal Numerical value (with implicit precision)
...... comparator 0..0 < | <= | >= | > - how to understand the value
...... code 1..1 code Coded form of the unit
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 1..1 CodeableConcept High, low, normal, etc.
...... id 0..0 Unique id for inter-element referencing
...... coding 0..0 Code defined by a terminology system
...... text 1..1 string Plain text representation of the concept
..... referenceRange 0..0 Provides guide for interpretation of component result
.... 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 Quantity Actual component result
...... id 0..0 Unique id for inter-element referencing
...... value 1..1 decimal Numerical value (with implicit precision)
...... comparator 0..0 < | <= | >= | > - how to understand the value
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 1..1 CodeableConcept High, low, normal, etc.
...... id 0..0 Unique id for inter-element referencing
...... coding 0..0 Code defined by a terminology system
...... text 1..1 string Plain text representation of the concept
..... referenceRange 0..0 Provides guide for interpretation of component result

doco Documentation for this format
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 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..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(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(PractitionerRole | Practitioner | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ 0..1 Reference(DIPSPractitionerRole | DIPSPractitioner) Who is responsible for the observation
.... performer:organization Σ 0..1 Reference(DIPSOrganization) 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}
... 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 Quantity Actual component result
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
Required Pattern: {ScoreOf}
..... interpretation 1..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
...... text Σ 1..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 Quantity Actual component result
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 1..1 code Coded form of the unit
..... interpretation 1..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
...... text Σ 1..1 string Plain text representation of the concept
.... 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 Quantity Actual component result
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
..... interpretation 1..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
...... text Σ 1..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.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.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​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()

This structure is derived from Observation

Summary

Mandatory: 41 elements(11 nested mandatory elements)
Fixed: 17 elements
Prohibited: 85 elements

Structures

This structure refers to these other structures:

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
... 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
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
.... 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(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(PractitionerRole | Practitioner | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ 0..1 Reference(DIPSPractitionerRole | DIPSPractitioner) Who is responsible for the observation
.... performer:organization Σ 0..1 Reference(DIPSOrganization) 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 Quantity Actual component result
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
Required Pattern: {ScoreOf}
..... interpretation 1..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... text Σ 1..1 string Plain text representation of the concept
.... 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 Quantity Actual component result
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... code Σ 1..1 code Coded form of the unit
..... interpretation 1..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... text Σ 1..1 string Plain text representation of the concept
.... 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 Quantity Actual component result
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
..... interpretation 1..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
...... text Σ 1..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.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.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​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()

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
... 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)
... 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(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(PractitionerRole | Practitioner | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author 0..1 Reference(DIPSPractitionerRole | DIPSPractitioner) Who is responsible for the observation
.... performer:organization 0..1 Reference(DIPSOrganization) 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
... 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
... 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 Quantity Actual component result
...... id 0..0 Unique id for inter-element referencing
...... value 1..1 decimal Numerical value (with implicit precision)
...... comparator 0..0 < | <= | >= | > - how to understand the value
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Required Pattern: {ScoreOf}
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 1..1 CodeableConcept High, low, normal, etc.
...... id 0..0 Unique id for inter-element referencing
...... coding 0..0 Code defined by a terminology system
...... text 1..1 string Plain text representation of the concept
..... 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 Quantity Actual component result
...... id 0..0 Unique id for inter-element referencing
...... value 1..1 decimal Numerical value (with implicit precision)
...... comparator 0..0 < | <= | >= | > - how to understand the value
...... code 1..1 code Coded form of the unit
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 1..1 CodeableConcept High, low, normal, etc.
...... id 0..0 Unique id for inter-element referencing
...... coding 0..0 Code defined by a terminology system
...... text 1..1 string Plain text representation of the concept
..... referenceRange 0..0 Provides guide for interpretation of component result
.... 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 Quantity Actual component result
...... id 0..0 Unique id for inter-element referencing
...... value 1..1 decimal Numerical value (with implicit precision)
...... comparator 0..0 < | <= | >= | > - how to understand the value
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 1..1 CodeableConcept High, low, normal, etc.
...... id 0..0 Unique id for inter-element referencing
...... coding 0..0 Code defined by a terminology system
...... text 1..1 string Plain text representation of the concept
..... referenceRange 0..0 Provides guide for interpretation of component result

doco Documentation for this format

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 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..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(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(PractitionerRole | Practitioner | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ 0..1 Reference(DIPSPractitionerRole | DIPSPractitioner) Who is responsible for the observation
.... performer:organization Σ 0..1 Reference(DIPSOrganization) 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}
... 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 Quantity Actual component result
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
Required Pattern: {ScoreOf}
..... interpretation 1..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
...... text Σ 1..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 Quantity Actual component result
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 1..1 code Coded form of the unit
..... interpretation 1..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
...... text Σ 1..1 string Plain text representation of the concept
.... 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 Quantity Actual component result
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
..... interpretation 1..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
...... text Σ 1..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.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.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestVerbalResponse.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:BestMotorResponse.​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()

This structure is derived from Observation

Summary

Mandatory: 41 elements(11 nested mandatory elements)
Fixed: 17 elements
Prohibited: 85 elements

Structures

This structure refers to these other structures:

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