Cumuluz Translate Implementation Guide
0.1.0 - ci-build

Cumuluz Translate 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: XIB Functional or Mental Status Observation

Official URL: https://fhir.cumuluz.org/xib/StructureDefinition/xib-FunctionalOrMentalStatus Version: 0.1.0
Draft as of 2026-07-11 Computable Name: XibFunctionalOrMentalStatus

XIB observation profile for functional or mental status, based on EU Base medical test result and populated through the logical model.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

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.

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Observation C 0..* MedicalTestResultEuCore Measurements and simple assertions
Constraints: obs-6, obs-7, obs-value-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices voor extension Content/regels voor alle slices
.... extension:bodyStructure 0..1 Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) R5: Observed body structure (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
Constraints: ext-1
.... extension:triggeredBy 0..* (Complex) R5: Triggering observation(s) (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
..... Slices voor extension 2..* Extension Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
...... extension:observation 1..1 Extension Extension
Constraints: ext-1
....... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation: Medical Test Result (EU core)) Triggering observation
...... extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
Constraints: ext-1
....... url 1..1 uri "type"
....... value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
Constraints: ext-1
....... url 1..1 uri "reason"
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
..... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
.... extension:medicalDeviceSupportingInfo S 0..* Reference(Resource) Other information that may be relevant to this event.
Url: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:measurementContext S 0..1 (Complex) XIB Observation Measurement Context
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ObservationMeasurementContext
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category 1..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Medical Test Result Code (example)
... subject SΣ 1..1 Reference(Patient (EU core) | Device | Group | Location) Who and/or what the observation is about
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... Slices voor value[x] ΣC 0..1 Actual result
Slice: Zonder volgorde, Open op type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
..... Slices voor extension Content/regels voor alle slices
...... extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
Url: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

doco Documentatie voor dit formaat

Terminologiebindings

Pad Status Gebruik ValueSet Versie Source
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
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 Medical Test Result Code 📦2.0.0 HL7 Europe Base and Core FHIR IG v2.0
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constrains

Id Grade Pad(en) Omschrijving Expressie
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 Observation.extension:bodyStructure, Observation.extension:triggeredBy, Observation.extension:triggeredBy.extension, Observation.extension:triggeredBy.extension:observation, Observation.extension:triggeredBy.extension:type, Observation.extension:triggeredBy.extension:reason, Observation.extension:value-r5, Observation.extension:medicalDeviceSupportingInfo, Observation.extension:measurementContext, Observation.modifierExtension, Observation.value[x]:valueQuantity.extension:uncertainty 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()
obs-value-1 error Observation The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()

This structure is derived from MedicalTestResultEuCore

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Observation 0..* MedicalTestResultEuCore Measurements and simple assertions
... Slices voor extension Content/regels voor alle slices
.... extension:medicalDeviceSupportingInfo S 0..* Reference(Resource) Other information that may be relevant to this event.
Url: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:measurementContext S 0..1 (Complex) XIB Observation Measurement Context
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ObservationMeasurementContext
... status S 1..1 code registered | preliminary | final | amended +
... code S 1..1 CodeableConcept Type of observation (code / type)
... effective[x] S 1..1 dateTime, Period Clinically relevant time/time-period for observation

doco Documentatie voor dit formaat
NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Observation C 0..* MedicalTestResultEuCore Measurements and simple assertions
Constraints: obs-6, obs-7, obs-value-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the observation
Binding: CommonLanguages (preferred): A human language.
Additionele bindingsDoel
AllLanguages Max binding
... 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
... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
.... extension:bodyStructure 0..1 Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) R5: Observed body structure (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
Constraints: ext-1
.... extension:triggeredBy 0..* (Complex) R5: Triggering observation(s) (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... Slices voor extension 2..* Extension Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
...... extension:observation 1..1 Extension Extension
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation: Medical Test Result (EU core)) Triggering observation
...... extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
....... url 1..1 uri "type"
....... value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
....... url 1..1 uri "reason"
....... value[x] 0..1 string Reason that the observation was triggered
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] 0..1 Attachment Actual result
.... extension:medicalDeviceSupportingInfo S 0..* Reference(Resource) Other information that may be relevant to this event.
Url: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:measurementContext S 0..1 (Complex) XIB Observation Measurement Context
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ObservationMeasurementContext
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 1..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Medical Test Result Code (example)
... subject SΣ 1..1 Reference(Patient (EU core) | Device | Group | Location) Who and/or what the observation is about
... focus Σ 0..* Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core)) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
.... id 0..1 string Unique id for inter-element referencing
.... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
..... extension:performerFunction 0..1 CodeableConcept Type of performance
Url: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices voor value[x] ΣC 0..1 Actual result
Slice: Zonder volgorde, Open op type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
..... id 0..1 string Unique id for inter-element referencing
..... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
...... extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
Url: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for the observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation: Medical Test Result (EU core)) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(Observation: Medical Test Result (EU core) | ImagingStudy) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
..... extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
...... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
...... value[x] 0..1 Attachment Actual result
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: Medical Test Result Code (example)
.... Slices voor value[x] Σ 0..1 Actual component result
Slice: Zonder volgorde, Open op type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
....... extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
Url: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* Zie referenceRange (Observation) Provides guide for interpretation of component result

doco Documentatie voor dit formaat

Terminologiebindings

Pad Status Gebruik ValueSet Versie Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
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 Medical Test Result Code 📦2.0.0 HL7 Europe Base and Core FHIR IG v2.0
Observation.performer.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example Medical Test Result Code 📦2.0.0 HL7 Europe Base and Core FHIR IG v2.0
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constrains

Id Grade Pad(en) Omschrijving Expressie
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-value-1 error Observation The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()

This structure is derived from MedicalTestResultEuCore

Samenvatting

Moet-ondersteunen: 6 elements

Extensies

Deze structuur verwijst naar deze extensies:

Key Elements View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Observation C 0..* MedicalTestResultEuCore Measurements and simple assertions
Constraints: obs-6, obs-7, obs-value-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices voor extension Content/regels voor alle slices
.... extension:bodyStructure 0..1 Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) R5: Observed body structure (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
Constraints: ext-1
.... extension:triggeredBy 0..* (Complex) R5: Triggering observation(s) (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
..... Slices voor extension 2..* Extension Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
...... extension:observation 1..1 Extension Extension
Constraints: ext-1
....... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation: Medical Test Result (EU core)) Triggering observation
...... extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
Constraints: ext-1
....... url 1..1 uri "type"
....... value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
Constraints: ext-1
....... url 1..1 uri "reason"
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
..... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
.... extension:medicalDeviceSupportingInfo S 0..* Reference(Resource) Other information that may be relevant to this event.
Url: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:measurementContext S 0..1 (Complex) XIB Observation Measurement Context
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ObservationMeasurementContext
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category 1..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Medical Test Result Code (example)
... subject SΣ 1..1 Reference(Patient (EU core) | Device | Group | Location) Who and/or what the observation is about
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... Slices voor value[x] ΣC 0..1 Actual result
Slice: Zonder volgorde, Open op type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
..... Slices voor extension Content/regels voor alle slices
...... extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
Url: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

doco Documentatie voor dit formaat

Terminologiebindings

Pad Status Gebruik ValueSet Versie Source
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
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 Medical Test Result Code 📦2.0.0 HL7 Europe Base and Core FHIR IG v2.0
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constrains

Id Grade Pad(en) Omschrijving Expressie
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 Observation.extension:bodyStructure, Observation.extension:triggeredBy, Observation.extension:triggeredBy.extension, Observation.extension:triggeredBy.extension:observation, Observation.extension:triggeredBy.extension:type, Observation.extension:triggeredBy.extension:reason, Observation.extension:value-r5, Observation.extension:medicalDeviceSupportingInfo, Observation.extension:measurementContext, Observation.modifierExtension, Observation.value[x]:valueQuantity.extension:uncertainty 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()
obs-value-1 error Observation The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()

Differential View

This structure is derived from MedicalTestResultEuCore

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Observation 0..* MedicalTestResultEuCore Measurements and simple assertions
... Slices voor extension Content/regels voor alle slices
.... extension:medicalDeviceSupportingInfo S 0..* Reference(Resource) Other information that may be relevant to this event.
Url: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:measurementContext S 0..1 (Complex) XIB Observation Measurement Context
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ObservationMeasurementContext
... status S 1..1 code registered | preliminary | final | amended +
... code S 1..1 CodeableConcept Type of observation (code / type)
... effective[x] S 1..1 dateTime, Period Clinically relevant time/time-period for observation

doco Documentatie voor dit formaat

Snapshot View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Observation C 0..* MedicalTestResultEuCore Measurements and simple assertions
Constraints: obs-6, obs-7, obs-value-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the observation
Binding: CommonLanguages (preferred): A human language.
Additionele bindingsDoel
AllLanguages Max binding
... 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
... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
.... extension:bodyStructure 0..1 Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4(0.1.0) | BodyStructure) R5: Observed body structure (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure
Constraints: ext-1
.... extension:triggeredBy 0..* (Complex) R5: Triggering observation(s) (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... Slices voor extension 2..* Extension Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
...... extension:observation 1..1 Extension Extension
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation: Medical Test Result (EU core)) Triggering observation
...... extension:type 1..1 Extension R5: reflex | repeat | re-run (new)
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
....... url 1..1 uri "type"
....... value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
....... url 1..1 uri "reason"
....... value[x] 0..1 string Reason that the observation was triggered
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
.... extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
..... value[x] 0..1 Attachment Actual result
.... extension:medicalDeviceSupportingInfo S 0..* Reference(Resource) Other information that may be relevant to this event.
Url: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... extension:measurementContext S 0..1 (Complex) XIB Observation Measurement Context
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ObservationMeasurementContext
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 1..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: Medical Test Result Code (example)
... subject SΣ 1..1 Reference(Patient (EU core) | Device | Group | Location) Who and/or what the observation is about
... focus Σ 0..* Reference(Patient (EU core) | RelatedPerson | Group | Device | Location (EU core)) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EU core) | RelatedPerson) Who is responsible for the observation
.... id 0..1 string Unique id for inter-element referencing
.... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
..... extension:performerFunction 0..1 CodeableConcept Type of performance
Url: http://hl7.org/fhir/StructureDefinition/event-performerFunction
Binding: Performer Function Codes (extensible)
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices voor value[x] ΣC 0..1 Actual result
Slice: Zonder volgorde, Open op type:$this
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
..... id 0..1 string Unique id for inter-element referencing
..... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
...... extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
Url: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for the observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation: Medical Test Result (EU core)) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(Observation: Medical Test Result (EU core) | ImagingStudy) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
..... extension:value-r5 0..1 (Complex) only for Diagrams or Pictures
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value
Constraints: ext-1
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
...... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value"
...... value[x] 0..1 Attachment Actual result
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: Medical Test Result Code (example)
.... Slices voor value[x] Σ 0..1 Actual component result
Slice: Zonder volgorde, Open op type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
....... extension:uncertainty 0..1 decimal Standard Deviation (same units as the quantity)
Url: http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* Zie referenceRange (Observation) Provides guide for interpretation of component result

doco Documentatie voor dit formaat

Terminologiebindings

Pad Status Gebruik ValueSet Versie Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.extension:triggeredBy.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
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 Medical Test Result Code 📦2.0.0 HL7 Europe Base and Core FHIR IG v2.0
Observation.performer.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example Medical Test Result Code 📦2.0.0 HL7 Europe Base and Core FHIR IG v2.0
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constrains

Id Grade Pad(en) Omschrijving Expressie
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-value-1 error Observation The elements Observation.extension:value-r5 and Observation.value[x] SHALL not be used simultaneously. value.empty() or extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value').empty()

This structure is derived from MedicalTestResultEuCore

Samenvatting

Moet-ondersteunen: 6 elements

Extensies

Deze structuur verwijst naar deze extensies:

 

Other representations of profile: CSV, Excel, Schematron