IL Core Implementation Guide
0.18.0 - draft Israel flag

This page is part of the IL-Core IG (v0.18.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: ILCore ImmunizationReactionObservation Profile

Official URL: http://fhir.health.gov.il/StructureDefinition/il-core-immunization-reaction-observation Version: 0.18.0
Standards status: Trial-use Maturity Level: 1 Computable Name: ILCoreImmunizationReactionObservation

Israel Core proposed constraints and extensions on the ImmunizationReactionObservation Resource

Usage:

Formal Views of Profile Content

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

This structure is derived from ILCoreObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* ILCoreObservation ILCore ImmunizationReactionObservation Profile
... partOf 0..* Reference(ILCore Immunization Profile) Part of referenced event
... code
.... coding 1..1 Coding Code defined by a terminology system
..... 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: 31044-1
... subject 1..1 Reference(ILCore Patient Profile) Who and/or what the observation is about
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual result
Binding: Immunization side-effect codes (extensible)
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.value[x]:valueCodeableConceptextensibleImmunizationSideEffects
http://fhir.health.gov.il/ValueSet/immunization-side-effect
from this IG
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ILCoreObservation ILCore ImmunizationReactionObservation Profile
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf Σ 0..* Reference(ILCore Immunization Profile) Part of referenced event
... category S 0..* 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: IL Core Observation Codes (preferred)
.... 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: 31044-1
... subject SΣ 1..1 Reference(ILCore Patient Profile) Who and/or what the observation is about
... Slices for value[x] SΣC 1..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: Immunization side-effect codes (extensible)
il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
il-obs-ucum: SHOULD use UCUM for coded quantity units
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (preferred)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
from this IG
Observation.value[x]:valueCodeableConceptextensibleImmunizationSideEffects
http://fhir.health.gov.il/ValueSet/immunization-side-effect
from this IG
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ILCoreObservation ILCore ImmunizationReactionObservation Profile
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(ILCore CarePlan Profile | ILCore DeviceRequest Profile | ILCore ImmunizationRecommendation Profile | ILCore MedicationRequest Profile | ILCore Molecular Sequence | ILCore ServiceRequest Profile) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(ILCore Immunization Profile) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category S 0..* 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: IL Core Observation Codes (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 31044-1
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(ILCore Patient Profile) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(ILCore Encounter Profile) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore CareTeam Profile | ILCore Patient Profile | ILCore RelatedPerson Profile) Who is responsible for the observation
... Slices for value[x] SΣC 1..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: Immunization side-effect codes (extensible)
il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
il-obs-ucum: SHOULD use UCUM for coded quantity units
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


il-obs-not-performed: dataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:not-performed-reason Σ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.health.gov.il/cs/il-core-not-performed-reason
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... 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 (preferred)
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (preferred): Methods for simple observations.

... specimen 0..1 Reference(ILCore Specimen Profile) Specimen used for this observation
... device 0..1 Reference(ILCore Device Profile | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... 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 Low Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... high C 0..1 SimpleQuantity High Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... 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
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... low Σ 0..1 SimpleQuantity Low limit
Binding: CommonUCUMCodesForAge (required)
..... high Σ 0..1 SimpleQuantity High limit
Binding: CommonUCUMCodesForAge (required)
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(ILCore Observation Profile | ILCore QuestionnaireResponse Profile | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(ILCore DocumentReference Profile | ILCore ImagingStudy Profile | ILCore Media Profile | ILCore QuestionnaireResponse Profile | ILCore Observation Profile | ILCore Molecular Sequence) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... 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: IL Core Observation Codes (preferred)
.... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueQuantity ΣC 0..1 Quantity Actual component result
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual component result
Binding: IL Core Observation Value Codes (preferred)
il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
.... 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..* BackboneElement Provides guide for interpretation of component result
..... 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 Low Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... high C 0..1 SimpleQuantity High Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... 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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... low Σ 0..1 SimpleQuantity Low limit
Binding: CommonUCUMCodesForAge (required)
...... high Σ 0..1 SimpleQuantity High limit
Binding: CommonUCUMCodesForAge (required)
..... text 0..1 string Text based reference range in an observation

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
from this IG
Observation.value[x]:valueCodeableConceptextensibleImmunizationSideEffects
http://fhir.health.gov.il/ValueSet/immunization-side-effect
from this IG
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodpreferredObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.referenceRange.age.lowrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard
Observation.referenceRange.age.highrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard
Observation.component.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
from this IG
Observation.component.value[x]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value
from this IG
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.referenceRange.age.lowrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard
Observation.component.referenceRange.age.highrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard

This structure is derived from ILCoreObservation

Differential View

This structure is derived from ILCoreObservation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* ILCoreObservation ILCore ImmunizationReactionObservation Profile
... partOf 0..* Reference(ILCore Immunization Profile) Part of referenced event
... code
.... coding 1..1 Coding Code defined by a terminology system
..... 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: 31044-1
... subject 1..1 Reference(ILCore Patient Profile) Who and/or what the observation is about
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual result
Binding: Immunization side-effect codes (extensible)
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.value[x]:valueCodeableConceptextensibleImmunizationSideEffects
http://fhir.health.gov.il/ValueSet/immunization-side-effect
from this IG
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ILCoreObservation ILCore ImmunizationReactionObservation Profile
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf Σ 0..* Reference(ILCore Immunization Profile) Part of referenced event
... category S 0..* 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: IL Core Observation Codes (preferred)
.... 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: 31044-1
... subject SΣ 1..1 Reference(ILCore Patient Profile) Who and/or what the observation is about
... Slices for value[x] SΣC 1..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: Immunization side-effect codes (extensible)
il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
il-obs-ucum: SHOULD use UCUM for coded quantity units
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (preferred)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
from this IG
Observation.value[x]:valueCodeableConceptextensibleImmunizationSideEffects
http://fhir.health.gov.il/ValueSet/immunization-side-effect
from this IG
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ILCoreObservation ILCore ImmunizationReactionObservation Profile
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(ILCore CarePlan Profile | ILCore DeviceRequest Profile | ILCore ImmunizationRecommendation Profile | ILCore MedicationRequest Profile | ILCore Molecular Sequence | ILCore ServiceRequest Profile) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(ILCore Immunization Profile) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category S 0..* 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: IL Core Observation Codes (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 31044-1
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(ILCore Patient Profile) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(ILCore Encounter Profile) Healthcare event during which this observation is made
... effective[x] Σ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore CareTeam Profile | ILCore Patient Profile | ILCore RelatedPerson Profile) Who is responsible for the observation
... Slices for value[x] SΣC 1..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: Immunization side-effect codes (extensible)
il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
il-obs-ucum: SHOULD use UCUM for coded quantity units
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


il-obs-not-performed: dataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:not-performed-reason Σ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.health.gov.il/cs/il-core-not-performed-reason
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... 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 (preferred)
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (preferred): Methods for simple observations.

... specimen 0..1 Reference(ILCore Specimen Profile) Specimen used for this observation
... device 0..1 Reference(ILCore Device Profile | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... 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 Low Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... high C 0..1 SimpleQuantity High Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... 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
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... low Σ 0..1 SimpleQuantity Low limit
Binding: CommonUCUMCodesForAge (required)
..... high Σ 0..1 SimpleQuantity High limit
Binding: CommonUCUMCodesForAge (required)
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(ILCore Observation Profile | ILCore QuestionnaireResponse Profile | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(ILCore DocumentReference Profile | ILCore ImagingStudy Profile | ILCore Media Profile | ILCore QuestionnaireResponse Profile | ILCore Observation Profile | ILCore Molecular Sequence) Related measurements the observation is made from
... component Σ 0..* BackboneElement Component results
.... 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: IL Core Observation Codes (preferred)
.... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueQuantity ΣC 0..1 Quantity Actual component result
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual component result
Binding: IL Core Observation Value Codes (preferred)
il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
.... 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..* BackboneElement Provides guide for interpretation of component result
..... 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 Low Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... high C 0..1 SimpleQuantity High Range, if relevant
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... 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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... low Σ 0..1 SimpleQuantity Low limit
Binding: CommonUCUMCodesForAge (required)
...... high Σ 0..1 SimpleQuantity High limit
Binding: CommonUCUMCodesForAge (required)
..... text 0..1 string Text based reference range in an observation

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
from this IG
Observation.value[x]:valueCodeableConceptextensibleImmunizationSideEffects
http://fhir.health.gov.il/ValueSet/immunization-side-effect
from this IG
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodpreferredObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.referenceRange.age.lowrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard
Observation.referenceRange.age.highrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard
Observation.component.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
from this IG
Observation.component.value[x]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value
from this IG
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.referenceRange.age.lowrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard
Observation.component.referenceRange.age.highrequiredCommonUCUMCodesForAge
http://hl7.org/fhir/ValueSet/age-units
from the FHIR Standard

This structure is derived from ILCoreObservation

 

Other representations of profile: CSV, Excel, Schematron