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 Observation Profile

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

Israel Core proposed constraints and extensions on the Observation Resource

כללי

משאב הבסיס Observation (תצפיות/אומדנים/מדדים) נועד לתעד דיווח של מדדים של המטופל, של מכשירים או של גורמים אחרים. תרחישי השימוש העיקריים במשאב זה כוללים תמיכה בתהליכי אבחון, ניטור התקדמות הטיפול, קביעת ערכי בסיס ודפוסים, ואף תעוד מאפיינים דמוגרפיים של המטופל. רוב התצפיות הן של מדידה בודדת הכוללת שם וערך של המדידה עם מידע עליה (למשל תוצאת בדיקת דם בודדת), אבל חלק מהתצפיות מקבצות תצפיות אחרות באופן לוגי (למשל תוצאת פאנל של בדיקות דם), או מורכבות ממספר מרכיבים (למשל מדידת לחץ דם שמורכבת משני רכיבים - סיסטולי ודיאסטולי). פרופיל זה מעורב במגוון רחב של תרחישי שימוש ופעילויות הקשורות לבריאות, והינו כללי, דבר המאפשר להגדיר על בסיסו הרבה תתי-פרופילים לתרחישי שימוש יותר ספציפיים, למשל תת-פרופיל לתצפיות של בדיקות דם, תת-פרופיל של סימניים חיוניים וכו’.

השימושים במשאב התצפית כוללים:

  • סימנים חיוניים כגון משקל גוף, לחץ דם וטמפרטורה
  • נתוני מעבדה כמו גלוקוז בדם, או GFR משוער
  • תוצאות הדמיה כמו צפיפות עצם או מדידות עובר
  • ממצאים קליניים כגון רגישות בבטן
  • מדידות מכשיר כגון נתוני א.ק.ג. או נתוני דופק אוקסימטריה
  • כלי הערכה קליניים כגון APGAR או תרדמת גלזגו
  • מאפיינים אישיים: כגון צבע עיניים
  • היסטוריה חברתית כמו שימוש בטבק, תמיכה משפחתית או מצב קוגניטיבי
  • מאפייני ליבה כמו מצב הריון, או קביעת מוות

יש לשים לב שהמשאב DiagnosticReport מספק את ההקשר הקליני לתעוד קבוצה של תצפיות כחלק מדוח סיכום מלא הכולל למשל תוצאות בדיקות מעבדה, הדמיה ונתונים קליניים ואבחוניים אחרים. במקרה זה משאב Observation יהווה חלק מ-DiagnosticReport (על ידי הפנייה למשאב זה כחלק מהדו”ח). כמו כן יש להבדיל בין אבחנות אשר מתועדות ע”י משאב Condition (למשל אבחנה של לחץ דם גבוה) לבין משאב זה שבו מתועד המידע התומך באבחנה (מדדי לחץ דם סיסטולי ודיאסטולי). בנוסף, ע”מ לתעד את סיבות אי-ביצוע התצפית באופן יותר ספציפי המתאים למערכת הבריאות בישראל, הוגדרה רשימת ערכים חדשה לסוגים שונים של אי ביצוע (ראה פרק טרמינולוגיות)

עוד מידע על פרופיל זה ניתן למצוא באתר הקהילה

שדות חובה

בכל משאב התואם לפרופיל ILCoreObservation חייבים להיות האלמנטים הבאים:

  • סטטוס אחד- status
  • קוד אחד של התצפית -code

Must Support

בנוסף לאלמנטים שהוגדרו כחובה, הכיתוב (MS) Must Support ליד כל אלמנט מציין שכל מערכת חייבת לתמוך בו, במידה והוא קיים במופע ה- ILCoreObservation שהתקבל. לחלק מהאלמנטים הוגדר MS כחלק מתאימות ל- US Core. להלן האלמנטים שהוגדר להם MS:

  • category
  • subject
  • value[x]

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation ILCore Observation Profile
... basedOn 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 0..* Reference(ILCore MedicationAdministration Profile | ILCore MedicationDispense Profile | ILCore Procedure Profile | ILCore Immunization Profile | ILCore ImagingStudy Profile | ILCore MedicationStatement Profile) Part of referenced event
... status S 1..1 code registered | preliminary | final | amended +
... code S 1..1 CodeableConcept Type of observation (code / type)
Binding: IL Core Observation Codes (preferred)
... subject S 0..1 Reference(ILCore Patient Profile | ILCore Group Profile | ILCore Device Profile | ILCore Location Profile) Who and/or what the observation is about
... encounter 0..1 Reference(ILCore Encounter Profile) Healthcare event during which this observation is made
... performer 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] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
Slice: Unordered, Open by type:$this
.... value[x]:valueQuantity C 0..1 Quantity Actual result
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... value[x]:valueCodeableConcept C 0..1 CodeableConcept Actual 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 result 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
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:not-performed-reason 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.health.gov.il/cs/il-core-not-performed-reason
...... code 1..1 code Symbol in syntax defined by the system
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

... 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
.... 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
.... age
..... low 0..1 SimpleQuantity Low limit
Binding: CommonUCUMCodesForAge (required)
..... high 0..1 SimpleQuantity High limit
Binding: CommonUCUMCodesForAge (required)
... hasMember 0..* Reference(ILCore Observation Profile | ILCore QuestionnaireResponse Profile | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom 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
.... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: IL Core Observation Codes (preferred)
.... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
..... value[x]:valueQuantity C 0..1 Quantity Actual component result
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... value[x]:valueCodeableConcept C 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
.... referenceRange 0..* BackboneElement Provides guide for interpretation of component result
..... 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
..... age
...... low 0..1 SimpleQuantity Low limit
Binding: CommonUCUMCodesForAge (required)
...... high 0..1 SimpleQuantity High limit
Binding: CommonUCUMCodesForAge (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
from this IG
Observation.value[x]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value
from this IG
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.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.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

Constraints

IdGradePath(s)DetailsRequirements
il-obs-not-performederrorObservation.dataAbsentReasondataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
: coding.where(system='http://fhir.health.gov.il/cs/il-core-not-performed-reason').exists() implies coding.where(system='http://terminology.hl7.org/CodeSystem/data-absent-reason' and code='not-performed').exists()
il-obs-ucumwarningObservation.value[x]:valueQuantity, Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.value[x]:valueQuantity, Observation.component.referenceRange.low, Observation.component.referenceRange.highSHOULD use UCUM for coded quantity units
: system.empty() or system = 'http://unitsofmeasure.org'
il-obs-value-ccwarningObservation.value[x]:valueCodeableConcept, Observation.component.value[x]:valueCodeableConceptSHOULD use SNOMED-CT or LOINC Answers for coded results
: coding.where(system='http://snomed.info/sct' and code.exists()).exists() OR coding.where(system='http://loinc.org' and code.startsWith('LA')).exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation ILCore Observation 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
... 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
... 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)
... subject SΣ 0..1 Reference(ILCore Patient Profile | ILCore Group Profile | ILCore Device Profile | ILCore Location Profile) Who and/or what the observation is about
... encounter Σ 0..1 Reference(ILCore Encounter Profile) Healthcare event during which this observation is made
... 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 0..1 Actual 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 result
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual 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 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
.... 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
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.health.gov.il/cs/il-core-not-performed-reason
...... code Σ 1..1 code Symbol in syntax defined by the system
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

... 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
... 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

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]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value
from this IG
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
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

Constraints

IdGradePath(s)DetailsRequirements
il-obs-not-performederrorObservation.dataAbsentReasondataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
: coding.where(system='http://fhir.health.gov.il/cs/il-core-not-performed-reason').exists() implies coding.where(system='http://terminology.hl7.org/CodeSystem/data-absent-reason' and code='not-performed').exists()
il-obs-ucumwarningObservation.value[x]:valueQuantitySHOULD use UCUM for coded quantity units
: system.empty() or system = 'http://unitsofmeasure.org'
il-obs-value-ccwarningObservation.value[x]:valueCodeableConceptSHOULD use SNOMED-CT or LOINC Answers for coded results
: coding.where(system='http://snomed.info/sct' and code.exists()).exists() OR coding.where(system='http://loinc.org' and code.startsWith('LA')).exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation ILCore Observation 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 MedicationAdministration Profile | ILCore MedicationDispense Profile | ILCore Procedure Profile | ILCore Immunization Profile | ILCore ImagingStudy Profile | ILCore MedicationStatement 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)
... subject SΣ 0..1 Reference(ILCore Patient Profile | ILCore Group Profile | ILCore Device Profile | ILCore Location 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 0..1 Actual 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 result
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual 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 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): Codes describing anatomical locations. May include laterality.

... 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]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value
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

Constraints

IdGradePath(s)DetailsRequirements
il-obs-not-performederrorObservation.dataAbsentReasondataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
: coding.where(system='http://fhir.health.gov.il/cs/il-core-not-performed-reason').exists() implies coding.where(system='http://terminology.hl7.org/CodeSystem/data-absent-reason' and code='not-performed').exists()
il-obs-ucumwarningObservation.value[x]:valueQuantity, Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.value[x]:valueQuantity, Observation.component.referenceRange.low, Observation.component.referenceRange.highSHOULD use UCUM for coded quantity units
: system.empty() or system = 'http://unitsofmeasure.org'
il-obs-value-ccwarningObservation.value[x]:valueCodeableConcept, Observation.component.value[x]:valueCodeableConceptSHOULD use SNOMED-CT or LOINC Answers for coded results
: coding.where(system='http://snomed.info/sct' and code.exists()).exists() OR coding.where(system='http://loinc.org' and code.startsWith('LA')).exists()

This structure is derived from Observation

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation ILCore Observation Profile
... basedOn 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 0..* Reference(ILCore MedicationAdministration Profile | ILCore MedicationDispense Profile | ILCore Procedure Profile | ILCore Immunization Profile | ILCore ImagingStudy Profile | ILCore MedicationStatement Profile) Part of referenced event
... status S 1..1 code registered | preliminary | final | amended +
... code S 1..1 CodeableConcept Type of observation (code / type)
Binding: IL Core Observation Codes (preferred)
... subject S 0..1 Reference(ILCore Patient Profile | ILCore Group Profile | ILCore Device Profile | ILCore Location Profile) Who and/or what the observation is about
... encounter 0..1 Reference(ILCore Encounter Profile) Healthcare event during which this observation is made
... performer 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] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
Slice: Unordered, Open by type:$this
.... value[x]:valueQuantity C 0..1 Quantity Actual result
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... value[x]:valueCodeableConcept C 0..1 CodeableConcept Actual 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 result 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
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:not-performed-reason 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.health.gov.il/cs/il-core-not-performed-reason
...... code 1..1 code Symbol in syntax defined by the system
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

... 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
.... 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
.... age
..... low 0..1 SimpleQuantity Low limit
Binding: CommonUCUMCodesForAge (required)
..... high 0..1 SimpleQuantity High limit
Binding: CommonUCUMCodesForAge (required)
... hasMember 0..* Reference(ILCore Observation Profile | ILCore QuestionnaireResponse Profile | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom 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
.... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: IL Core Observation Codes (preferred)
.... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
..... value[x]:valueQuantity C 0..1 Quantity Actual component result
il-obs-ucum: SHOULD use UCUM for coded quantity units
..... value[x]:valueCodeableConcept C 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
.... referenceRange 0..* BackboneElement Provides guide for interpretation of component result
..... 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
..... age
...... low 0..1 SimpleQuantity Low limit
Binding: CommonUCUMCodesForAge (required)
...... high 0..1 SimpleQuantity High limit
Binding: CommonUCUMCodesForAge (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.codepreferredILCoreObservationCode
http://fhir.health.gov.il/ValueSet/il-core-observation-code
from this IG
Observation.value[x]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value
from this IG
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.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.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

Constraints

IdGradePath(s)DetailsRequirements
il-obs-not-performederrorObservation.dataAbsentReasondataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
: coding.where(system='http://fhir.health.gov.il/cs/il-core-not-performed-reason').exists() implies coding.where(system='http://terminology.hl7.org/CodeSystem/data-absent-reason' and code='not-performed').exists()
il-obs-ucumwarningObservation.value[x]:valueQuantity, Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.value[x]:valueQuantity, Observation.component.referenceRange.low, Observation.component.referenceRange.highSHOULD use UCUM for coded quantity units
: system.empty() or system = 'http://unitsofmeasure.org'
il-obs-value-ccwarningObservation.value[x]:valueCodeableConcept, Observation.component.value[x]:valueCodeableConceptSHOULD use SNOMED-CT or LOINC Answers for coded results
: coding.where(system='http://snomed.info/sct' and code.exists()).exists() OR coding.where(system='http://loinc.org' and code.startsWith('LA')).exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation ILCore Observation 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
... 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
... 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)
... subject SΣ 0..1 Reference(ILCore Patient Profile | ILCore Group Profile | ILCore Device Profile | ILCore Location Profile) Who and/or what the observation is about
... encounter Σ 0..1 Reference(ILCore Encounter Profile) Healthcare event during which this observation is made
... 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 0..1 Actual 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 result
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual 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 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
.... 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
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.health.gov.il/cs/il-core-not-performed-reason
...... code Σ 1..1 code Symbol in syntax defined by the system
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

... 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
... 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

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]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value
from this IG
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
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

Constraints

IdGradePath(s)DetailsRequirements
il-obs-not-performederrorObservation.dataAbsentReasondataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
: coding.where(system='http://fhir.health.gov.il/cs/il-core-not-performed-reason').exists() implies coding.where(system='http://terminology.hl7.org/CodeSystem/data-absent-reason' and code='not-performed').exists()
il-obs-ucumwarningObservation.value[x]:valueQuantitySHOULD use UCUM for coded quantity units
: system.empty() or system = 'http://unitsofmeasure.org'
il-obs-value-ccwarningObservation.value[x]:valueCodeableConceptSHOULD use SNOMED-CT or LOINC Answers for coded results
: coding.where(system='http://snomed.info/sct' and code.exists()).exists() OR coding.where(system='http://loinc.org' and code.startsWith('LA')).exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation ILCore Observation 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 MedicationAdministration Profile | ILCore MedicationDispense Profile | ILCore Procedure Profile | ILCore Immunization Profile | ILCore ImagingStudy Profile | ILCore MedicationStatement 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)
... subject SΣ 0..1 Reference(ILCore Patient Profile | ILCore Group Profile | ILCore Device Profile | ILCore Location 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 0..1 Actual 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 result
il-obs-ucum: SHOULD use UCUM for coded quantity units
.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual 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 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): Codes describing anatomical locations. May include laterality.

... 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]:valueCodeableConceptpreferredILCoreObservationValue
http://fhir.health.gov.il/ValueSet/il-core-observation-value
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

Constraints

IdGradePath(s)DetailsRequirements
il-obs-not-performederrorObservation.dataAbsentReasondataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
: coding.where(system='http://fhir.health.gov.il/cs/il-core-not-performed-reason').exists() implies coding.where(system='http://terminology.hl7.org/CodeSystem/data-absent-reason' and code='not-performed').exists()
il-obs-ucumwarningObservation.value[x]:valueQuantity, Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.value[x]:valueQuantity, Observation.component.referenceRange.low, Observation.component.referenceRange.highSHOULD use UCUM for coded quantity units
: system.empty() or system = 'http://unitsofmeasure.org'
il-obs-value-ccwarningObservation.value[x]:valueCodeableConcept, Observation.component.value[x]:valueCodeableConceptSHOULD use SNOMED-CT or LOINC Answers for coded results
: coding.where(system='http://snomed.info/sct' and code.exists()).exists() OR coding.where(system='http://loinc.org' and code.startsWith('LA')).exists()

This structure is derived from Observation

 

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