Social Care Interoperability Platform FHIR Implementation Guide
Version: 0.1.0, Status: draft

Social Care Interoperability Platform FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: MODS Preference Observation

Official URL: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/MODS-PreferenceObservation Version: 0.1.0
Draft as of 2026-03-24 Computable Name: MODSPreferenceObservation

A description of what is most important to a person, the people who are important to a person and things a person wants someone supporting them to do or not to do.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, observation-careteam-local-if-present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by type:$this
.... contained:careteam 0..1 MODSCareTeam Planned participants in the coordination and delivery of care for a patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:location 0..1 Reference(MODS Location) Extension MODS Observation/Planning/Activity Location (reference)
URL: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-ActivityLocation
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..1 CodeableConcept Classification of type of observation
Slice: Unordered, Closed by value:coding.code
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:modsObservationCategory 1..1 CodeableConcept Classification of type of observation
Binding: MODS Observation Category (required)
..... coding Σ 1..1 Coding Code defined by a terminology system
...... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCategory-1
...... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: 3
...... display Σ 0..1 string Representation defined by the system
Required Pattern: Observations
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: MODS Observation Code (required)
.... coding Σ 1..1 Coding Code defined by a terminology system
..... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCode-1
..... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: 8
..... display Σ 0..1 string Representation defined by the system
Required Pattern: Preference
... subject SΣ 1..1 Reference(MODS Patient) Who and/or what the observation is about
... performer Σ 0..* Reference(MODS Care Team) Who is responsible for the observation
... Slices for component Σ 0..2 BackboneElement Component results
Slice: Unordered, Open by value:code.coding.system, value:code.coding.code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... component:coded Σ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: MODS Observation Component Code (required)
...... coding Σ 1..1 Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: coded
....... display Σ 0..1 string Representation defined by the system
Required Pattern: Coded
..... value[x] Σ 0..1 CodeableConcept Actual component result
...... coding Σ 1..1 Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
....... code Σ 1..1 code Symbol in syntax defined by the system
.... component:text Σ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: MODS Observation Component Code (required)
...... coding Σ 1..1 Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: text
....... display Σ 0..1 string Representation defined by the system
Required Pattern: Free-text
..... value[x] Σ 0..1 string Actual component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:modsObservationCategory Base required MODS Observation Category 📦0.1.0 This IG
Observation.code Base required MODS Observation Code 📦0.1.0 This IG
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:coded.​code Base required MODS Observation Component Code 📦0.1.0 This IG
Observation.component:text.​code Base required MODS Observation Component Code 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
observation-careteam-local-if-present error Observation If any Observation.performer is a CareTeam, it MUST be a local (#...) reference to a contained CareTeam, and the Observation must contain a CareTeam. performer.where(resolve() is CareTeam).empty() or (performer.where(resolve() is CareTeam).all(reference.startsWith('#')) and contained.where($this is CareTeam).exists())

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: observation-careteam-local-if-present
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by type:$this
.... contained:careteam 0..1 MODSCareTeam Planned participants in the coordination and delivery of care for a patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:location 0..1 Reference(MODS Location) Extension MODS Observation/Planning/Activity Location (reference)
URL: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-ActivityLocation
... Slices for category S 1..1 CodeableConcept Classification of type of observation
Slice: Unordered, Closed by value:coding.code
.... category:modsObservationCategory 1..1 CodeableConcept Classification of type of observation
Binding: MODS Observation Category (required)
..... coding 1..1 Coding Code defined by a terminology system
...... system 0..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCategory-1
...... code 1..1 code Symbol in syntax defined by the system
Required Pattern: 3
...... display 0..1 string Representation defined by the system
Required Pattern: Observations
..... text 0..0 Plain text representation of the concept
.... coding 1..1 Coding Code defined by a terminology system
..... system 0..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCode-1
..... code 0..1 code Symbol in syntax defined by the system
Required Pattern: 8
..... display 0..1 string Representation defined by the system
Required Pattern: Preference
.... text 0..0 Plain text representation of the concept
... subject S 1..1 Reference(MODS Patient) Who and/or what the observation is about
... performer 0..* Reference(MODS Care Team) Who is responsible for the observation
... Slices for component 0..2 BackboneElement Component results
Slice: Unordered, Open by value:code.coding.system, value:code.coding.code
.... component:coded 0..1 BackboneElement Component results
..... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: MODS Observation Component Code (required)
...... coding 1..1 Coding Code defined by a terminology system
....... system 1..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: coded
....... display 0..1 string Representation defined by the system
Required Pattern: Coded
..... value[x] 0..1 CodeableConcept Actual component result
...... coding 1..1 Coding Code defined by a terminology system
....... system 1..1 uri Identity of the terminology system
....... code 1..1 code Symbol in syntax defined by the system
.... component:text 0..1 BackboneElement Component results
..... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: MODS Observation Component Code (required)
...... coding 1..1 Coding Code defined by a terminology system
....... system 1..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: text
....... display 0..1 string Representation defined by the system
Required Pattern: Free-text
..... value[x] 0..1 string Actual component result

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.category:modsObservationCategory Base required MODS Observation Category 📦0.1.0 This IG
Observation.code Base required MODS Observation Code 📦0.1.0 This IG
Observation.component:coded.​code Base required MODS Observation Component Code 📦0.1.0 This IG
Observation.component:text.​code Base required MODS Observation Component Code 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
observation-careteam-local-if-present error Observation If any Observation.performer is a CareTeam, it MUST be a local (#...) reference to a contained CareTeam, and the Observation must contain a CareTeam. performer.where(resolve() is CareTeam).empty() or (performer.where(resolve() is CareTeam).all(reference.startsWith('#')) and contained.where($this is CareTeam).exists())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, observation-careteam-local-if-present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by type:$this
.... contained:careteam 0..1 MODSCareTeam Planned participants in the coordination and delivery of care for a patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:location 0..1 Reference(MODS Location) Extension MODS Observation/Planning/Activity Location (reference)
URL: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-ActivityLocation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..1 CodeableConcept Classification of type of observation
Slice: Unordered, Closed by value:coding.code
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:modsObservationCategory 1..1 CodeableConcept Classification of type of observation
Binding: MODS Observation Category (required)
..... 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 0..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCategory-1
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: 3
...... display Σ 0..1 string Representation defined by the system
Required Pattern: Observations
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: MODS Observation Code (required)
.... 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 0..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCode-1
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: 8
..... display Σ 0..1 string Representation defined by the system
Required Pattern: Preference
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
... subject SΣ 1..1 Reference(MODS Patient) 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(Encounter) 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(MODS Care Team) Who is responsible for the observation
... value[x] ΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component Σ 0..2 BackboneElement Component results
Slice: Unordered, Open by value:code.coding.system, value:code.coding.code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] Σ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:coded Σ 0..1 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: MODS Observation Component Code (required)
...... 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
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: coded
....... display Σ 0..1 string Representation defined by the system
Required Pattern: Coded
....... 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
..... value[x] Σ 0..1 CodeableConcept Actual component result
...... 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
....... 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
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:text Σ 0..1 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: MODS Observation Component Code (required)
...... 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
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: text
....... display Σ 0..1 string Representation defined by the system
Required Pattern: Free-text
....... 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
..... value[x] Σ 0..1 string Actual component result
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:modsObservationCategory Base required MODS Observation Category 📦0.1.0 This IG
Observation.code Base required MODS Observation Code 📦0.1.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:coded.​code Base required MODS Observation Component Code 📦0.1.0 This IG
Observation.component:coded.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:coded.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:text.​code Base required MODS Observation Component Code 📦0.1.0 This IG
Observation.component:text.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:text.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
observation-careteam-local-if-present error Observation If any Observation.performer is a CareTeam, it MUST be a local (#...) reference to a contained CareTeam, and the Observation must contain a CareTeam. performer.where(resolve() is CareTeam).empty() or (performer.where(resolve() is CareTeam).all(reference.startsWith('#')) and contained.where($this is CareTeam).exists())

This structure is derived from Observation

Summary

Mandatory: 6 elements(9 nested mandatory elements)
Must-Support: 3 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.contained
  • The element 1 is sliced based on the value of Observation.category (Closed)
  • The element 2 is sliced based on the values of Observation.component

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, observation-careteam-local-if-present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by type:$this
.... contained:careteam 0..1 MODSCareTeam Planned participants in the coordination and delivery of care for a patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:location 0..1 Reference(MODS Location) Extension MODS Observation/Planning/Activity Location (reference)
URL: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-ActivityLocation
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..1 CodeableConcept Classification of type of observation
Slice: Unordered, Closed by value:coding.code
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:modsObservationCategory 1..1 CodeableConcept Classification of type of observation
Binding: MODS Observation Category (required)
..... coding Σ 1..1 Coding Code defined by a terminology system
...... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCategory-1
...... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: 3
...... display Σ 0..1 string Representation defined by the system
Required Pattern: Observations
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: MODS Observation Code (required)
.... coding Σ 1..1 Coding Code defined by a terminology system
..... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCode-1
..... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: 8
..... display Σ 0..1 string Representation defined by the system
Required Pattern: Preference
... subject SΣ 1..1 Reference(MODS Patient) Who and/or what the observation is about
... performer Σ 0..* Reference(MODS Care Team) Who is responsible for the observation
... Slices for component Σ 0..2 BackboneElement Component results
Slice: Unordered, Open by value:code.coding.system, value:code.coding.code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... component:coded Σ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: MODS Observation Component Code (required)
...... coding Σ 1..1 Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: coded
....... display Σ 0..1 string Representation defined by the system
Required Pattern: Coded
..... value[x] Σ 0..1 CodeableConcept Actual component result
...... coding Σ 1..1 Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
....... code Σ 1..1 code Symbol in syntax defined by the system
.... component:text Σ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: MODS Observation Component Code (required)
...... coding Σ 1..1 Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: text
....... display Σ 0..1 string Representation defined by the system
Required Pattern: Free-text
..... value[x] Σ 0..1 string Actual component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:modsObservationCategory Base required MODS Observation Category 📦0.1.0 This IG
Observation.code Base required MODS Observation Code 📦0.1.0 This IG
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:coded.​code Base required MODS Observation Component Code 📦0.1.0 This IG
Observation.component:text.​code Base required MODS Observation Component Code 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
observation-careteam-local-if-present error Observation If any Observation.performer is a CareTeam, it MUST be a local (#...) reference to a contained CareTeam, and the Observation must contain a CareTeam. performer.where(resolve() is CareTeam).empty() or (performer.where(resolve() is CareTeam).all(reference.startsWith('#')) and contained.where($this is CareTeam).exists())

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: observation-careteam-local-if-present
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by type:$this
.... contained:careteam 0..1 MODSCareTeam Planned participants in the coordination and delivery of care for a patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:location 0..1 Reference(MODS Location) Extension MODS Observation/Planning/Activity Location (reference)
URL: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-ActivityLocation
... Slices for category S 1..1 CodeableConcept Classification of type of observation
Slice: Unordered, Closed by value:coding.code
.... category:modsObservationCategory 1..1 CodeableConcept Classification of type of observation
Binding: MODS Observation Category (required)
..... coding 1..1 Coding Code defined by a terminology system
...... system 0..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCategory-1
...... code 1..1 code Symbol in syntax defined by the system
Required Pattern: 3
...... display 0..1 string Representation defined by the system
Required Pattern: Observations
..... text 0..0 Plain text representation of the concept
.... coding 1..1 Coding Code defined by a terminology system
..... system 0..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCode-1
..... code 0..1 code Symbol in syntax defined by the system
Required Pattern: 8
..... display 0..1 string Representation defined by the system
Required Pattern: Preference
.... text 0..0 Plain text representation of the concept
... subject S 1..1 Reference(MODS Patient) Who and/or what the observation is about
... performer 0..* Reference(MODS Care Team) Who is responsible for the observation
... Slices for component 0..2 BackboneElement Component results
Slice: Unordered, Open by value:code.coding.system, value:code.coding.code
.... component:coded 0..1 BackboneElement Component results
..... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: MODS Observation Component Code (required)
...... coding 1..1 Coding Code defined by a terminology system
....... system 1..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: coded
....... display 0..1 string Representation defined by the system
Required Pattern: Coded
..... value[x] 0..1 CodeableConcept Actual component result
...... coding 1..1 Coding Code defined by a terminology system
....... system 1..1 uri Identity of the terminology system
....... code 1..1 code Symbol in syntax defined by the system
.... component:text 0..1 BackboneElement Component results
..... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: MODS Observation Component Code (required)
...... coding 1..1 Coding Code defined by a terminology system
....... system 1..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: text
....... display 0..1 string Representation defined by the system
Required Pattern: Free-text
..... value[x] 0..1 string Actual component result

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.category:modsObservationCategory Base required MODS Observation Category 📦0.1.0 This IG
Observation.code Base required MODS Observation Code 📦0.1.0 This IG
Observation.component:coded.​code Base required MODS Observation Component Code 📦0.1.0 This IG
Observation.component:text.​code Base required MODS Observation Component Code 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
observation-careteam-local-if-present error Observation If any Observation.performer is a CareTeam, it MUST be a local (#...) reference to a contained CareTeam, and the Observation must contain a CareTeam. performer.where(resolve() is CareTeam).empty() or (performer.where(resolve() is CareTeam).all(reference.startsWith('#')) and contained.where($this is CareTeam).exists())

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, observation-careteam-local-if-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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by type:$this
.... contained:careteam 0..1 MODSCareTeam Planned participants in the coordination and delivery of care for a patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:location 0..1 Reference(MODS Location) Extension MODS Observation/Planning/Activity Location (reference)
URL: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-ActivityLocation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..1 CodeableConcept Classification of type of observation
Slice: Unordered, Closed by value:coding.code
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:modsObservationCategory 1..1 CodeableConcept Classification of type of observation
Binding: MODS Observation Category (required)
..... 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 0..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCategory-1
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: 3
...... display Σ 0..1 string Representation defined by the system
Required Pattern: Observations
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: MODS Observation Code (required)
.... 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 0..1 uri Identity of the terminology system
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCode-1
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: 8
..... display Σ 0..1 string Representation defined by the system
Required Pattern: Preference
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
... subject SΣ 1..1 Reference(MODS Patient) 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(Encounter) 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(MODS Care Team) Who is responsible for the observation
... value[x] ΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component Σ 0..2 BackboneElement Component results
Slice: Unordered, Open by value:code.coding.system, value:code.coding.code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] Σ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:coded Σ 0..1 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: MODS Observation Component Code (required)
...... 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
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: coded
....... display Σ 0..1 string Representation defined by the system
Required Pattern: Coded
....... 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
..... value[x] Σ 0..1 CodeableConcept Actual component result
...... 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
....... 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
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:text Σ 0..1 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: MODS Observation Component Code (required)
...... 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
Required Pattern: https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: text
....... display Σ 0..1 string Representation defined by the system
Required Pattern: Free-text
....... 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
..... value[x] Σ 0..1 string Actual component result
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:modsObservationCategory Base required MODS Observation Category 📦0.1.0 This IG
Observation.code Base required MODS Observation Code 📦0.1.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:coded.​code Base required MODS Observation Component Code 📦0.1.0 This IG
Observation.component:coded.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:coded.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:text.​code Base required MODS Observation Component Code 📦0.1.0 This IG
Observation.component:text.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:text.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
observation-careteam-local-if-present error Observation If any Observation.performer is a CareTeam, it MUST be a local (#...) reference to a contained CareTeam, and the Observation must contain a CareTeam. performer.where(resolve() is CareTeam).empty() or (performer.where(resolve() is CareTeam).all(reference.startsWith('#')) and contained.where($this is CareTeam).exists())

This structure is derived from Observation

Summary

Mandatory: 6 elements(9 nested mandatory elements)
Must-Support: 3 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.contained
  • The element 1 is sliced based on the value of Observation.category (Closed)
  • The element 2 is sliced based on the values of Observation.component

 

Other representations of profile: CSV, Excel, Schematron