National Pathology FHIR Message Profiles
Mapping for Observation
How to populate the Observation instance to conform to the profiles below:
| Level 1 | Observation Resource | Level 2 | CareConnect-Observation-1 | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for XXX Implementation |
|---|---|---|---|---|
| Observation | | Measurements and simple assertions Constraint (dom-2): If the resource is contained in another resource, it SHALL NOT contain nested Resources Constraint (dom-1): If the resource is contained in another resource, it SHALL NOT contain any narrative Constraint (dom-4): If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated Constraint (dom-3): If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource Constraint (obs-7): If code is the same as a component code then the value element associated with the code SHALL NOT be present Constraint (obs-6): dataAbsentReason SHALL only be present if Observation.value[x] is not present |
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| - id | 0..1 | Select | Id | Logical id of this artifact |
| - meta | 0..1 | Select | Meta | Metadata about the resource |
| - implicitRules | 0..1 | Select | Uri | A set of rules under which this content was created |
| - language | 0..1 | Select | Code | Language of the resource content Binding (extensible): A human language. Common Languages |
| - text | 0..1 | Select | Narrative | Text summary of the resource, for human interpretation |
| - contained | 0..* | Select | Resource | Contained, inline Resources |
| - modifierExtension | 0..* | Select | Extension | Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both Slicing: Description: Extensions are always sliced by (at least) url, Discriminator: url, Ordering: false, Rules: Open |
| - identifier | 0..* | Select | Identifier | Business Identifier for observation |
| - - use | 0..1 | Select | Code | usual : official : temp : secondary (If known) Binding (required): Identifies the purpose for this identifier, if known. IdentifierUse |
| - - type | 0..1 | Select | CodeableConcept | Description of identifier Binding (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes |
| - - - coding | 0..* | Select | Coding | Code defined by a terminology system |
| - - - - system | 0..1 | Select | Uri | Identity of the terminology system |
| - - - - version | 0..1 | Select | String | Version of the system - if relevant |
| - - - - code | 0..1 | Select | Code | Symbol in syntax defined by the system |
| - - - - display | 0..1 | Select | String | Representation defined by the system |
| - - - - userSelected | 0..1 | Select | Boolean | If this coding was chosen directly by the user |
| - - - text | 0..1 | Select | String | Plain text representation of the concept |
| - - system | 1..1 | Select | Uri | The namespace for the identifier value |
| - - value | 1..1 | Select | String | The value that is unique |
| - - period | 0..1 | Select | Period | Time period when id is/was valid for use Constraint (per-1): If present, start SHALL have a lower value than end |
| - - - start | 0..1 | Select | dateTime | Starting time with inclusive boundary |
| - - - end | 0..1 | Select | dateTime | End time with inclusive boundary, if not ongoing |
| - - assigner | 0..1 | Select | Reference | Organization that issued id (may be just text) Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Select | CareConnect-Organization-1 | ** | ||
| - - - reference | 0..1 | Select | String | Literal reference, Relative, internal or absolute URL |
| - - - identifier | 0..1 | Select | Identifier | Logical reference, when literal reference is not known |
| - - - display | 0..1 | Select | String | Text alternative for the resource |
| - basedOn | 0..* | Select | Reference | Fulfills plan, proposal or order. Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Select | CarePlan | ** | ||
| Select | DeviceRequest | ** | ||
| Select | ImmunizationRecommendation | ** | ||
| Select | NutritionOrder | ** | ||
| Select | ProcedureRequest | ** | ||
| Select | ReferralRequest | ** | ||
| Select | CareConnect-MedicationRequest-1 | ** | ||
| - - reference | 0..1 | Select | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Select | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Select | String | Text alternative for the resource |
| - status | 1..1 | Mandatory | Code | registered : preliminary : final : amended + Binding (required): Codes providing the status of an observation. ObservationStatus |
| - category | 0..* | Select | CodeableConcept | Classification of type of observation Binding (preferred): Codes for high level observation categories. Observation Category Codes |
| - - coding | 0..* | Select | Coding | Code defined by a terminology system |
| - - - system | 0..1 | Select | Uri | Identity of the terminology system |
| - - - version | 0..1 | Select | String | Version of the system - if relevant |
| - - - code | 0..1 | Select | Code | Symbol in syntax defined by the system |
| - - - display | 0..1 | Select | String | Representation defined by the system |
| - - - userSelected | 0..1 | Select | Boolean | If this coding was chosen directly by the user |
| - - text | 0..1 | Select | String | Plain text representation of the concept |
| - code | 1..1 | Mandatory | CodeableConcept | Type of observation (code / type) Binding (example): Codes identifying names of simple observations. LOINC Codes |
| - - coding | 0..* | Select | Coding | Code defined by a terminology system Slicing: Discriminator: code, Ordering: false, Rules: Open |
| - - coding (snomedCT) | 0..1 | Select | Coding | Code defined by a terminology system Binding (extensible): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation CareConnect-ObservationType-1 |
| - - - extension (snomedCTDescriptionID) | 0..1 | Select | Extension-coding-sctdescid | The SNOMED CT Description ID for the display. Constraint (ext-1): Must have either extensions or value[x], not both |
| - - - system | 1..1 | Select | Uri | Identity of the terminology system The value attribute of the profile element MUST contain the value 'http://snomed.info/sct' |
| - - - code | 1..1 | Select | Code | Symbol in syntax defined by the system |
| - - - display | 1..1 | Select | String | Representation defined by the system |
| - - - userSelected | 0..1 | Select | Boolean | If this coding was chosen directly by the user |
| - - text | 0..1 | Select | String | Plain text representation of the concept |
| - subject | 0..1 | Select | Reference | Who and/or what this is about Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Select | Group | ** | ||
| Select | Device | ** | ||
| Select | CareConnect-Patient-1 | ** | ||
| Select | CareConnect-Location-1 | ** | ||
| - - reference | 0..1 | Select | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Select | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Select | String | Text alternative for the resource |
| - context | 0..1 | Select | Reference | Healthcare event during which this observation is made Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Select | EpisodeOfCare | ** | ||
| Select | CareConnect-Encounter-1 | ** | ||
| - - reference | 0..1 | Select | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Select | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Select | String | Text alternative for the resource |
| - effective[x] | 0..1 | Select | dateTime | Clinically relevant time/time-period for observation |
| Select | Period | ** | ||
| - issued | 0..1 | Select | Instant | Date/Time this was made available |
| - performer | 0..* | Select | Reference | Who is responsible for the observation Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Select | RelatedPerson | ** | ||
| Select | CareConnect-Patient-1 | ** | ||
| Select | CareConnect-Organization-1 | ** | ||
| Select | CareConnect-Practitioner-1 | ** | ||
| - - reference | 0..1 | Select | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Select | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Select | String | Text alternative for the resource |
| - value[x] | 0..1 | Select | Quantity | Actual result Constraint (qty-3): If a code for the unit is present, the system SHALL also be present |
| Select | CodeableConcept | ** | ||
| Select | String | ** | ||
| Select | Boolean | ** | ||
| Select | Range | ** | ||
| Select | Ratio | ** | ||
| Select | SampledData | ** | ||
| Select | Attachment | ** | ||
| Select | Time | ** | ||
| Select | dateTime | ** | ||
| Select | Period | ** | ||
| - dataAbsentReason | 0..1 | Select | CodeableConcept | Why the result is missing Binding (extensible): Codes specifying why the result (Observation.value[x]) is missing. Observation Value Absent Reason |
| - - coding | 0..* | Select | Coding | Code defined by a terminology system |
| - - - system | 0..1 | Select | Uri | Identity of the terminology system |
| - - - version | 0..1 | Select | String | Version of the system - if relevant |
| - - - code | 0..1 | Select | Code | Symbol in syntax defined by the system |
| - - - display | 0..1 | Select | String | Representation defined by the system |
| - - - userSelected | 0..1 | Select | Boolean | If this coding was chosen directly by the user |
| - - text | 0..1 | Select | String | Plain text representation of the concept |
| - interpretation | 0..1 | Select | CodeableConcept | High, low, normal, etc. Binding (extensible): Codes identifying interpretations of observations. Observation Interpretation Codes |
| - - coding | 0..* | Select | Coding | Code defined by a terminology system |
| - - - system | 0..1 | Select | Uri | Identity of the terminology system |
| - - - version | 0..1 | Select | String | Version of the system - if relevant |
| - - - code | 0..1 | Select | Code | Symbol in syntax defined by the system |
| - - - display | 0..1 | Select | String | Representation defined by the system |
| - - - userSelected | 0..1 | Select | Boolean | If this coding was chosen directly by the user |
| - - text | 0..1 | Select | String | Plain text representation of the concept |
| - comment | 0..1 | Select | String | Comments about result |
| - bodySite | 0..1 | Select | CodeableConcept | Observed body part Binding (example): Codes describing anatomical locations. May include laterality. SNOMED CT Body Structures |
| - - coding | 0..* | Select | Coding | Code defined by a terminology system Slicing: Discriminator: code, Ordering: false, Rules: Open |
| - - coding (snomedCT) | 0..1 | Select | Coding | Code defined by a terminology system |
| - - - extension (snomedCTDescriptionID) | 0..1 | Select | Extension-coding-sctdescid | The SNOMED CT Description ID for the display. Constraint (ext-1): Must have either extensions or value[x], not both |
| - - - system | 1..1 | Select | Uri | Identity of the terminology system The value attribute of the profile element MUST contain the value 'http://snomed.info/sct' |
| - - - code | 1..1 | Select | Code | Symbol in syntax defined by the system |
| - - - display | 1..1 | Select | String | Representation defined by the system |
| - - - userSelected | 0..1 | Select | Boolean | If this coding was chosen directly by the user |
| - - text | 0..1 | Select | String | Plain text representation of the concept |
| - method | 0..1 | Select | CodeableConcept | How it was done Binding (example): Methods for simple observations. Observation Methods |
| - - coding | 0..* | Select | Coding | Code defined by a terminology system Slicing: Discriminator: code, Ordering: false, Rules: Open |
| - - coding (snomedCT) | 0..1 | Select | Coding | Code defined by a terminology system Binding (preferred): A code from SNOMED Clinical Terminology UK CareConnect-ObservationMethod-1 |
| - - - extension (snomedCTDescriptionID) | 0..1 | Select | Extension-coding-sctdescid | The SNOMED CT Description ID for the display. Constraint (ext-1): Must have either extensions or value[x], not both |
| - - - system | 1..1 | Select | Uri | Identity of the terminology system The value attribute of the profile element MUST contain the value 'http://snomed.info/sct' |
| - - - code | 1..1 | Select | Code | Symbol in syntax defined by the system |
| - - - display | 1..1 | Select | String | Representation defined by the system |
| - - - userSelected | 0..1 | Select | Boolean | If this coding was chosen directly by the user |
| - - text | 0..1 | Select | String | Plain text representation of the concept |
| - specimen | 0..1 | Select | Reference | Specimen used for this observation Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Select | Specimen | ** | ||
| - - reference | 0..1 | Select | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Select | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Select | String | Text alternative for the resource |
| - device | 0..1 | Select | Reference | (Measurement) Device Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Select | Device | ** | ||
| Select | DeviceMetric | ** | ||
| - - reference | 0..1 | Select | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Select | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Select | String | Text alternative for the resource |
| - referenceRange | 0..* | Select | BackboneElement | Provides guide for interpretation Constraint (obs-3): Must have at least a low or a high or text |
| - - modifierExtension | 0..* | Select | Extension | Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both |
| - - low | 0..1 | Select | Quantity ( SimpleQuantity ) | Low Range, if relevant Constraint (qty-3): If a code for the unit is present, the system SHALL also be present Constraint (sqty-1): The comparator is not used on a SimpleQuantity |
| - - - value | 0..1 | Select | Decimal | Numerical value (with implicit precision) |
| - - - unit | 0..1 | Select | String | Unit representation |
| - - - system | 0..1 | Select | Uri | System that defines coded unit form |
| - - - code | 0..1 | Select | Code | Coded form of the unit |
| - - high | 0..1 | Select | Quantity ( SimpleQuantity ) | High Range, if relevant Constraint (qty-3): If a code for the unit is present, the system SHALL also be present Constraint (sqty-1): The comparator is not used on a SimpleQuantity |
| - - - value | 0..1 | Select | Decimal | Numerical value (with implicit precision) |
| - - - unit | 0..1 | Select | String | Unit representation |
| - - - system | 0..1 | Select | Uri | System that defines coded unit form |
| - - - code | 0..1 | Select | Code | Coded form of the unit |
| - - type | 0..1 | Select | CodeableConcept | Reference range qualifier Binding (extensible): Code for the meaning of a reference range. Observation Reference Range Meaning Codes |
| - - - coding | 0..* | Select | Coding | Code defined by a terminology system |
| - - - - system | 0..1 | Select | Uri | Identity of the terminology system |
| - - - - version | 0..1 | Select | String | Version of the system - if relevant |
| - - - - code | 0..1 | Select | Code | Symbol in syntax defined by the system |
| - - - - display | 0..1 | Select | String | Representation defined by the system |
| - - - - userSelected | 0..1 | Select | Boolean | If this coding was chosen directly by the user |
| - - - text | 0..1 | Select | String | Plain text representation of the concept |
| - - appliesTo | 0..* | Select | CodeableConcept | Reference range population Binding (example): Codes identifying the population the reference range applies to. Observation Reference Range Applies To Codes |
| - - - coding | 0..* | Select | Coding | Code defined by a terminology system |
| - - - - system | 0..1 | Select | Uri | Identity of the terminology system |
| - - - - version | 0..1 | Select | String | Version of the system - if relevant |
| - - - - code | 0..1 | Select | Code | Symbol in syntax defined by the system |
| - - - - display | 0..1 | Select | String | Representation defined by the system |
| - - - - userSelected | 0..1 | Select | Boolean | If this coding was chosen directly by the user |
| - - - text | 0..1 | Select | String | Plain text representation of the concept |
| - - age | 0..1 | Select | Range | Applicable age range, if relevant Constraint (rng-2): If present, low SHALL have a lower value than high |
| - - - low | 0..1 | Select | Quantity ( SimpleQuantity ) | Low limit Constraint (qty-3): If a code for the unit is present, the system SHALL also be present Constraint (sqty-1): The comparator is not used on a SimpleQuantity |
| - - - - value | 0..1 | Select | Decimal | Numerical value (with implicit precision) |
| - - - - unit | 0..1 | Select | String | Unit representation |
| - - - - system | 0..1 | Select | Uri | System that defines coded unit form |
| - - - - code | 0..1 | Select | Code | Coded form of the unit |
| - - - high | 0..1 | Select | Quantity ( SimpleQuantity ) | High limit Constraint (qty-3): If a code for the unit is present, the system SHALL also be present Constraint (sqty-1): The comparator is not used on a SimpleQuantity |
| - - - - value | 0..1 | Select | Decimal | Numerical value (with implicit precision) |
| - - - - unit | 0..1 | Select | String | Unit representation |
| - - - - system | 0..1 | Select | Uri | System that defines coded unit form |
| - - - - code | 0..1 | Select | Code | Coded form of the unit |
| - - text | 0..1 | Select | String | Text based reference range in an observation |
| - related | 0..* | Select | BackboneElement | Resource related to this observation |
| - - modifierExtension | 0..* | Select | Extension | Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both |
| - - type | 0..1 | Select | Code | has-member : derived-from : sequel-to : replaces : qualified-by : interfered-by Binding (required): Codes specifying how two observations are related. ObservationRelationshipType |
| - - target | 1..1 | Select | Reference | Resource that is related to this one Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Select | QuestionnaireResponse | ** | ||
| Select | Sequence | ** | ||
| Select | CareConnect-Observation-1 | ** | ||
| - - - reference | 0..1 | Select | String | Literal reference, Relative, internal or absolute URL |
| - - - identifier | 0..1 | Select | Identifier | Logical reference, when literal reference is not known |
| - - - display | 0..1 | Select | String | Text alternative for the resource |
| - component | 0..* | Select | BackboneElement | Component results |
| - - modifierExtension | 0..* | Select | Extension | Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both |
| - - code | 1..1 | Select | CodeableConcept | Type of component observation (code / type) Binding (example): Codes identifying names of simple observations. LOINC Codes |
| - - coding | 0..* | Select | Coding | Code defined by a terminology system Slicing: Discriminator: code, Ordering: false, Rules: Open |
| - - coding (snomedCT) | 0..1 | Select | Coding | Code defined by a terminology system Binding (extensible): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation CareConnect-ObservationType-1 |
| - - - extension (snomedCTDescriptionID) | 0..1 | Select | Extension-coding-sctdescid | The SNOMED CT Description ID for the display. Constraint (ext-1): Must have either extensions or value[x], not both |
| - - - system | 1..1 | Select | Uri | Identity of the terminology system The value attribute of the profile element MUST contain the value 'http://snomed.info/sct' |
| - - - code | 1..1 | Select | Code | Symbol in syntax defined by the system |
| - - - display | 1..1 | Select | String | Representation defined by the system |
| - - - userSelected | 0..1 | Select | Boolean | If this coding was chosen directly by the user |
| - - text | 0..1 | Select | String | Plain text representation of the concept |
| - value[x] | 0..1 | Select | Quantity | Actual component result Constraint (qty-3): If a code for the unit is present, the system SHALL also be present |
| Select | CodeableConcept | ** | ||
| Select | String | ** | ||
| Select | Range | ** | ||
| Select | Ratio | ** | ||
| Select | SampledData | ** | ||
| Select | Attachment | ** | ||
| Select | Time | ** | ||
| Select | dateTime | ** | ||
| Select | Period | ** | ||
| - dataAbsentReason | 0..1 | Select | CodeableConcept | Why the component result is missing Binding (extensible): Codes specifying why the result (Observation.value[x]) is missing. Observation Value Absent Reason |
| - - coding | 0..* | Select | Coding | Code defined by a terminology system |
| - - - system | 0..1 | Select | Uri | Identity of the terminology system |
| - - - version | 0..1 | Select | String | Version of the system - if relevant |
| - - - code | 0..1 | Select | Code | Symbol in syntax defined by the system |
| - - - display | 0..1 | Select | String | Representation defined by the system |
| - - - userSelected | 0..1 | Select | Boolean | If this coding was chosen directly by the user |
| - - text | 0..1 | Select | String | Plain text representation of the concept |
| - interpretation | 0..1 | Select | CodeableConcept | High, low, normal, etc. Binding (extensible): Codes identifying interpretations of observations. Observation Interpretation Codes |
| - - coding | 0..* | Select | Coding | Code defined by a terminology system |
| - - - system | 0..1 | Select | Uri | Identity of the terminology system |
| - - - version | 0..1 | Select | String | Version of the system - if relevant |
| - - - code | 0..1 | Select | Code | Symbol in syntax defined by the system |
| - - - display | 0..1 | Select | String | Representation defined by the system |
| - - - userSelected | 0..1 | Select | Boolean | If this coding was chosen directly by the user |
| - - text | 0..1 | Select | String | Plain text representation of the concept |
| - referenceRange | 0..* | Select | see Observation.referenceRange | Provides guide for interpretation of component result |
