Digital Child Health Service - Events Catalogue

CareConnect-DCH-Measurement-Observation-1

The Observation resource is used for tracking the current and historical observations that have been made for a patient, with further constraints applied to represent a measurement taken during a Child Health event.

NameCard.TypeDescription & Constraints
..ObservationDomainResourceMeasurements and simple assertions

...id0..1IdLogical id of this artifact

...meta0..1MetaMetadata about the resource

...implicitRules0..1UriA set of rules under which this content was created

...language0..1CodeLanguage of the resource content
Binding A human language. (http://tools.ietf.org/html/bcp47)
Binding Strength Required

...text0..1NarrativeText summary of the resource, for human interpretation

...contained0..*ResourceContained, inline Resources

...reason0..*ExtensionReason observation added
Extension https://fhir.nhs.uk/StructureDefinition/Extension-CareConnect-DCH-ReasonCondition-1

...identifier1..1IdentifierUnique Id for this particular observation

....id0..1Idxml:id (or equivalent in JSON)

....use0..1Codeusual | official | temp | secondary (If known)
Binding Identifies the purpose for this identifier, if known . (http://hl7.org/fhir/ValueSet/identifier-use)
Binding Strength Required

....type0..1CodeableConceptDescription of identifier
Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. (http://hl7.org/fhir/ValueSet/identifier-type)
Binding Strength Extensible

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......system0..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code0..1CodeSymbol in syntax defined by the system

......display0..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....system1..1UriThe namespace for the identifier
Example Value http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri

....value1..1StringThe value that is unique
Example Value 123456

....period0..1PeriodTime period when id is/was valid for use

.....id0..1Idxml:id (or equivalent in JSON)

.....start0..1DateTimeStarting time with inclusive boundary

.....end0..1DateTimeEnd time with inclusive boundary, if not ongoing

....assigner0..1Reference (CareConnect-DCH-Organization-1)Organization that issued id (may be just text)

.....id0..1Idxml:id (or equivalent in JSON)

.....reference0..1StringRelative, internal or absolute URL reference

.....display0..1StringText alternative for the resource

...status1..1Coderegistered | preliminary | final | amended +
Binding Codes providing the status of an observation. (http://hl7.org/fhir/ValueSet/observation-status)
Binding Strength Required

...category0..1CodeableConceptClassification of type of observation
Binding Codes for high level observation categories . (http://hl7.org/fhir/ValueSet/observation-category)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...code1..1CodeableConceptType of observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...subject1..1Reference (Group | Device | CareConnect-DCH-Location-1 | CareConnect-DCH-Patient-1)Who and/or what this is about

....id0..1Idxml:id (or equivalent in JSON)

....reference1..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...encounter1..1Reference (CareConnect-DCH-Encounter-1)Healthcare event during which this observation is made

....id0..1Idxml:id (or equivalent in JSON)

....reference1..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...effective[x]0..1DateTime | PeriodClinically relevant time/time-period for observation

...issued0..1InstantDate/Time this was made available

...performer0..*Reference (RelatedPerson | CareConnect-DCH-Organization-1 | CareConnect-DCH-Practitioner-1 | CareConnect-DCH-Patient-1)Who is responsible for the observation

....id0..1Idxml:id (or equivalent in JSON)

....reference0..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...valueQuantity1..1QuantityActual result

...dataAbsentReason0..1CodeableConceptWhy the result is missing
Binding Codes specifying why the result (Observation.value[x]) is missing. (http://hl7.org/fhir/ValueSet/observation-valueabsentreason)
Binding Strength Extensible

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....system0..1UriIdentity of the terminology system

.....version0..1StringVersion of the system - if relevant

.....code0..1CodeSymbol in syntax defined by the system

.....display0..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...interpretation0..1CodeableConceptHigh, low, normal, etc.
Binding Codes identifying interpretations of observations. (http://hl7.org/fhir/ValueSet/observation-interpretation)
Binding Strength Extensible

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....system0..1UriIdentity of the terminology system

.....version0..1StringVersion of the system - if relevant

.....code0..1CodeSymbol in syntax defined by the system

.....display0..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...comments0..1StringComments about result

...bodySite0..1CodeableConceptObserved body part
Binding Codes describing anatomical locations. May include laterality. (http://hl7.org/fhir/ValueSet/body-site)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...method0..1CodeableConceptHow it was done
Binding Methods for simple observations. (http://hl7.org/fhir/ValueSet/observation-methods)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...specimen0..1Reference (Specimen)Specimen used for this observation

....id0..1Idxml:id (or equivalent in JSON)

....reference0..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...device0..1Reference (Device | DeviceMetric)(Measurement) Device

....id0..1Idxml:id (or equivalent in JSON)

....reference0..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...referenceRange0..*BackboneElementProvides guide for interpretation

....id0..1Idxml:id (or equivalent in JSON)

....low (SimpleQuantity)0..1SimpleQuantityLow Range, if relevant

.....id0..1Idxml:id (or equivalent in JSON)

.....value0..1DecimalNumerical value (with implicit precision)

.....unit0..1StringUnit representation

.....system0..1UriSystem that defines coded unit form

.....code0..1CodeCoded form of the unit

....high (SimpleQuantity)0..1SimpleQuantityHigh Range, if relevant

.....id0..1Idxml:id (or equivalent in JSON)

.....value0..1DecimalNumerical value (with implicit precision)

.....unit0..1StringUnit representation

.....system0..1UriSystem that defines coded unit form

.....code0..1CodeCoded form of the unit

....meaning0..1CodeableConceptIndicates the meaning/use of this range of this range
Binding Code for the meaning of a reference range. (http://hl7.org/fhir/ValueSet/referencerange-meaning)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

.....coding (SNOMED CT)0..1CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....age0..1RangeApplicable age range, if relevant

.....id0..1Idxml:id (or equivalent in JSON)

.....low (SimpleQuantity)0..1SimpleQuantityLow limit

......id0..1Idxml:id (or equivalent in JSON)

......value0..1DecimalNumerical value (with implicit precision)

......unit0..1StringUnit representation

......system0..1UriSystem that defines coded unit form

......code0..1CodeCoded form of the unit

.....high (SimpleQuantity)0..1SimpleQuantityHigh limit

......id0..1Idxml:id (or equivalent in JSON)

......value0..1DecimalNumerical value (with implicit precision)

......unit0..1StringUnit representation

......system0..1UriSystem that defines coded unit form

......code0..1CodeCoded form of the unit

....text0..1StringText based reference range in an observation

...related0..*BackboneElementResource related to this observation

....id0..1Idxml:id (or equivalent in JSON)

....type0..1Codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding Codes specifying how two observations are related. (http://hl7.org/fhir/ValueSet/observation-relationshiptypes)
Binding Strength Required

....target1..1Reference (QuestionnaireResponse | CareConnect-DCH-Observation-1)Resource that is related to this one

.....id0..1Idxml:id (or equivalent in JSON)

.....reference0..1StringRelative, internal or absolute URL reference

.....display0..1StringText alternative for the resource

...component0..*BackboneElementComponent results

....id0..1Idxml:id (or equivalent in JSON)

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://hl7.org/fhir/ValueSet/observation-codes)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

.....coding (SNOMED CT)0..1CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....value[x]0..1Quantity | CodeableConcept | String | Range | Ratio | SampledData | Attachment | Time | DateTime | PeriodActual component result

....dataAbsentReason0..1CodeableConceptWhy the component result is missing
Binding Codes specifying why the result (Observation.value[x]) is missing. (http://hl7.org/fhir/ValueSet/observation-valueabsentreason)
Binding Strength Extensible

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......system0..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code0..1CodeSymbol in syntax defined by the system

......display0..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....referenceRange0..*see referenceRangeProvides guide for interpretation of component result

Name Type Description & Constraints
. . Extension-CareConnect-DCH-ReasonCondition-1 Extension The reason why a resource was added/performed/given. This may be due to a Condition, may be coded entity of some type, or may simply be present as text.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
Path Name Binding Strength ValueSet
.Observation.language language Required http://tools.ietf.org/html/bcp47
.Observation.identifier.use use Required http://hl7.org/fhir/ValueSet/identifier-use
.Observation.identifier.type type Extensible http://hl7.org/fhir/ValueSet/identifier-type
.Observation.status status Required http://hl7.org/fhir/ValueSet/observation-status
.Observation.category category Example http://hl7.org/fhir/ValueSet/observation-category
.Observation.code code Example http://hl7.org/fhir/ValueSet/observation-codes
.Observation.dataAbsentReason dataAbsentReason Extensible http://hl7.org/fhir/ValueSet/observation-valueabsentreason
.Observation.interpretation interpretation Extensible http://hl7.org/fhir/ValueSet/observation-interpretation
.Observation.bodySite bodySite Example http://hl7.org/fhir/ValueSet/body-site
.Observation.method method Example http://hl7.org/fhir/ValueSet/observation-methods
.Observation.referenceRange.meaning meaning Example http://hl7.org/fhir/ValueSet/referencerange-meaning
.Observation.related.type type Required http://hl7.org/fhir/ValueSet/observation-relationshiptypes