HEARTLAND Protocol

HEARTLAND Protocol FHIR Implementation Guide
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HEARTLAND Protocol FHIR Implementation Guide - Compilação de desenvolvimento local (v0.1.0) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas

Resource Profile: HEARTLAND Remote Monitoring Observation

Official URL: https://fhir.heartlandprotocol.org/StructureDefinition/heartland-remote-monitoring-observation Version: 0.1.0
Active as of 2026-04-16 Computable Name: HeartlandRemoteMonitoringObservation

Observation captured via the HEARTLAND remote monitoring kit (Module 5): body weight, blood pressure (systolic/diastolic), or oxygen saturation. Red-flag thresholds are encoded via Observation.referenceRange with meaning.text identifying the rule. Default thresholds (HEARTLAND v3.2 standard, configurable per program): weight gain >=2 lb (0.9 kg)/24h or >=5 lb (2.3 kg)/7d; SBP <90 or >180 mmHg; DBP <50 or >110 mmHg; SpO2 <90% on room air. Per the human filter principle, all non-emergency alerts pass through licensed clinician telephone assessment before ED referral.

Usos:

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.

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Vínculo: ObservationStatus (required): Codes providing the status of an observation.
.... category:vsCat S 1..1 CodeableConcept Classification of type of observation
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Padrão necessário: Pelo menos os seguintes elementos
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Valor fixo: (complexo)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Valor fixo: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Valor fixo: vital-signs
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Vínculo: HEARTLAND Monitoring Observation Code Value Set (extensible)
... subject SΣ 1..1 Reference(HEARTLAND Patient | Patient) Who and/or what the observation is about
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... value[x] SΣC 0..1 Quantity Actual result
... device S 0..1 Reference(Device) (Measurement) Device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text S 0..1 string Text based reference range in an observation

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.status Base required ObservationStatus 📍4.0.1 a norma FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.category:vsCat Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.code Base extensible HEARTLAND Monitoring Observation Code Value Set 📦0.1.0 este IG

Restrições

Id Grau Caminho(s) Descrição Expressão
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()

This structure is derived from Observation

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. Observation 0..* Observation Measurements and simple assertions
... status S 1..1 code registered | preliminary | final | amended +
... Fatias para category S 1..* CodeableConcept Classification of type of observation
Fatia: Não ordenado, Aberto por pattern:$this
.... category:vsCat S 1..1 CodeableConcept Classification of type of observation
Padrão necessário: Pelo menos os seguintes elementos
..... coding 1..* Coding Code defined by a terminology system
Valor fixo: (complexo)
...... system 1..1 uri Identity of the terminology system
Valor fixo: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Valor fixo: vital-signs
... code S 1..1 CodeableConcept Type of observation (code / type)
Vínculo: HEARTLAND Monitoring Observation Code Value Set (extensible)
... effective[x] S 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... value[x] S 0..1 Quantity Actual result
... device S 0..1 Reference(Device) (Measurement) Device
... referenceRange S 0..* BackboneElement Provides guide for interpretation
.... text S 0..1 string Text based reference range in an observation

doco Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.code Base extensible HEARTLAND Monitoring Observation Code Value Set 📦0.1.0 este IG
NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... 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
Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionaisObjetivo
AllLanguages Vínculo máximo
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(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 ?!SΣ 1..1 code registered | preliminary | final | amended +
Vínculo: ObservationStatus (required): Codes providing the status of an observation.
... Fatias para category S 1..* CodeableConcept Classification of type of observation
Fatia: Não ordenado, Aberto por pattern:$this
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:vsCat S 1..1 CodeableConcept Classification of type of observation
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Padrão necessário: Pelo menos os seguintes elementos
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Valor fixo: (complexo)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Valor fixo: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Valor fixo: vital-signs
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Vínculo: HEARTLAND Monitoring Observation Code Value Set (extensible)
... subject SΣ 1..1 Reference(HEARTLAND Patient | 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] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] SΣC 0..1 Quantity Actual result
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Vínculo: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device S 0..1 Reference(Device) (Measurement) Device
... referenceRange SC 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
Vínculo: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Vínculo: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text S 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
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Vínculo: 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
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* Ver referenceRange (Observation) Provides guide for interpretation of component result

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.language Base preferred Common Languages 📍4.0.1 a norma FHIR
Observation.status Base required ObservationStatus 📍4.0.1 a norma FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.category:vsCat Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.code Base extensible HEARTLAND Monitoring Observation Code Value Set 📦0.1.0 este IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 a norma FHIR
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 a norma FHIR
Observation.method Base example Observation Methods 📍4.0.1 a norma FHIR
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 a norma FHIR
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 a norma FHIR
Observation.component.​code Base example LOINC Codes 📍4.0.1 a norma FHIR
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
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()

This structure is derived from Observation

Resumo

Obrigatório: 4 elementos
Deve ser suportado: 10 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

Fatias

Esta estrutura define os seguintes Slices:

  • The element 1 is sliced based on the value of Observation.category

Key Elements View

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Vínculo: ObservationStatus (required): Codes providing the status of an observation.
.... category:vsCat S 1..1 CodeableConcept Classification of type of observation
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Padrão necessário: Pelo menos os seguintes elementos
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Valor fixo: (complexo)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Valor fixo: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Valor fixo: vital-signs
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Vínculo: HEARTLAND Monitoring Observation Code Value Set (extensible)
... subject SΣ 1..1 Reference(HEARTLAND Patient | Patient) Who and/or what the observation is about
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... value[x] SΣC 0..1 Quantity Actual result
... device S 0..1 Reference(Device) (Measurement) Device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text S 0..1 string Text based reference range in an observation

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.status Base required ObservationStatus 📍4.0.1 a norma FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.category:vsCat Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.code Base extensible HEARTLAND Monitoring Observation Code Value Set 📦0.1.0 este IG

Restrições

Id Grau Caminho(s) Descrição Expressão
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()

Differential View

This structure is derived from Observation

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. Observation 0..* Observation Measurements and simple assertions
... status S 1..1 code registered | preliminary | final | amended +
... Fatias para category S 1..* CodeableConcept Classification of type of observation
Fatia: Não ordenado, Aberto por pattern:$this
.... category:vsCat S 1..1 CodeableConcept Classification of type of observation
Padrão necessário: Pelo menos os seguintes elementos
..... coding 1..* Coding Code defined by a terminology system
Valor fixo: (complexo)
...... system 1..1 uri Identity of the terminology system
Valor fixo: http://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Valor fixo: vital-signs
... code S 1..1 CodeableConcept Type of observation (code / type)
Vínculo: HEARTLAND Monitoring Observation Code Value Set (extensible)
... effective[x] S 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... value[x] S 0..1 Quantity Actual result
... device S 0..1 Reference(Device) (Measurement) Device
... referenceRange S 0..* BackboneElement Provides guide for interpretation
.... text S 0..1 string Text based reference range in an observation

doco Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.code Base extensible HEARTLAND Monitoring Observation Code Value Set 📦0.1.0 este IG

Snapshot View

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... 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
Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionaisObjetivo
AllLanguages Vínculo máximo
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(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 ?!SΣ 1..1 code registered | preliminary | final | amended +
Vínculo: ObservationStatus (required): Codes providing the status of an observation.
... Fatias para category S 1..* CodeableConcept Classification of type of observation
Fatia: Não ordenado, Aberto por pattern:$this
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:vsCat S 1..1 CodeableConcept Classification of type of observation
Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Padrão necessário: Pelo menos os seguintes elementos
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Valor fixo: (complexo)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Valor fixo: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Valor fixo: vital-signs
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Vínculo: HEARTLAND Monitoring Observation Code Value Set (extensible)
... subject SΣ 1..1 Reference(HEARTLAND Patient | 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] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] SΣC 0..1 Quantity Actual result
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Vínculo: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device S 0..1 Reference(Device) (Measurement) Device
... referenceRange SC 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
Vínculo: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Vínculo: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text S 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
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Vínculo: 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
Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* Ver referenceRange (Observation) Provides guide for interpretation of component result

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Observation.language Base preferred Common Languages 📍4.0.1 a norma FHIR
Observation.status Base required ObservationStatus 📍4.0.1 a norma FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.category:vsCat Base preferred Observation Category Codes 📍4.0.1 a norma FHIR
Observation.code Base extensible HEARTLAND Monitoring Observation Code Value Set 📦0.1.0 este IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 a norma FHIR
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 a norma FHIR
Observation.method Base example Observation Methods 📍4.0.1 a norma FHIR
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 a norma FHIR
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 a norma FHIR
Observation.component.​code Base example LOINC Codes 📍4.0.1 a norma FHIR
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 a norma FHIR
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
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()

This structure is derived from Observation

Resumo

Obrigatório: 4 elementos
Deve ser suportado: 10 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

Fatias

Esta estrutura define os seguintes Slices:

  • The element 1 is sliced based on the value of Observation.category

 

Other representations of profile: CSV, Excel, Schematron