Nictiz FHIR NL R4 Zib2020
0.9.0 - CI Build
Nictiz FHIR NL R4 Zib2020
0.9.0 - CI Build
Nictiz FHIR NL R4 Zib2020 - Local Development build (v0.9.0). See the Directory of published versions
| Official URL: http://nictiz.nl/fhir/StructureDefinition/zib-Refraction | Version: 0.9.0 | |||
| Draft as of 2023-10-17 | Computable Name: ZibRefraction | |||
Copyright/Legal: Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise. |
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The refraction measurement is a measurement with which the refractive error of the eye is determined. During the refraction measurement, the necessary correction is established: the spherical power (in diopters), the cylindrical power (in diopters), the axis direction (in degrees) for any cylindrical correction, the prism (in prism diopters) and any additional power of the reading area (in diopters), the so-called reading addition.
This Observation resource represents the Dutch zib (‘Zorginformatiebouwsteen’, i.e. Health and Care Information Model) Refraction v1.0 (2020).
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | C | 0..* | Observation | This is an abstract profile. Child profiles: NlcoreRefraction Refraction zib-Refraction-1: When component:cylindricalRefractionValue is present, component:cylindricalRefractionAxis should also be present. zib-Refraction-2: When component:cylindricalRefractionAxis is present, component:cylindricalRefractionValue should also be present. zib-Refraction-3: When component:prismValue is present, component:prismBase should also be present. zib-Refraction-4: When component:prismBase is present, component:prismValue should also be present. zib-Refraction-5: When component:sphericalEquivalent is present, component:sphericalRefractionValue should also be present. |
  code | 1..1 | CodeableConcept | Type of observation (code / type) Required Pattern: At least the following | |
   coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
  system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251718005 | |
 Slices for effective[x] | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
  effective[x]:effectiveDateTime | 0..1 | dateTime | RefractionDateTime | |
 bodySite | 0..1 | ZibAnatomicalLocation | AnatomicalLocation Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81745001 | |
| extension:laterality | 0..1 | ExtAnatomicalLocationLaterality | Optional Extensions Element | |
 value[x] | 0..1 | CodeableConcept | Laterality Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2--20200901000000 (required) | |
| method | 0..1 | CodeableConcept | RefractionMeasurementMethod Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1--20200901000000 (extensible) | |
| Slices for component | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code | |
 component:cylindricalRefractionValue | C | 0..1 | BackboneElement | Component results |
  code | C | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251797004 | |
 value[x] | C | 0..1 | Quantity | CylindricalRefractionValue Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| component:cylindricalRefractionAxis | C | 0..1 | BackboneElement | Component results |
| code | C | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251799001 | |
| value[x] | C | 0..1 | Quantity | CylindricalRefractionAxis Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: deg | |
| component:prismValue | C | 0..1 | BackboneElement | Component results |
| code | C | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251762001 | |
| value[x] | C | 0..1 | Quantity | PrismValue Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [p'diop] | |
| component:prismBase | C | 0..1 | BackboneElement | Component results |
| code | C | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 246223004 | |
| value[x] | C | 0..1 | Quantity | PrismBase Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: deg | |
| component:sphericalRefractionValue | C | 0..1 | BackboneElement | Component results |
| code | C | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251795007 | |
| value[x] | C | 0..1 | Quantity | SphericalRefractionValue Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| component:sphericalEquivalent | C | 0..1 | BackboneElement | Component results |
| code | C | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 112881000146107 | |
| value[x] | C | 0..1 | Quantity | SphericalEquivalent Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
 component:readAddition | 0..1 | BackboneElement | Component results | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251718005 | |
| value[x] | 0..1 | Quantity | ReadAddition Required Pattern: At least the following | |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.bodySite.extension:laterality.value[x] | required | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2--20200901000000 |
| Observation.method | extensible | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1--20200901000000 |
| Id | Grade | Path(s) | Details | Requirements |
| zib-Refraction-1 | error | Observation | When component:cylindricalRefractionValue is present, component:cylindricalRefractionAxis should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251797004').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251799001').exists() | |
| zib-Refraction-2 | error | Observation | When component:cylindricalRefractionAxis is present, component:cylindricalRefractionValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251799001').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251797004').exists() | |
| zib-Refraction-3 | error | Observation | When component:prismValue is present, component:prismBase should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251762001').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '246223004').exists() | |
| zib-Refraction-4 | error | Observation | When component:prismBase is present, component:prismValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '246223004').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251762001').exists() | |
| zib-Refraction-5 | error | Observation | When component:sphericalEquivalent is present, component:sphericalRefractionValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '112881000146107').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251795007').exists() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | This is an abstract profile. Child profiles: NlcoreRefraction Refraction zib-Refraction-1: When component:cylindricalRefractionValue is present, component:cylindricalRefractionAxis should also be present. zib-Refraction-2: When component:cylindricalRefractionAxis is present, component:cylindricalRefractionValue should also be present. zib-Refraction-3: When component:prismValue is present, component:prismBase should also be present. zib-Refraction-4: When component:prismBase is present, component:prismValue should also be present. zib-Refraction-5: When component:sphericalEquivalent is present, component:sphericalRefractionValue should also be present. |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251718005 | |
| Slices for effective[x] | Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
 effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| effectiveTiming | Timing | |||
| effectiveInstant | instant | |||
| effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | RefractionDateTime |
| bodySite | 0..1 | ZibAnatomicalLocation | AnatomicalLocation Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81745001 | |
| laterality | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000 (required) | |
 url | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality" | |
| value[x] | 0..1 | CodeableConcept | Laterality Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2--20200901000000 (required) | |
| method | 0..1 | CodeableConcept | RefractionMeasurementMethod Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1--20200901000000 (extensible) | |
| Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value: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:cylindricalRefractionValue | ΣC | 0..1 | BackboneElement | Component results |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251797004 | |
| value[x] | ΣC | 0..1 | Quantity | CylindricalRefractionValue Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| component:cylindricalRefractionAxis | ΣC | 0..1 | BackboneElement | Component results |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251799001 | |
| value[x] | ΣC | 0..1 | Quantity | CylindricalRefractionAxis Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: deg | |
| component:prismValue | ΣC | 0..1 | BackboneElement | Component results |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251762001 | |
| value[x] | ΣC | 0..1 | Quantity | PrismValue Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [p'diop] | |
| component:prismBase | ΣC | 0..1 | BackboneElement | Component results |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 246223004 | |
| value[x] | ΣC | 0..1 | Quantity | PrismBase Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: deg | |
| component:sphericalRefractionValue | ΣC | 0..1 | BackboneElement | Component results |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251795007 | |
| value[x] | ΣC | 0..1 | Quantity | SphericalRefractionValue Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| component:sphericalEquivalent | ΣC | 0..1 | BackboneElement | Component results |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 112881000146107 | |
| value[x] | ΣC | 0..1 | Quantity | SphericalEquivalent Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| component:readAddition | 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: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251718005 | |
| value[x] | Σ | 0..1 | Quantity | ReadAddition Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.status | required | ObservationStatus |
| Observation.code | example | Pattern: SNOMED CT code 251718005 |
| Observation.bodySite | example | Pattern: SNOMED CT code 81745001 |
| Observation.bodySite.extension:laterality.value[x] | required | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2--20200901000000 |
| Observation.method | extensible | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1--20200901000000 |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component:cylindricalRefractionValue.code | example | Pattern: SNOMED CT code 251797004 |
| Observation.component:cylindricalRefractionAxis.code | example | Pattern: SNOMED CT code 251799001 |
| Observation.component:prismValue.code | example | Pattern: SNOMED CT code 251762001 |
| Observation.component:prismBase.code | example | Pattern: SNOMED CT code 246223004 |
| Observation.component:sphericalRefractionValue.code | example | Pattern: SNOMED CT code 251795007 |
| Observation.component:sphericalEquivalent.code | example | Pattern: SNOMED CT code 112881000146107 |
| Observation.component:readAddition.code | example | Pattern: SNOMED CT code 251718005 |
| Id | Grade | Path(s) | Details | Requirements |
| 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() | |
| zib-Refraction-1 | error | Observation | When component:cylindricalRefractionValue is present, component:cylindricalRefractionAxis should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251797004').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251799001').exists() | |
| zib-Refraction-2 | error | Observation | When component:cylindricalRefractionAxis is present, component:cylindricalRefractionValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251799001').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251797004').exists() | |
| zib-Refraction-3 | error | Observation | When component:prismValue is present, component:prismBase should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251762001').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '246223004').exists() | |
| zib-Refraction-4 | error | Observation | When component:prismBase is present, component:prismValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '246223004').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251762001').exists() | |
| zib-Refraction-5 | error | Observation | When component:sphericalEquivalent is present, component:sphericalRefractionValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '112881000146107').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251795007').exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | Observation | This is an abstract profile. Child profiles: NlcoreRefraction Refraction zib-Refraction-1: When component:cylindricalRefractionValue is present, component:cylindricalRefractionAxis should also be present. zib-Refraction-2: When component:cylindricalRefractionAxis is present, component:cylindricalRefractionValue should also be present. zib-Refraction-3: When component:prismValue is present, component:prismBase should also be present. zib-Refraction-4: When component:prismBase is present, component:prismValue should also be present. zib-Refraction-5: When component:sphericalEquivalent is present, component:sphericalRefractionValue should also be present. | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
 basedOn | Σ | 0..* | Reference(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. | ||||
| category | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251718005 | |||||
| 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 | |||||
| subject | Σ | 0..1 | Reference(Patient | Group | Device | Location) | Who and/or what the observation is about | ||||
| focus | ΣTU | 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 | ||||
| Slices for effective[x] | Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | RefractionDateTime | ||||
| 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] | 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 | ZibAnatomicalLocation | AnatomicalLocation Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Required Pattern: At least the following | |||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81745001 | |||||
| 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 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| laterality | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000 (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 | |||||
| url | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality" | |||||
| value[x] | 0..1 | CodeableConcept | Laterality Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2--20200901000000 (required) | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| method | 0..1 | CodeableConcept | RefractionMeasurementMethod Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1--20200901000000 (extensible) | |||||
| 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 | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high | C | 0..1 | SimpleQuantity | 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..* | BackboneElement | Component results Slice: Unordered, Open by value: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:cylindricalRefractionValue | ΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251797004 | |||||
| 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 | |||||
| value[x] | ΣC | 0..1 | Quantity | CylindricalRefractionValue Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |||||
| 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:cylindricalRefractionAxis | ΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251799001 | |||||
| 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 | |||||
| value[x] | ΣC | 0..1 | Quantity | CylindricalRefractionAxis Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: deg | |||||
| 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:prismValue | ΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251762001 | |||||
| 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 | |||||
| value[x] | ΣC | 0..1 | Quantity | PrismValue Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: [p'diop] | |||||
| 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:prismBase | ΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 246223004 | |||||
| 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 | |||||
| value[x] | ΣC | 0..1 | Quantity | PrismBase Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: deg | |||||
| 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:sphericalRefractionValue | ΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251795007 | |||||
| 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 | |||||
| value[x] | ΣC | 0..1 | Quantity | SphericalRefractionValue Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |||||
| 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:sphericalEquivalent | ΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 112881000146107 | |||||
| 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 | |||||
| value[x] | ΣC | 0..1 | Quantity | SphericalEquivalent Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |||||
| 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:readAddition | 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: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251718005 | |||||
| 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 | |||||
| value[x] | Σ | 0..1 | Quantity | ReadAddition Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | example | Pattern: SNOMED CT code 251718005 | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.bodySite | example | Pattern: SNOMED CT code 81745001 | ||||
| Observation.bodySite.extension:laterality.value[x] | required | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2--20200901000000 | ||||
| Observation.method | extensible | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1--20200901000000 | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:cylindricalRefractionValue.code | example | Pattern: SNOMED CT code 251797004 | ||||
| Observation.component:cylindricalRefractionValue.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:cylindricalRefractionValue.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:cylindricalRefractionAxis.code | example | Pattern: SNOMED CT code 251799001 | ||||
| Observation.component:cylindricalRefractionAxis.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:cylindricalRefractionAxis.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:prismValue.code | example | Pattern: SNOMED CT code 251762001 | ||||
| Observation.component:prismValue.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:prismValue.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:prismBase.code | example | Pattern: SNOMED CT code 246223004 | ||||
| Observation.component:prismBase.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:prismBase.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:sphericalRefractionValue.code | example | Pattern: SNOMED CT code 251795007 | ||||
| Observation.component:sphericalRefractionValue.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:sphericalRefractionValue.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:sphericalEquivalent.code | example | Pattern: SNOMED CT code 112881000146107 | ||||
| Observation.component:sphericalEquivalent.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:sphericalEquivalent.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:readAddition.code | example | Pattern: SNOMED CT code 251718005 | ||||
| Observation.component:readAddition.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:readAddition.interpretation | extensible | ObservationInterpretationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| 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() | |
| zib-Refraction-1 | error | Observation | When component:cylindricalRefractionValue is present, component:cylindricalRefractionAxis should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251797004').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251799001').exists() | |
| zib-Refraction-2 | error | Observation | When component:cylindricalRefractionAxis is present, component:cylindricalRefractionValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251799001').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251797004').exists() | |
| zib-Refraction-3 | error | Observation | When component:prismValue is present, component:prismBase should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251762001').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '246223004').exists() | |
| zib-Refraction-4 | error | Observation | When component:prismBase is present, component:prismValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '246223004').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251762001').exists() | |
| zib-Refraction-5 | error | Observation | When component:sphericalEquivalent is present, component:sphericalRefractionValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '112881000146107').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251795007').exists() |
This structure is derived from Observation
Summary
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | This is an abstract profile. Child profiles: NlcoreRefraction Refraction zib-Refraction-1: When component:cylindricalRefractionValue is present, component:cylindricalRefractionAxis should also be present. zib-Refraction-2: When component:cylindricalRefractionAxis is present, component:cylindricalRefractionValue should also be present. zib-Refraction-3: When component:prismValue is present, component:prismBase should also be present. zib-Refraction-4: When component:prismBase is present, component:prismValue should also be present. zib-Refraction-5: When component:sphericalEquivalent is present, component:sphericalRefractionValue should also be present. |
| code | 1..1 | CodeableConcept | Type of observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251718005 | |
| Slices for effective[x] | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
| effective[x]:effectiveDateTime | 0..1 | dateTime | RefractionDateTime | |
| bodySite | 0..1 | ZibAnatomicalLocation | AnatomicalLocation Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81745001 | |
| extension:laterality | 0..1 | ExtAnatomicalLocationLaterality | Optional Extensions Element | |
| value[x] | 0..1 | CodeableConcept | Laterality Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2--20200901000000 (required) | |
| method | 0..1 | CodeableConcept | RefractionMeasurementMethod Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1--20200901000000 (extensible) | |
| Slices for component | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code | |
| component:cylindricalRefractionValue | C | 0..1 | BackboneElement | Component results |
| code | C | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251797004 | |
| value[x] | C | 0..1 | Quantity | CylindricalRefractionValue Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| component:cylindricalRefractionAxis | C | 0..1 | BackboneElement | Component results |
| code | C | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251799001 | |
| value[x] | C | 0..1 | Quantity | CylindricalRefractionAxis Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: deg | |
| component:prismValue | C | 0..1 | BackboneElement | Component results |
| code | C | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251762001 | |
| value[x] | C | 0..1 | Quantity | PrismValue Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [p'diop] | |
| component:prismBase | C | 0..1 | BackboneElement | Component results |
| code | C | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 246223004 | |
| value[x] | C | 0..1 | Quantity | PrismBase Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: deg | |
| component:sphericalRefractionValue | C | 0..1 | BackboneElement | Component results |
| code | C | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251795007 | |
| value[x] | C | 0..1 | Quantity | SphericalRefractionValue Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| component:sphericalEquivalent | C | 0..1 | BackboneElement | Component results |
| code | C | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 112881000146107 | |
| value[x] | C | 0..1 | Quantity | SphericalEquivalent Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| component:readAddition | 0..1 | BackboneElement | Component results | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251718005 | |
| value[x] | 0..1 | Quantity | ReadAddition Required Pattern: At least the following | |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.bodySite.extension:laterality.value[x] | required | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2--20200901000000 |
| Observation.method | extensible | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1--20200901000000 |
| Id | Grade | Path(s) | Details | Requirements |
| zib-Refraction-1 | error | Observation | When component:cylindricalRefractionValue is present, component:cylindricalRefractionAxis should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251797004').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251799001').exists() | |
| zib-Refraction-2 | error | Observation | When component:cylindricalRefractionAxis is present, component:cylindricalRefractionValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251799001').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251797004').exists() | |
| zib-Refraction-3 | error | Observation | When component:prismValue is present, component:prismBase should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251762001').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '246223004').exists() | |
| zib-Refraction-4 | error | Observation | When component:prismBase is present, component:prismValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '246223004').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251762001').exists() | |
| zib-Refraction-5 | error | Observation | When component:sphericalEquivalent is present, component:sphericalRefractionValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '112881000146107').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251795007').exists() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | This is an abstract profile. Child profiles: NlcoreRefraction Refraction zib-Refraction-1: When component:cylindricalRefractionValue is present, component:cylindricalRefractionAxis should also be present. zib-Refraction-2: When component:cylindricalRefractionAxis is present, component:cylindricalRefractionValue should also be present. zib-Refraction-3: When component:prismValue is present, component:prismBase should also be present. zib-Refraction-4: When component:prismBase is present, component:prismValue should also be present. zib-Refraction-5: When component:sphericalEquivalent is present, component:sphericalRefractionValue should also be present. |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251718005 | |
| Slices for effective[x] | Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| effectiveTiming | Timing | |||
| effectiveInstant | instant | |||
| effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | RefractionDateTime |
| bodySite | 0..1 | ZibAnatomicalLocation | AnatomicalLocation Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81745001 | |
| laterality | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000 (required) | |
| url | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality" | |
| value[x] | 0..1 | CodeableConcept | Laterality Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2--20200901000000 (required) | |
| method | 0..1 | CodeableConcept | RefractionMeasurementMethod Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1--20200901000000 (extensible) | |
| Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value: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:cylindricalRefractionValue | ΣC | 0..1 | BackboneElement | Component results |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251797004 | |
| value[x] | ΣC | 0..1 | Quantity | CylindricalRefractionValue Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| component:cylindricalRefractionAxis | ΣC | 0..1 | BackboneElement | Component results |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251799001 | |
| value[x] | ΣC | 0..1 | Quantity | CylindricalRefractionAxis Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: deg | |
| component:prismValue | ΣC | 0..1 | BackboneElement | Component results |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251762001 | |
| value[x] | ΣC | 0..1 | Quantity | PrismValue Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [p'diop] | |
| component:prismBase | ΣC | 0..1 | BackboneElement | Component results |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 246223004 | |
| value[x] | ΣC | 0..1 | Quantity | PrismBase Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: deg | |
| component:sphericalRefractionValue | ΣC | 0..1 | BackboneElement | Component results |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251795007 | |
| value[x] | ΣC | 0..1 | Quantity | SphericalRefractionValue Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| component:sphericalEquivalent | ΣC | 0..1 | BackboneElement | Component results |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 112881000146107 | |
| value[x] | ΣC | 0..1 | Quantity | SphericalEquivalent Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| component:readAddition | 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: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251718005 | |
| value[x] | Σ | 0..1 | Quantity | ReadAddition Required Pattern: At least the following |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.status | required | ObservationStatus |
| Observation.code | example | Pattern: SNOMED CT code 251718005 |
| Observation.bodySite | example | Pattern: SNOMED CT code 81745001 |
| Observation.bodySite.extension:laterality.value[x] | required | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2--20200901000000 |
| Observation.method | extensible | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1--20200901000000 |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component:cylindricalRefractionValue.code | example | Pattern: SNOMED CT code 251797004 |
| Observation.component:cylindricalRefractionAxis.code | example | Pattern: SNOMED CT code 251799001 |
| Observation.component:prismValue.code | example | Pattern: SNOMED CT code 251762001 |
| Observation.component:prismBase.code | example | Pattern: SNOMED CT code 246223004 |
| Observation.component:sphericalRefractionValue.code | example | Pattern: SNOMED CT code 251795007 |
| Observation.component:sphericalEquivalent.code | example | Pattern: SNOMED CT code 112881000146107 |
| Observation.component:readAddition.code | example | Pattern: SNOMED CT code 251718005 |
| Id | Grade | Path(s) | Details | Requirements |
| 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() | |
| zib-Refraction-1 | error | Observation | When component:cylindricalRefractionValue is present, component:cylindricalRefractionAxis should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251797004').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251799001').exists() | |
| zib-Refraction-2 | error | Observation | When component:cylindricalRefractionAxis is present, component:cylindricalRefractionValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251799001').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251797004').exists() | |
| zib-Refraction-3 | error | Observation | When component:prismValue is present, component:prismBase should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251762001').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '246223004').exists() | |
| zib-Refraction-4 | error | Observation | When component:prismBase is present, component:prismValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '246223004').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251762001').exists() | |
| zib-Refraction-5 | error | Observation | When component:sphericalEquivalent is present, component:sphericalRefractionValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '112881000146107').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251795007').exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | Observation | This is an abstract profile. Child profiles: NlcoreRefraction Refraction zib-Refraction-1: When component:cylindricalRefractionValue is present, component:cylindricalRefractionAxis should also be present. zib-Refraction-2: When component:cylindricalRefractionAxis is present, component:cylindricalRefractionValue should also be present. zib-Refraction-3: When component:prismValue is present, component:prismBase should also be present. zib-Refraction-4: When component:prismBase is present, component:prismValue should also be present. zib-Refraction-5: When component:sphericalEquivalent is present, component:sphericalRefractionValue should also be present. | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(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. | ||||
| category | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251718005 | |||||
| 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 | |||||
| subject | Σ | 0..1 | Reference(Patient | Group | Device | Location) | Who and/or what the observation is about | ||||
| focus | ΣTU | 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 | ||||
| Slices for effective[x] | Σ | 0..1 | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | RefractionDateTime | ||||
| 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] | 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 | ZibAnatomicalLocation | AnatomicalLocation Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Required Pattern: At least the following | |||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81745001 | |||||
| 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 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| laterality | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000 (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 | |||||
| url | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality" | |||||
| value[x] | 0..1 | CodeableConcept | Laterality Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2--20200901000000 (required) | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| method | 0..1 | CodeableConcept | RefractionMeasurementMethod Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1--20200901000000 (extensible) | |||||
| 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 | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high | C | 0..1 | SimpleQuantity | 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..* | BackboneElement | Component results Slice: Unordered, Open by value: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:cylindricalRefractionValue | ΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251797004 | |||||
| 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 | |||||
| value[x] | ΣC | 0..1 | Quantity | CylindricalRefractionValue Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |||||
| 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:cylindricalRefractionAxis | ΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251799001 | |||||
| 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 | |||||
| value[x] | ΣC | 0..1 | Quantity | CylindricalRefractionAxis Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: deg | |||||
| 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:prismValue | ΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251762001 | |||||
| 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 | |||||
| value[x] | ΣC | 0..1 | Quantity | PrismValue Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: [p'diop] | |||||
| 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:prismBase | ΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 246223004 | |||||
| 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 | |||||
| value[x] | ΣC | 0..1 | Quantity | PrismBase Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: deg | |||||
| 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:sphericalRefractionValue | ΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251795007 | |||||
| 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 | |||||
| value[x] | ΣC | 0..1 | Quantity | SphericalRefractionValue Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |||||
| 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:sphericalEquivalent | ΣC | 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 | ΣC | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 112881000146107 | |||||
| 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 | |||||
| value[x] | ΣC | 0..1 | Quantity | SphericalEquivalent Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |||||
| 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:readAddition | 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: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| 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 Fixed Value: (complex) | |||||
| 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 Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 251718005 | |||||
| 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 | |||||
| value[x] | Σ | 0..1 | Quantity | ReadAddition Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| value | 0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator | 0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit | 0..1 | string | Unit representation | |||||
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code | 1..1 | code | Coded form of the unit Fixed Value: [diop] | |||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | example | Pattern: SNOMED CT code 251718005 | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.bodySite | example | Pattern: SNOMED CT code 81745001 | ||||
| Observation.bodySite.extension:laterality.value[x] | required | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2--20200901000000 | ||||
| Observation.method | extensible | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1--20200901000000 | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:cylindricalRefractionValue.code | example | Pattern: SNOMED CT code 251797004 | ||||
| Observation.component:cylindricalRefractionValue.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:cylindricalRefractionValue.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:cylindricalRefractionAxis.code | example | Pattern: SNOMED CT code 251799001 | ||||
| Observation.component:cylindricalRefractionAxis.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:cylindricalRefractionAxis.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:prismValue.code | example | Pattern: SNOMED CT code 251762001 | ||||
| Observation.component:prismValue.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:prismValue.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:prismBase.code | example | Pattern: SNOMED CT code 246223004 | ||||
| Observation.component:prismBase.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:prismBase.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:sphericalRefractionValue.code | example | Pattern: SNOMED CT code 251795007 | ||||
| Observation.component:sphericalRefractionValue.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:sphericalRefractionValue.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:sphericalEquivalent.code | example | Pattern: SNOMED CT code 112881000146107 | ||||
| Observation.component:sphericalEquivalent.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:sphericalEquivalent.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:readAddition.code | example | Pattern: SNOMED CT code 251718005 | ||||
| Observation.component:readAddition.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:readAddition.interpretation | extensible | ObservationInterpretationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| 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() | |
| zib-Refraction-1 | error | Observation | When component:cylindricalRefractionValue is present, component:cylindricalRefractionAxis should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251797004').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251799001').exists() | |
| zib-Refraction-2 | error | Observation | When component:cylindricalRefractionAxis is present, component:cylindricalRefractionValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251799001').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251797004').exists() | |
| zib-Refraction-3 | error | Observation | When component:prismValue is present, component:prismBase should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '251762001').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '246223004').exists() | |
| zib-Refraction-4 | error | Observation | When component:prismBase is present, component:prismValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '246223004').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251762001').exists() | |
| zib-Refraction-5 | error | Observation | When component:sphericalEquivalent is present, component:sphericalRefractionValue should also be present. : component.code.coding.where(system = 'http://snomed.info/sct' and code = '112881000146107').exists() implies component.code.coding.where(system = 'http://snomed.info/sct' and code = '251795007').exists() |
This structure is derived from Observation
Summary
Structures
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Slices
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