description: Profile of Observation for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
package_name: hl7.fhir.us.qicore
derivation: constraint
name: QICoreObservation
type: Observation
elements:
  category: {mustSupport: true, array: true, min: 1, index: 4}
  referenceRange:
    mustSupport: false
    index: 35
    elements:
      low: {mustSupport: false, index: 36}
      high: {mustSupport: false, index: 37}
  derivedFrom:
    type: Reference
    mustSupport: false
    refers: ['http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation']
    index: 38
  interpretation: {mustSupport: true, index: 30}
  encounter:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter']
    index: 7
  method:
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/observation-methods'}
    mustSupport: true
    index: 32
  valueTime:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Actual result
    index: 26
    type: time
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.value[x]'}
    choiceOf: value
    isSummary: true
  specimen:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-specimen']
    index: 33
  valueQuantity:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Actual result
    index: 18
    type: Quantity
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.value[x]'}
    choiceOf: value
    isSummary: true
  value:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Actual result
    mustSupport: true
    choices: [valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueInteger, valueRange, valueRatio, valueSampledData, valueTime, valueDateTime, valuePeriod]
    base: {max: '1', min: 0, path: 'Observation.value[x]'}
    isSummary: true
    index: 17
  valueString:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Actual result
    index: 20
    type: string
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.value[x]'}
    choiceOf: value
    isSummary: true
  valueRatio:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Actual result
    index: 24
    type: Ratio
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.value[x]'}
    choiceOf: value
    isSummary: true
  valueBoolean:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Actual result
    index: 21
    type: boolean
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.value[x]'}
    choiceOf: value
    isSummary: true
  valueDateTime:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Actual result
    index: 27
    type: dateTime
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.value[x]'}
    choiceOf: value
    isSummary: true
  component:
    mustSupport: true
    index: 39
    elements:
      referenceRange: {mustSupport: false, index: 56}
      interpretation: {mustSupport: true, index: 55}
      valueTime:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
        isModifier: false
        short: Actual component result
        index: 51
        type: time
        mustSupport: true
        base: {max: '1', min: 0, path: 'Observation.component.value[x]'}
        choiceOf: value
        isSummary: true
      valueQuantity:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
        isModifier: false
        short: Actual component result
        index: 43
        type: Quantity
        mustSupport: true
        base: {max: '1', min: 0, path: 'Observation.component.value[x]'}
        choiceOf: value
        isSummary: true
      value:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
        isModifier: false
        short: Actual component result
        mustSupport: true
        choices: [valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueInteger, valueRange, valueRatio, valueSampledData, valueTime, valueDateTime, valuePeriod]
        base: {max: '1', min: 0, path: 'Observation.component.value[x]'}
        isSummary: true
        index: 42
      valueString:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
        isModifier: false
        short: Actual component result
        index: 45
        type: string
        mustSupport: true
        base: {max: '1', min: 0, path: 'Observation.component.value[x]'}
        choiceOf: value
        isSummary: true
      valueRatio:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
        isModifier: false
        short: Actual component result
        index: 49
        type: Ratio
        mustSupport: true
        base: {max: '1', min: 0, path: 'Observation.component.value[x]'}
        choiceOf: value
        isSummary: true
      valueBoolean:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
        isModifier: false
        short: Actual component result
        index: 46
        type: boolean
        mustSupport: true
        base: {max: '1', min: 0, path: 'Observation.component.value[x]'}
        choiceOf: value
        isSummary: true
      valueDateTime:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
        isModifier: false
        short: Actual component result
        index: 52
        type: dateTime
        mustSupport: true
        base: {max: '1', min: 0, path: 'Observation.component.value[x]'}
        choiceOf: value
        isSummary: true
      valueSampledData:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
        isModifier: false
        short: Actual component result
        index: 50
        type: SampledData
        mustSupport: true
        base: {max: '1', min: 0, path: 'Observation.component.value[x]'}
        choiceOf: value
        isSummary: true
      code:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
        isModifier: false
        short: Type of component observation (code / type)
        index: 40
        type: CodeableConcept
        mustSupport: true
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/observation-codes'}
        base: {max: '1', min: 1, path: Observation.component.code}
        isSummary: true
      valueCodeableConcept:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
        isModifier: false
        short: Actual component result
        index: 44
        type: CodeableConcept
        mustSupport: true
        base: {max: '1', min: 0, path: 'Observation.component.value[x]'}
        choiceOf: value
        isSummary: true
      valuePeriod:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
        isModifier: false
        short: Actual component result
        index: 53
        type: Period
        mustSupport: true
        base: {max: '1', min: 0, path: 'Observation.component.value[x]'}
        choiceOf: value
        isSummary: true
      valueRange:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
        isModifier: false
        short: Actual component result
        index: 48
        type: Range
        mustSupport: true
        base: {max: '1', min: 0, path: 'Observation.component.value[x]'}
        choiceOf: value
        isSummary: true
      valueInteger:
        constraint:
          ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
        isModifier: false
        short: Actual component result
        index: 47
        type: integer
        mustSupport: true
        base: {max: '1', min: 0, path: 'Observation.component.value[x]'}
        choiceOf: value
        isSummary: true
      dataAbsentReason: {mustSupport: true, index: 54}
    required: [code]
  extension:
    type: Extension
    mustSupport: false
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-observation-body-position'}
    url: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
    index: 0
    slicing:
      slices:
        bodyPosition:
          match: {}
          schema:
            type: Extension
            mustSupport: false
            binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-observation-body-position'}
            url: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
            index: 0
          min: 0
          max: 1
        delta:
          match: {}
          schema:
            type: Extension
            mustSupport: false
            binding: {strength: example, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-observation-delta'}
            url: http://hl7.org/fhir/StructureDefinition/observation-delta
            index: 1
          min: 0
          max: 1
  valueSampledData:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Actual result
    index: 25
    type: SampledData
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.value[x]'}
    choiceOf: value
    isSummary: true
  effectiveDateTime:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Clinically relevant time/time-period for observation
    index: 10
    type: dateTime
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.effective[x]'}
    choiceOf: effective
    isSummary: true
  status: {mustSupport: true, index: 3}
  effective:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Clinically relevant time/time-period for observation
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod, effectiveTiming, effectiveInstant]
    base: {max: '1', min: 0, path: 'Observation.effective[x]'}
    isSummary: true
    index: 9
  code:
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/observation-codes'}
    mustSupport: true
    index: 5
  effectiveTiming:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Clinically relevant time/time-period for observation
    index: 12
    type: Timing
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.effective[x]'}
    choiceOf: effective
    isSummary: true
  valueCodeableConcept:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Actual result
    index: 19
    type: CodeableConcept
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.value[x]'}
    choiceOf: value
    isSummary: true
  bodySite:
    type: CodeableConcept
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/body-site'}
    mustSupport: true
    index: 31
  issued: {mustSupport: true, index: 14}
  valuePeriod:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Actual result
    index: 28
    type: Period
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.value[x]'}
    choiceOf: value
    isSummary: true
  device:
    type: Reference
    mustSupport: false
    refers: ['http://hl7.org/fhir/StructureDefinition/DeviceMetric', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device']
    index: 34
  effectiveInstant:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Clinically relevant time/time-period for observation
    index: 13
    type: instant
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.effective[x]'}
    choiceOf: effective
    isSummary: true
  basedOn: {mustSupport: false, index: 2}
  valueRange:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Actual result
    index: 23
    type: Range
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.value[x]'}
    choiceOf: value
    isSummary: true
  valueInteger:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Actual result
    index: 22
    type: integer
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.value[x]'}
    choiceOf: value
    isSummary: true
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient']
    index: 6
  performer:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson']
    index: 15
  dataAbsentReason: {mustSupport: false, index: 29}
  effectivePeriod:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: Clinically relevant time/time-period for observation
    index: 11
    type: Period
    mustSupport: true
    base: {max: '1', min: 0, path: 'Observation.effective[x]'}
    choiceOf: effective
    isSummary: true
package_version: 5.0.0-ballot
extensions:
  bodyPosition:
    url: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
    min: 0
    max: 1
    type: Extension
    mustSupport: false
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-observation-body-position'}
    index: 0
  delta:
    url: http://hl7.org/fhir/StructureDefinition/observation-delta
    min: 0
    max: 1
    type: Extension
    mustSupport: false
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-observation-delta'}
    index: 1
class: profile
kind: resource
url: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 5.0.0-ballot
required: [subject, category]