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: 3} referenceRange: mustSupport: false index: 37 elements: low: {mustSupport: false, index: 38} high: {mustSupport: false, index: 39} derivedFrom: type: Reference mustSupport: false refers: ['http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation'] index: 40 interpretation: {mustSupport: true, index: 32} encounter: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter'] index: 6 method: binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/observation-methods'} mustSupport: true index: 34 valueTime: isModifier: false short: Actual result type: time mustSupport: true base: {max: '1', min: 0, path: 'Observation.value[x]'} choiceOf: value isSummary: true index: 25 specimen: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-specimen'] index: 35 valueQuantity: isModifier: false short: Actual result type: Quantity mustSupport: true base: {max: '1', min: 0, path: 'Observation.value[x]'} choiceOf: value isSummary: true index: 17 value: base: {max: '1', min: 0, path: 'Observation.value[x]'} isModifier: false mustSupport: true choices: [valueCodeableConcept] index: 29 slicing: slices: valueCodeableConcept: match: {} schema: base: {max: '1', min: 0, path: 'Observation.value[x]'} isModifier: false mustSupport: true choices: [valueCodeableConcept] index: 29 valueString: isModifier: false short: Actual result type: string mustSupport: true base: {max: '1', min: 0, path: 'Observation.value[x]'} choiceOf: value isSummary: true index: 19 valueRatio: isModifier: false short: Actual result type: Ratio mustSupport: true base: {max: '1', min: 0, path: 'Observation.value[x]'} choiceOf: value isSummary: true index: 23 valueBoolean: isModifier: false short: Actual result type: boolean mustSupport: true base: {max: '1', min: 0, path: 'Observation.value[x]'} choiceOf: value isSummary: true index: 20 valueDateTime: isModifier: false short: Actual result type: dateTime mustSupport: true base: {max: '1', min: 0, path: 'Observation.value[x]'} choiceOf: value isSummary: true index: 26 component: mustSupport: true index: 41 elements: referenceRange: {mustSupport: false, index: 58} interpretation: {mustSupport: true, index: 57} 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: 53 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: 45 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: 44 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: 47 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: 51 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: 48 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: 54 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: 52 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: 42 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: 46 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: 55 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: 50 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: 49 type: integer mustSupport: true base: {max: '1', min: 0, path: 'Observation.component.value[x]'} choiceOf: value isSummary: true dataAbsentReason: {mustSupport: true, index: 56} 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 valueSampledData: isModifier: false short: Actual result type: SampledData mustSupport: true base: {max: '1', min: 0, path: 'Observation.value[x]'} choiceOf: value isSummary: true index: 24 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: 9 type: dateTime mustSupport: true base: {max: '1', min: 0, path: 'Observation.effective[x]'} choiceOf: effective isSummary: true status: short: registered | prliminary | final | amended | corrected | entered-in-error | unknown binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-non-negative-observation-status'} mustSupport: true index: 2 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: 8 code: binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/observation-codes'} mustSupport: true index: 4 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: 11 type: Timing mustSupport: true base: {max: '1', min: 0, path: 'Observation.effective[x]'} choiceOf: effective isSummary: true valueCodeableConcept: base: {max: '1', min: 0, path: 'Observation.value[x]'} type: CodeableConcept isModifier: false mustSupport: true choiceOf: value index: 30 slicing: slices: valueCodeableConcept: match: {} schema: base: {max: '1', min: 0, path: 'Observation.value[x]'} type: CodeableConcept isModifier: false mustSupport: true choiceOf: value index: 30 bodySite: type: CodeableConcept binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/body-site'} mustSupport: true index: 33 issued: {mustSupport: true, index: 13} valuePeriod: isModifier: false short: Actual result type: Period mustSupport: true base: {max: '1', min: 0, path: 'Observation.value[x]'} choiceOf: value isSummary: true index: 27 device: type: Reference mustSupport: false refers: ['http://hl7.org/fhir/StructureDefinition/DeviceMetric', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device'] index: 36 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: 12 type: instant mustSupport: true base: {max: '1', min: 0, path: 'Observation.effective[x]'} choiceOf: effective isSummary: true basedOn: {mustSupport: false, index: 1} valueRange: isModifier: false short: Actual result type: Range mustSupport: true base: {max: '1', min: 0, path: 'Observation.value[x]'} choiceOf: value isSummary: true index: 22 valueInteger: isModifier: false short: Actual result type: integer mustSupport: true base: {max: '1', min: 0, path: 'Observation.value[x]'} choiceOf: value isSummary: true index: 21 subject: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device', '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: 5 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: 14 dataAbsentReason: {mustSupport: false, index: 31} 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: 10 type: Period mustSupport: true base: {max: '1', min: 0, path: 'Observation.effective[x]'} choiceOf: effective isSummary: true package_version: 5.0.0 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 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 required: [subject, category]