3.58.9 StructureDefinition: PrescribeIT® Pharmacy-related Observation - XML Profile
XML representation of the profile-observation-rx Profile.
Narrative view of the profile
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="profile-observation-rx"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/2016may/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation">Observation</a><a name="Observation"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/observation.html">Observation</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Prescription-related observations</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation.id">id</a><a name="Observation.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#id">id</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Logical id of this artifact</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation.status">status</a><a name="Observation.status"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">registered | preliminary | final | amended +</span><br/><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">final</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation.category">category</a><a name="Observation.category"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-codeableconcept-code.html" title="CodeableConcept">Shared Health CodeableConcept Code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Concept - reference to a terminology or just text</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="profile-observation-rx-definitions.html#Observation.category.coding">coding</a><a name="Observation.category.coding"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="font-style: italic">1</span><span style="font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="font-style: italic" href="http://hl7.org/fhir/2016may/profiling.html#slicing">(Slice Definition)</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5; font-style: italic">Code defined by a terminology system</span><br style="font-style: italic"/><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:system</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1025.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation.category.coding:HL7Code" title="Slice HL7Code">coding:HL7Code</a><a name="Observation.category.coding"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Code defined by a terminology system</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation.category.coding:HL7Code.system">system</a><a name="Observation.category.coding.system"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Identity of the terminology system</span><br/><span style="font-weight:bold">Fixed Value: </span><a style="color: darkgreen" href="http://hl7.org/fhir/2016may/codesystem-observation-category.html">http://hl7.org/fhir/observation-category</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation.category.coding:HL7Code.code">code</a><a name="Observation.category.coding.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Symbol in syntax defined by the system</span><br/><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">vital-signs</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation.code" title="Identification of the type of measurement/observation that was made about the patient. The only two allowable types are height and weight.">code</a><a name="Observation.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-codeableconcept-code.html" title="CodeableConcept">Shared Health CodeableConcept Code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Concept - reference to a terminology or just text</span><br/><span style="font-weight:bold">Binding: </span><a href="https://tgateway.infoway-inforoute.ca/vs/prescriptionobservationtypevitalsign?versionid=20170626">PrescriptionObservationTypeVitalSign (20170626)</a> (<a href="http://hl7.org/fhir/2016may/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>): Pharmacy-related vital signs<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation.code.coding">coding</a><a name="Observation.code.coding"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Code defined by a terminology system</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation.code.coding.system">system</a><a name="Observation.code.coding.system"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Identity of the terminology system</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation.code.coding.code">code</a><a name="Observation.code.coding.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Symbol in syntax defined by the system</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation.subject">subject</a><a name="Observation.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/references.html">Reference</a>(<a href="../common/profile-patient.html">Shared Health Patient</a>)<a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html"> {</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html" title="The resource the reference points to will be found in the same bundle as the resource that includes the reference.">b</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html">}</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">A reference from one resource to another</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation.effectiveDateTime" title="When the measurement was made">effectiveDateTime</a><a name="Observation.effectiveDateTime"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Clinically relevant time/time-period for observation</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="profile-observation-rx-definitions.html#Observation.valueQuantity">valueQuantity</a><a name="Observation.valueQuantity"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="../common/dtprofile-quantity.html" title="Quantity">Shared Health Quantity</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Measured value</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/2016may/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<url
value="http://prescribeit.ca/fhir/StructureDefinition/profile-observation-rx"/>
<version value="3.0 Revision C"/>
<name value="PrescribeIT® Pharmacy-related Observation"/>
<status value="draft"/>
<date value="2016-03-30T17:01:25-04:00"/>
<description value="Profile for observations related to ePrescribing"/>
<fhirVersion value="1.4.0"/>
<mapping>
<identity value="v2"/>
<uri value="http://hl7.org/v2"/>
<name value="HL7 v2"/>
</mapping>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM"/>
</mapping>
<mapping>
<identity value="w5"/>
<uri value="http://hl7.org/fhir/w5"/>
<name value="W5 Mapping"/>
</mapping>
<kind value="resource"/>
<abstract value="false"/>
<baseType value="Observation"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<derivation value="constraint"/>
<snapshot>
<element id="Observation">
<path value="Observation"/>
<short value="Prescription-related observations"/>
<definition
value="Measurements and simple assertions made about a patient, device or other subject."/>
<comments
value="At present, only supported observations are height and weight."/>
<alias value="Vital Signs"/>
<alias value="Measurement"/>
<alias value="Results"/>
<alias value="Tests"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation"/>
<min value="0"/>
<max value="*"/>
</base>
<maxLength value="0"/>
<constraint>
<key value="obs-6"/>
<severity value="error"/>
<human
value="dataAbsentReason SHALL only be present if Observation.value[x] is not present"/>
<expression value="dataAbsentReason.empty() or value.empty()"/>
<xpath
value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))"/>
</constraint>
<constraint>
<key value="obs-7"/>
<severity value="error"/>
<human value="Component code SHALL not be same as observation code"/>
<expression value="value.empty() or code!=component.code"/>
<xpath
value="not(exists(f:component/f:code)) or count(for $coding in f:code/f:coding return parent::*/f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value and f:system/@value=$coding/f:system/@value])=0"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="OBX"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Observation[classCode=OBS, moodCode=EVN]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="clinical.diagnostics"/>
</mapping>
</element>
<element id="Observation.id">
<path value="Observation.id"/>
<short value="Logical id of this artifact"/>
<definition
value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
<comments
value="Usage Note: This will usually be a GUID and is assigned by the sending application."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Resource.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="Observation.meta">
<path value="Observation.meta"/>
<short value="Metadata about the resource"/>
<definition
value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.meta"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Meta"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="Observation.implicitRules">
<path value="Observation.implicitRules"/>
<short value="A set of rules under which this content was created"/>
<definition
value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
<comments
value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.implicitRules"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="uri"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="true"/>
<isSummary value="true"/>
</element>
<element id="Observation.language">
<path value="Observation.language"/>
<short value="Language of the resource content"/>
<definition value="The base language in which the resource is written."/>
<comments
value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.language"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="code"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="required"/>
<description value="A human language."/>
<valueSetReference>
<reference value="http://tools.ietf.org/html/bcp47"/>
</valueSetReference>
</binding>
</element>
<element id="Observation.text">
<path value="Observation.text"/>
<short value="Text summary of the resource, for human interpretation"/>
<definition
value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
<comments
value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
<alias value="narrative"/>
<alias value="html"/>
<alias value="xhtml"/>
<alias value="display"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.text"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Narrative"/>
</type>
<maxLength value="0"/>
<condition value="dom-1"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Act.text?"/>
</mapping>
</element>
<element id="Observation.contained">
<path value="Observation.contained"/>
<short value="Contained, inline Resources"/>
<definition
value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
<comments
value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
<alias value="inline resources"/>
<alias value="anonymous resources"/>
<alias value="contained resources"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.contained"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Resource"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Observation.extension">
<path value="Observation.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Observation.modifierExtension">
<path value="Observation.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Observation.identifier">
<path value="Observation.identifier"/>
<short value="Unique Id for this particular observation"/>
<definition
value="A unique identifier for the simple observation instance."/>
<requirements
value="Allows observations to be distinguished and referenced."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="OBX.21"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="id"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="id"/>
</mapping>
</element>
<element id="Observation.status">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">
<valueString value="default: final"/>
</extension>
<path value="Observation.status"/>
<short value="registered | preliminary | final | amended +"/>
<definition value="The status of the result value."/>
<comments value="Fixed value: final"/>
<requirements
value="Need to track the status of individual results. Some results are finalized before the whole report is finalized."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.status"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<fixedCode value="final"/>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="true"/>
<isSummary value="true"/>
<binding>
<strength value="required"/>
<description value="Codes providing the status of an observation."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/observation-status"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="OBX-11"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise""/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="status"/>
</mapping>
</element>
<element id="Observation.category">
<path value="Observation.category"/>
<short value="Concept - reference to a terminology or just text"/>
<definition
value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/>
<comments
value="codes are from HL7 and system URL is http://hl7.org/fhir/observation-category."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.category"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-code"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="example"/>
<description value="Codes for high level observation categories ."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/observation-category"/>
</valueSetReference>
</binding>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="CE/CNE/CWE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD"/>
</mapping>
</element>
<element id="Observation.category.id">
<path value="Observation.category.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.category.extension">
<path value="Observation.category.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.category.coding">
<path value="Observation.category.coding"/>
<slicing>
<discriminator value="system"/>
<rules value="open"/>
</slicing>
<short value="Code defined by a terminology system"/>
<definition value="A reference to a code defined by a terminology system."/>
<comments
value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true."/>
<requirements
value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="CodeableConcept.coding"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.1-8, C*E.10-22"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="union(., ./translation)"/>
</mapping>
</element>
<element id="Observation.category.coding.id">
<path value="Observation.category.coding.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.category.coding.extension">
<path value="Observation.category.coding.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.category.coding.system">
<path value="Observation.category.coding.system"/>
<short value="Identity of the terminology system"/>
<definition
value="The identification of the code system that defines the meaning of the symbol in the code."/>
<comments
value="This is the URI that represents the coding system as defined within the binding."/>
<requirements
value="Need to be unambiguous about the source of the definition of the symbol."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Coding.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystem"/>
</mapping>
</element>
<element id="Observation.category.coding.version">
<path value="Observation.category.coding.version"/>
<short value="Version of the system - if relevant"/>
<definition
value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
<comments
value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.version"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystemVersion"/>
</mapping>
</element>
<element id="Observation.category.coding.code">
<path value="Observation.category.coding.code"/>
<short value="Symbol in syntax defined by the system"/>
<definition
value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
<comments value="This is the code as defined within the binding."/>
<requirements value="Need to refer to a particular code in the system."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Coding.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./code"/>
</mapping>
</element>
<element id="Observation.category.coding.display">
<path value="Observation.category.coding.display"/>
<short value="Representation defined by the system"/>
<definition
value="A representation of the meaning of the code in the system, following the rules of the system."/>
<requirements
value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.display"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.2 - but note this is not well followed"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CV.displayName"/>
</mapping>
</element>
<element id="Observation.category.coding.userSelected">
<path value="Observation.category.coding.userSelected"/>
<short value="If this coding was chosen directly by the user"/>
<definition
value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/>
<comments
value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
<requirements
value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.userSelected"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Sometimes implied by being first"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD.codingRationale"/>
</mapping>
</element>
<element id="Observation.category.coding:HL7Code">
<path value="Observation.category.coding"/>
<name value="HL7Code"/>
<short value="Code defined by a terminology system"/>
<definition value="A reference to a code defined by a terminology system."/>
<comments value="See children for fixed value"/>
<requirements
value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="CodeableConcept.coding"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.1-8, C*E.10-22"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="union(., ./translation)"/>
</mapping>
</element>
<element id="Observation.category.coding:HL7Code.id">
<path value="Observation.category.coding.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.category.coding:HL7Code.extension">
<path value="Observation.category.coding.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.category.coding:HL7Code.system">
<path value="Observation.category.coding.system"/>
<short value="Identity of the terminology system"/>
<definition
value="The identification of the code system that defines the meaning of the symbol in the code."/>
<comments value="Fixed value: http://hl7.org/fhir/observation-category"/>
<requirements
value="Need to be unambiguous about the source of the definition of the symbol."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Coding.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<fixedUri value="http://hl7.org/fhir/observation-category"/>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystem"/>
</mapping>
</element>
<element id="Observation.category.coding:HL7Code.version">
<path value="Observation.category.coding.version"/>
<short value="Version of the system - if relevant"/>
<definition
value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
<comments
value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.version"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystemVersion"/>
</mapping>
</element>
<element id="Observation.category.coding:HL7Code.code">
<path value="Observation.category.coding.code"/>
<short value="Symbol in syntax defined by the system"/>
<definition
value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
<comments value="Fixed value: vital-signs"/>
<requirements value="Need to refer to a particular code in the system."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Coding.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<fixedCode value="vital-signs"/>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./code"/>
</mapping>
</element>
<element id="Observation.category.coding:HL7Code.display">
<path value="Observation.category.coding.display"/>
<short value="Representation defined by the system"/>
<definition
value="A representation of the meaning of the code in the system, following the rules of the system."/>
<requirements
value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.display"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.2 - but note this is not well followed"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CV.displayName"/>
</mapping>
</element>
<element id="Observation.category.coding:HL7Code.userSelected">
<path value="Observation.category.coding.userSelected"/>
<short value="If this coding was chosen directly by the user"/>
<definition
value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/>
<comments
value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
<requirements
value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.userSelected"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Sometimes implied by being first"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD.codingRationale"/>
</mapping>
</element>
<element id="Observation.category.text">
<path value="Observation.category.text"/>
<short value="Plain text representation of the concept"/>
<definition
value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
<comments
value="Very often the text is the same as a displayName of one of the codings."/>
<requirements
value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CodeableConcept.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.9. But note many systems use C*E.2 for this"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./originalText[mediaType/code="text/plain"]/data"/>
</mapping>
</element>
<element id="Observation.code">
<path value="Observation.code"/>
<short value="Concept - reference to a terminology or just text"/>
<definition
value="Identification of the type of measurement/observation that was made about the patient. The only two allowable types are height and weight."/>
<comments value="-"/>
<requirements
value="Distinguishes what kind of information is being specified. Code is mandatory to ensure that measurements/observations are distinguishable"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-code"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="required"/>
<description value="Pharmacy-related vital signs"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionobservationtypevitalsign|20170626"/>
</valueSetReference>
</binding>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="CE/CNE/CWE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD"/>
</mapping>
</element>
<element id="Observation.code.id">
<path value="Observation.code.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.code.extension">
<path value="Observation.code.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.code.coding">
<path value="Observation.code.coding"/>
<short value="Code defined by a terminology system"/>
<definition value="A reference to a code defined by a terminology system."/>
<comments
value="Code and System will be set. For Body height code value = 8302-2 For Body weight code value = 29463-7"/>
<requirements
value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="CodeableConcept.coding"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.1-8, C*E.10-22"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="union(., ./translation)"/>
</mapping>
</element>
<element id="Observation.code.coding.id">
<path value="Observation.code.coding.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.code.coding.extension">
<path value="Observation.code.coding.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.code.coding.system">
<path value="Observation.code.coding.system"/>
<short value="Identity of the terminology system"/>
<definition
value="The identification of the code system that defines the meaning of the symbol in the code."/>
<comments
value="This is the URI that represents the coding system as defined within the binding."/>
<requirements
value="Need to be unambiguous about the source of the definition of the symbol."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Coding.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystem"/>
</mapping>
</element>
<element id="Observation.code.coding.version">
<path value="Observation.code.coding.version"/>
<short value="Version of the system - if relevant"/>
<definition
value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
<comments
value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.version"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystemVersion"/>
</mapping>
</element>
<element id="Observation.code.coding.code">
<path value="Observation.code.coding.code"/>
<short value="Symbol in syntax defined by the system"/>
<definition
value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
<comments value="This is the code as defined within the binding."/>
<requirements value="Need to refer to a particular code in the system."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Coding.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./code"/>
</mapping>
</element>
<element id="Observation.code.coding.display">
<path value="Observation.code.coding.display"/>
<short value="Representation defined by the system"/>
<definition
value="A representation of the meaning of the code in the system, following the rules of the system."/>
<requirements
value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.display"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.2 - but note this is not well followed"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CV.displayName"/>
</mapping>
</element>
<element id="Observation.code.coding.userSelected">
<path value="Observation.code.coding.userSelected"/>
<short value="If this coding was chosen directly by the user"/>
<definition
value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/>
<comments
value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
<requirements
value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.userSelected"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Sometimes implied by being first"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD.codingRationale"/>
</mapping>
</element>
<element id="Observation.code.text">
<path value="Observation.code.text"/>
<short value="Plain text representation of the concept"/>
<definition
value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
<comments
value="Very often the text is the same as a displayName of one of the codings."/>
<requirements
value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CodeableConcept.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="orim"/>
<map
value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="C*E.9. But note many systems use C*E.2 for this"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./originalText[mediaType/code="text/plain"]/data"/>
</mapping>
</element>
<element id="Observation.subject">
<path value="Observation.subject"/>
<short value="A reference from one resource to another"/>
<definition value="A reference from one resource to another."/>
<comments
value="This must point to the patient associated with the message"/>
<requirements
value="Observations have no value if you don't know who or what they're about."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.subject"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.type.profile">
<valueUri
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-reference"/>
</extension>
<code value="Reference"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/profile-patient"/>
<aggregation value="bundled"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map
value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
</mapping>
</element>
<element id="Observation.encounter">
<path value="Observation.encounter"/>
<short value="Healthcare event during which this observation is made"/>
<definition
value="The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made."/>
<requirements
value="For some observations it may be important to know the link between an observation and a particular encounter."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.encounter"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="PV1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="context"/>
</mapping>
</element>
<element id="Observation.effective[x]">
<path value="Observation.effective[x]"/>
<slicing>
<discriminator value="$this/@type"/>
<ordered value="false"/>
<rules value="closed"/>
</slicing>
<short value="Clinically relevant time/time-period for observation"/>
<definition
value="The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the "physiologically relevant time". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself."/>
<comments
value="At least a date should be present unless this observation is a historical report."/>
<requirements
value="Knowing when an observation was deemed true is important to its relevance as well as determining trends."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.effective[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map
value="OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="effectiveTime"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="when.done"/>
</mapping>
</element>
<element id="Observation.effective[x]:effectiveDateTime">
<path value="Observation.effective[x]"/>
<name value="effectiveDateTime"/>
<label value="Observation date"/>
<short value="Clinically relevant time/time-period for observation"/>
<definition value="When the measurement was made"/>
<comments
value="Conformance Rule: Observations of height and weight must be sent when there is an effective date."/>
<requirements
value="Knowing when an observation was deemed true is important to its relevance as well as determining trends."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.effective[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<maxLength value="0"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map
value="OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="effectiveTime"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="when.done"/>
</mapping>
</element>
<element id="Observation.issued">
<path value="Observation.issued"/>
<short value="Date/Time this was made available"/>
<definition
value="The date and time this observation was made available to providers, typically after the results have been reviewed and verified."/>
<comments value="Updated when the result is updated."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.issued"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="instant"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map
value="OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="participation[typeCode=AUT].time"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="when.recorded"/>
</mapping>
</element>
<element id="Observation.performer">
<path value="Observation.performer"/>
<short value="Who is responsible for the observation"/>
<definition
value="Who was responsible for asserting the observed value as "true"."/>
<requirements
value="May give a degree of confidence in the observation and also indicates where follow-up questions should be directed."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.performer"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
</type>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
</type>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
</type>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map
value="OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="participation[typeCode=PRF]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="who.actor"/>
</mapping>
</element>
<element id="Observation.value[x]">
<path value="Observation.value[x]"/>
<slicing>
<discriminator value="$this/@type"/>
<ordered value="false"/>
<rules value="closed"/>
</slicing>
<short value="Actual result"/>
<definition
value="The information determined as a result of making the observation, if the information has a simple value."/>
<comments
value="Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is "'value' + the type name" with a capital on the first letter of the type). If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For boolean values use valueCodeableConcept and select codes from [HL7 Version 2 Table 0136](http://hl7.org/fhir/2016May/v2/0136/index.html). These "yes/no" concepts can be mapped to the display name "true/false" or other mutually exclusive terms that may be needed. For further discussion and examples see the [notes section](http://hl7.org/fhir/2016May/observation.html#4.20.4) below."/>
<requirements
value="An observation exists to have a value, though it may not if it is in error, or it represents a group of observations."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.value[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="OBX.2, OBX.5, OBX.6"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="value"/>
</mapping>
</element>
<element id="Observation.value[x]:valueQuantity">
<path value="Observation.value[x]"/>
<name value="valueQuantity"/>
<short value="Measured value"/>
<definition
value="A measured amount (or an amount that can potentially be measured). Note that measured amounts include amounts that are not precisely quantified, including amounts involving arbitrary units and floating currencies."/>
<comments
value="Conformance Rule: This MUST be expressed in kilograms (weight), and centimeters (height). Value, System and Code will be set.
For Body height; value - set to height measurement in centimeters
system = http://unitsofmeasure.org
code = cm
For Body weight: value - set to weight measurement in kilograms
system = http://unitsofmeasure.org
code = kg"/>
<requirements
value="An observation exists to have a value, though it may not if it is in error, or it represents a group of observations."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.value[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-quantity"/>
</type>
<maxLength value="0"/>
<constraint>
<key value="qty-3"/>
<severity value="error"/>
<human
value="If a code for the unit is present, the system SHALL also be present"/>
<expression value="code.empty() or system.exists()"/>
<xpath value="not(exists(f:code)) or exists(f:system)"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="SN (see also Range) or CQ"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="PQ, IVL<PQ>, MO, CO, depending on the values"/>
</mapping>
</element>
<element id="Observation.dataAbsentReason">
<path value="Observation.dataAbsentReason"/>
<short value="Why the result is missing"/>
<definition
value="Provides a reason why the expected value in the element Observation.value[x] is missing."/>
<comments
value="Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "specimen unsatisfactory". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values."/>
<requirements
value="For many results it is necessary to handle exceptional values in measurements."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.dataAbsentReason"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<condition value="obs-6"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<description
value="Codes specifying why the result (Observation.value[x]) is missing."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/observation-valueabsentreason"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="value.nullFlavor"/>
</mapping>
</element>
<element id="Observation.interpretation">
<path value="Observation.interpretation"/>
<short value="High, low, normal, etc."/>
<definition
value="The assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag."/>
<requirements
value="For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result."/>
<alias value="Abnormal Flag"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.interpretation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<description value="Codes identifying interpretations of observations."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/observation-interpretation"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="OBX-8"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="interpretationCode"/>
</mapping>
</element>
<element id="Observation.comment">
<path value="Observation.comment"/>
<short value="Comments about result"/>
<definition
value="May include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result."/>
<requirements
value="Need to be able to provide free text additional information."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.comment"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map
value="NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="subjectOf.observationEvent[code="annotation"].value"/>
</mapping>
</element>
<element id="Observation.bodySite">
<path value="Observation.bodySite"/>
<short value="Observed body part"/>
<definition
value="Indicates the site on the subject's body where the observation was made (i.e. the target site)."/>
<comments
value="Only used if not implicit in code found in Observation.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension[ body-site-instance](http://hl7.org/fhir/2016May/extension-body-site-instance.html)."/>
<requirements
value="Knowing where the observation is made is important for tracking if multiple sites are possible."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.bodySite"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="example"/>
<description
value="Codes describing anatomical locations. May include laterality."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/body-site"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="OBX-20"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="targetSiteCode"/>
</mapping>
</element>
<element id="Observation.method">
<path value="Observation.method"/>
<short value="How it was done"/>
<definition
value="Indicates the mechanism used to perform the observation."/>
<comments value="Only used if not implicit in code for Observation.code."/>
<requirements
value="In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.method"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="example"/>
<description value="Methods for simple observations."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/observation-methods"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="OBX-17"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="methodCode"/>
</mapping>
</element>
<element id="Observation.specimen">
<path value="Observation.specimen"/>
<short value="Specimen used for this observation"/>
<definition
value="The specimen that was used when this observation was made."/>
<comments
value="Observations are not made on specimens themselves; they are made on a subject, but usually by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.specimen"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Specimen"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="SPM segment"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="participation[typeCode=SPC].specimen"/>
</mapping>
</element>
<element id="Observation.device">
<path value="Observation.device"/>
<short value="(Measurement) Device"/>
<definition value="The device used to generate the observation data."/>
<comments
value="An extension should be used if further typing of the device is needed. Devices used to support obtaining an observation can be represented using either extension or through the Observation.related element."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.device"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
</type>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/DeviceMetric"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="OBX-17 / PRT -10"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="participation[typeCode=DEV]"/>
</mapping>
</element>
<element id="Observation.referenceRange">
<path value="Observation.referenceRange"/>
<short value="Provides guide for interpretation"/>
<definition
value="Guidance on how to interpret the value by comparison to a normal or recommended range."/>
<comments
value="Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties."/>
<requirements
value="Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.referenceRange"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<maxLength value="0"/>
<constraint>
<key value="obs-3"/>
<severity value="error"/>
<human value="Must have at least a low or a high or text"/>
<expression value="low.exists() or high.exists() or text.exists()"/>
<xpath value="(exists(f:low) or exists(f:high)or exists(f:text))"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="OBX.7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"/>
</mapping>
</element>
<element id="Observation.referenceRange.id">
<path value="Observation.referenceRange.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.referenceRange.extension">
<path value="Observation.referenceRange.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.referenceRange.modifierExtension">
<path value="Observation.referenceRange.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="true"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Observation.referenceRange.low">
<path value="Observation.referenceRange.low"/>
<short value="Low Range, if relevant"/>
<definition
value="The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.referenceRange.low"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
</type>
<maxLength value="0"/>
<condition value="obs-3"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="OBX-7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="value:IVL_PQ.low"/>
</mapping>
</element>
<element id="Observation.referenceRange.high">
<path value="Observation.referenceRange.high"/>
<short value="High Range, if relevant"/>
<definition
value="The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.referenceRange.high"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
<profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
</type>
<maxLength value="0"/>
<condition value="obs-3"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="OBX-7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="value:IVL_PQ.high"/>
</mapping>
</element>
<element id="Observation.referenceRange.meaning">
<path value="Observation.referenceRange.meaning"/>
<short value="Indicates the meaning/use of this range of this range"/>
<definition value="Code for the meaning of the reference range."/>
<comments
value="This SHOULD be populated if there is more than one range."/>
<requirements
value="Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, or perhaps what state this reference range applies to (i.e. age, hormonal cycles, etc.)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.referenceRange.meaning"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="example"/>
<description value="Code for the meaning of a reference range."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/referencerange-meaning"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="OBX-10?"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="interpretationCode"/>
</mapping>
</element>
<element id="Observation.referenceRange.age">
<path value="Observation.referenceRange.age"/>
<short value="Applicable age range, if relevant"/>
<definition
value="The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so."/>
<requirements value="Some analytes vary greatly over age."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.referenceRange.age"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Range"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map
value="outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value"/>
</mapping>
</element>
<element id="Observation.referenceRange.text">
<path value="Observation.referenceRange.text"/>
<short value="Text based reference range in an observation"/>
<definition
value="Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of "Negative" or a list or table of 'normals'."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.referenceRange.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="OBX-7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="value:ST"/>
</mapping>
</element>
<element id="Observation.related">
<path value="Observation.related"/>
<short value="Resource related to this observation"/>
<definition
value="A reference to another resource (usually another Observation but could also be a QuestionnaireAnswer) whose relationship is defined by the relationship type code."/>
<comments
value="For a discussion on the ways Observations can assembled in groups together see [Notes below](http://hl7.org/fhir/2016May/observation.html#4.20.4)."/>
<requirements
value="Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and a set of related observations or sometimes QuestionnaireResponse from which the measure is derived."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.related"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="Relationships established by OBX-4 usage"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="outBoundRelationship"/>
</mapping>
</element>
<element id="Observation.related.id">
<path value="Observation.related.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.related.extension">
<path value="Observation.related.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.related.modifierExtension">
<path value="Observation.related.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="true"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Observation.related.type">
<path value="Observation.related.type"/>
<short
value="has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by"/>
<definition
value="A code specifying the kind of relationship that exists with the target resource."/>
<comments
value=""derived-from" is only logical choice when referencing QuestionnaireAnswer resource."/>
<requirements value="A relationship type SHOULD be provided."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.related.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="required"/>
<description value="Codes specifying how two observations are related."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/observation-relationshiptypes"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".typeCode"/>
</mapping>
</element>
<element id="Observation.related.target">
<path value="Observation.related.target"/>
<short value="Resource that is related to this one"/>
<definition
value="A reference to the observation or [[[QuestionnaireResponse]]] resource that is related to this observation."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.related.target"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
</type>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value=".targetObservation"/>
</mapping>
</element>
<element id="Observation.component">
<path value="Observation.component"/>
<short value="Component results"/>
<definition
value="Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations."/>
<comments
value="For a discussion on the ways Observations can assembled in groups together see [Notes below](http://hl7.org/fhir/2016May/observation.html#4.20.4)."/>
<requirements
value="Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.component"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="containment by OBX-4?"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="outBoundRelationship[typeCode=COMP]"/>
</mapping>
</element>
<element id="Observation.component.id">
<path value="Observation.component.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.component.extension">
<path value="Observation.component.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Observation.component.modifierExtension">
<path value="Observation.component.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="true"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Observation.component.code">
<path value="Observation.component.code"/>
<short value="Type of component observation (code / type)"/>
<definition
value="Describes what was observed. Sometimes this is called the observation "code"."/>
<requirements
value="Knowing what kind of observation is being made is essential to understanding the observation."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Observation.component.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<condition value="obs-7"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="example"/>
<description value="Codes identifying names of simple observations."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/observation-codes"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="OBX-3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="code"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="what"/>
</mapping>
</element>
<element id="Observation.component.value[x]">
<path value="Observation.component.value[x]"/>
<short value="Actual component result"/>
<definition
value="The information determined as a result of making the observation, if the information has a simple value."/>
<comments
value="Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from <http://hl7.org/fhir/ValueSet/v2-0136> (These "yes/no" concepts can be mapped to the display name "true/false" or other mutually exclusive terms that may be needed"). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (The name format is "'value' + the type name" with a capital on the first letter of the type)."/>
<requirements
value="An observation exists to have a value, though it may not if it is in error, or it represents a group of observations."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.component.value[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
</type>
<type>
<code value="CodeableConcept"/>
</type>
<type>
<code value="string"/>
</type>
<type>
<code value="Range"/>
</type>
<type>
<code value="Ratio"/>
</type>
<type>
<code value="SampledData"/>
</type>
<type>
<code value="Attachment"/>
</type>
<type>
<code value="time"/>
</type>
<type>
<code value="dateTime"/>
</type>
<type>
<code value="Period"/>
</type>
<maxLength value="0"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="OBX.2, OBX.5, OBX.6"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="value"/>
</mapping>
</element>
<element id="Observation.component.dataAbsentReason">
<path value="Observation.component.dataAbsentReason"/>
<short value="Why the component result is missing"/>
<definition
value="Provides a reason why the expected value in the element Observation.value[x] is missing."/>
<comments
value=""Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "test not done". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values."/>
<requirements
value="For many results it is necessary to handle exceptional values in measurements."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Observation.component.dataAbsentReason"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<maxLength value="0"/>
<condition value="obs-6"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<description
value="Codes specifying why the result (Observation.value[x]) is missing."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/observation-valueabsentreason"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="value.nullFlavor"/>
</mapping>
</element>
<element id="Observation.component.referenceRange">
<path value="Observation.component.referenceRange"/>
<short value="Provides guide for interpretation of component result"/>
<definition
value="Guidance on how to interpret the value by comparison to a normal or recommended range."/>
<comments
value="Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties."/>
<requirements
value="Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Observation.component.referenceRange"/>
<min value="0"/>
<max value="*"/>
</base>
<contentReference
value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange"/>
</element>
</snapshot>
<differential>
<element id="Observation">
<path value="Observation"/>
<short value="Prescription-related observations"/>
<comments
value="At present, only supported observations are height and weight."/>
<mustSupport value="true"/>
</element>
<element id="Observation.id">
<path value="Observation.id"/>
<comments
value="Usage Note: This will usually be a GUID and is assigned by the sending application."/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="Observation.status">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">
<valueString value="default: final"/>
</extension>
<path value="Observation.status"/>
<comments value="Fixed value: final"/>
<min value="1"/>
<fixedCode value="final"/>
<mustSupport value="true"/>
</element>
<element id="Observation.category">
<path value="Observation.category"/>
<comments
value="codes are from HL7 and system URL is http://hl7.org/fhir/observation-category."/>
<min value="1"/>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-code"/>
</type>
<mustSupport value="true"/>
</element>
<element id="Observation.category.coding">
<path value="Observation.category.coding"/>
<slicing>
<discriminator value="system"/>
<rules value="open"/>
</slicing>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="Observation.category.coding:HL7Code">
<path value="Observation.category.coding"/>
<name value="HL7Code"/>
<comments value="See children for fixed value"/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="Observation.category.coding:HL7Code.system">
<path value="Observation.category.coding.system"/>
<comments value="Fixed value: http://hl7.org/fhir/observation-category"/>
<fixedUri value="http://hl7.org/fhir/observation-category"/>
<mustSupport value="true"/>
</element>
<element id="Observation.category.coding:HL7Code.code">
<path value="Observation.category.coding.code"/>
<comments value="Fixed value: vital-signs"/>
<fixedCode value="vital-signs"/>
<mustSupport value="true"/>
</element>
<element id="Observation.code">
<path value="Observation.code"/>
<definition
value="Identification of the type of measurement/observation that was made about the patient. The only two allowable types are height and weight."/>
<requirements
value="Distinguishes what kind of information is being specified. Code is mandatory to ensure that measurements/observations are distinguishable"/>
<min value="1"/>
<type>
<code value="CodeableConcept"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-codeableconcept-code"/>
</type>
<mustSupport value="true"/>
<binding>
<strength value="required"/>
<description value="Pharmacy-related vital signs"/>
<valueSetReference>
<reference
value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionobservationtypevitalsign|20170626"/>
</valueSetReference>
</binding>
</element>
<element id="Observation.code.coding">
<path value="Observation.code.coding"/>
<comments
value="Code and System will be set. For Body height code value = 8302-2 For Body weight code value = 29463-7"/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="Observation.code.coding.system">
<path value="Observation.code.coding.system"/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="Observation.code.coding.code">
<path value="Observation.code.coding.code"/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="Observation.subject">
<path value="Observation.subject"/>
<comments
value="This must point to the patient associated with the message"/>
<min value="1"/>
<type>
<extension
url="http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.type.profile">
<valueUri
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-reference"/>
</extension>
<code value="Reference"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/profile-patient"/>
<aggregation value="bundled"/>
</type>
<mustSupport value="true"/>
</element>
<element id="Observation.effectiveDateTime">
<path value="Observation.effectiveDateTime"/>
<label value="Observation date"/>
<definition value="When the measurement was made"/>
<comments
value="Conformance Rule: Observations of height and weight must be sent when there is an effective date."/>
<type>
<code value="dateTime"/>
</type>
<mustSupport value="true"/>
</element>
<element id="Observation.valueQuantity">
<path value="Observation.valueQuantity"/>
<short value="Measured value"/>
<comments
value="Conformance Rule: This MUST be expressed in kilograms (weight), and centimeters (height). Value, System and Code will be set.
For Body height; value - set to height measurement in centimeters
system = http://unitsofmeasure.org
code = cm
For Body weight: value - set to weight measurement in kilograms
system = http://unitsofmeasure.org
code = kg"/>
<min value="1"/>
<type>
<code value="Quantity"/>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-quantity"/>
</type>
<mustSupport value="true"/>
</element>
</differential>
</StructureDefinition>