Guía implementación interoperabilidad FHIR sectorial e intersectorial
0.10.1 - ci-build

Guía implementación interoperabilidad FHIR sectorial e intersectorial - Local Development build (v0.10.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: HCEU - Intramural - Observation

Defining URL:https://ohapi-fhir-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileObservationHCEU
Version:0.10.1
Name:ProfileObservationHCEU
Title:HCEU - Intramural - Observation
Status:Draft as of 2025-07-10 20:24:14-0500
Definition:

Recurso que permite registrar información de las medidas, observaciones y afirmaciones realizadas sobre un paciente, dispositivo u otros sujeto

Publisher:minsait - An Indra Company. Secretaría de Salud de Bogotá,
Copyright:

Secretaría de Salud de Bogotá

Source Resource:XML / JSON / Turtle

La URL oficial para este perfil es: 

https://ohapi-fhir-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileObservationHCEU

Vistas formales para el perfil

Descripción de perfiles, diferenciales, resumenes y cómo deben ser las representaciones en XML y JSON.

Esta estructura se deriva de Observation

Summary

Mandatory: 13 elements
Must-Support: 7 elements
Fixed: 2 elements
Prohibited: 9 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Esta estructura se deriva de Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation Observation
... Slices for identifier S 1..* Identifier Business Identifier for observation
Slice: Unordered, Open by pattern:use
.... identifier:HISdentifier 1..1 Identifier Business Identifier for observation
..... use 1..1 code usual | official | temp | secondary | old (If known)
Fixed Value: usual
..... type 0..0
..... system 1..1 uri The namespace for the identifier value
Example HIS uri: http://hospitalSystemInformation.example.org/observations/
..... value 1..1 string The value that is unique
..... period 0..0
..... assigner 0..0
... basedOn S 0..* Reference(HCEU - Service Resquest | HCEU - Intramural - Care Plan | HCEU - Device Request | HCEU - Medication Request | HCEU - Nutrition Order) Fulfills plan, proposal or order
... partOf 0..0
... code 1..1 CodeableConcept Type of observation (code / type)
Binding: https://loinc.org (preferred): LOINC
Example Laboratory: {"coding":[{"system":"https://loinc.org","code":"57698-3","display":"Lipid panel with direct LDL - Serum or Plasma"}]}
.... coding 1..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
... subject 1..1 Reference(HCEU - Patient) Who and/or what the observation is about
... focus 0..0
... encounter 1..1 Reference(HCEU - Intramural - Encounter) Healthcare event during which this observation is made
... effective[x] 1..1 Period Clinically relevant time/time-period for observation
... issued 1..1 instant Date/Time this version was made available
... performer 1..* Reference(HCEU - Practitioner | HCEU - PractitionerRole | HCEU - Organization) Who is responsible for the observation
... dataAbsentReason 0..0
... interpretation S 0..* CodeableConcept High, low, normal, etc.
... note S 0..* Annotation Comments about the observation
... bodySite 0..0
... specimen S 0..1 Reference(HCEU - Specimen) Specimen used for this observation
... device 0..1 Reference(HCEU - Device) (Measurement) Device
... hasMember 0..0
... derivedFrom 0..0
... component S 0..* BackboneElement Component results
.... value[x] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Business Identifier for observation
Slice: Unordered, Open by pattern:use
.... identifier:HISdentifier Σ 1..1 Identifier Business Identifier for observation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Fixed Value: usual
..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
Example HIS uri: http://hospitalSystemInformation.example.org/observations/
..... value Σ 1..1 string The value that is unique
Example General: 123456
... basedOn SΣ 0..* Reference(HCEU - Service Resquest | HCEU - Intramural - Care Plan | HCEU - Device Request | HCEU - Medication Request | HCEU - Nutrition Order) Fulfills plan, proposal or order
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Fixed Value: final
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: https://loinc.org (preferred): LOINC
Example Laboratory: {"coding":[{"system":"https://loinc.org","code":"57698-3","display":"Lipid panel with direct LDL - Serum or Plasma"}]}
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(HCEU - Patient) Who and/or what the observation is about
... encounter Σ 1..1 Reference(HCEU - Intramural - Encounter) Healthcare event during which this observation is made
... effective[x] Σ 1..1 Period Clinically relevant time/time-period for observation
... issued Σ 1..1 instant Date/Time this version was made available
... performer Σ 1..* Reference(HCEU - Practitioner | HCEU - PractitionerRole | HCEU - Organization) Who is responsible for the observation
... value[x] ΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... interpretation S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note S 0..* Annotation Comments about the observation
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen S 0..1 Reference(HCEU - Specimen) Specimen used for this observation
... device 0..1 Reference(HCEU - Device) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... component SΣ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... value[x] SΣ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation Measurements and simple assertions
... identifier Σ 1..* Identifier Business Identifier for observation
Slice: Unordered, Open by pattern:use
... basedOn Σ 0..* Reference(HCEU - Service Resquest | HCEU - Intramural - Care Plan | HCEU - Device Request | HCEU - Medication Request | HCEU - Nutrition Order) Fulfills plan, proposal or order
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... specimen 0..1 Reference(HCEU - Specimen) Specimen used for this observation
... component Σ 0..* BackboneElement Component results
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period

doco Documentation for this format

Esta estructura se deriva de Observation

Summary

Mandatory: 13 elements
Must-Support: 7 elements
Fixed: 2 elements
Prohibited: 9 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Vista de diferencias

Esta estructura se deriva de Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation Observation
... Slices for identifier S 1..* Identifier Business Identifier for observation
Slice: Unordered, Open by pattern:use
.... identifier:HISdentifier 1..1 Identifier Business Identifier for observation
..... use 1..1 code usual | official | temp | secondary | old (If known)
Fixed Value: usual
..... type 0..0
..... system 1..1 uri The namespace for the identifier value
Example HIS uri: http://hospitalSystemInformation.example.org/observations/
..... value 1..1 string The value that is unique
..... period 0..0
..... assigner 0..0
... basedOn S 0..* Reference(HCEU - Service Resquest | HCEU - Intramural - Care Plan | HCEU - Device Request | HCEU - Medication Request | HCEU - Nutrition Order) Fulfills plan, proposal or order
... partOf 0..0
... code 1..1 CodeableConcept Type of observation (code / type)
Binding: https://loinc.org (preferred): LOINC
Example Laboratory: {"coding":[{"system":"https://loinc.org","code":"57698-3","display":"Lipid panel with direct LDL - Serum or Plasma"}]}
.... coding 1..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
... subject 1..1 Reference(HCEU - Patient) Who and/or what the observation is about
... focus 0..0
... encounter 1..1 Reference(HCEU - Intramural - Encounter) Healthcare event during which this observation is made
... effective[x] 1..1 Period Clinically relevant time/time-period for observation
... issued 1..1 instant Date/Time this version was made available
... performer 1..* Reference(HCEU - Practitioner | HCEU - PractitionerRole | HCEU - Organization) Who is responsible for the observation
... dataAbsentReason 0..0
... interpretation S 0..* CodeableConcept High, low, normal, etc.
... note S 0..* Annotation Comments about the observation
... bodySite 0..0
... specimen S 0..1 Reference(HCEU - Specimen) Specimen used for this observation
... device 0..1 Reference(HCEU - Device) (Measurement) Device
... hasMember 0..0
... derivedFrom 0..0
... component S 0..* BackboneElement Component results
.... value[x] S 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result

doco Documentation for this format

Tabla de resumen

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Business Identifier for observation
Slice: Unordered, Open by pattern:use
.... identifier:HISdentifier Σ 1..1 Identifier Business Identifier for observation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Fixed Value: usual
..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
Example HIS uri: http://hospitalSystemInformation.example.org/observations/
..... value Σ 1..1 string The value that is unique
Example General: 123456
... basedOn SΣ 0..* Reference(HCEU - Service Resquest | HCEU - Intramural - Care Plan | HCEU - Device Request | HCEU - Medication Request | HCEU - Nutrition Order) Fulfills plan, proposal or order
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Fixed Value: final
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: https://loinc.org (preferred): LOINC
Example Laboratory: {"coding":[{"system":"https://loinc.org","code":"57698-3","display":"Lipid panel with direct LDL - Serum or Plasma"}]}
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(HCEU - Patient) Who and/or what the observation is about
... encounter Σ 1..1 Reference(HCEU - Intramural - Encounter) Healthcare event during which this observation is made
... effective[x] Σ 1..1 Period Clinically relevant time/time-period for observation
... issued Σ 1..1 instant Date/Time this version was made available
... performer Σ 1..* Reference(HCEU - Practitioner | HCEU - PractitionerRole | HCEU - Organization) Who is responsible for the observation
... value[x] ΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... interpretation S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note S 0..* Annotation Comments about the observation
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen S 0..1 Reference(HCEU - Specimen) Specimen used for this observation
... device 0..1 Reference(HCEU - Device) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... component SΣ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... value[x] SΣ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

 

Otras representaciones de este perfil: Schematron

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Observation.identifier:HISdentifier.userequiredFixed Value: usual
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
Observation.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.codepreferredhttps://loinc.org
https://loinc.org
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
From the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
From the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
From the FHIR Standard
Observation.component.codeexampleLOINCCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()