FHIR Belgium Base IG - Local Development build (v0.1.0). See the Directory of published versions

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StructureDefinition: BeObservation

Belgian federal profile for an observation. Initially based on the functional description of the NIHDI. As Observation is used in many instances in FHIR, please refer to the HL7 specs of the base resource for guidance around expression of actual values using UCUM, methods, location on body etc.

Special remarks for KMEHR users: The FHIR Observation resource captures many things that are in a KMEHR message structured as an ‘item’. This includes things like ‘vital signs such as body weight, blood pressure, and temperature […], personal characteristics such as eye-color […] social history like tobacco use, family support, or cognitive status […]’ ( https://www.hl7.org/fhir/R4/observation.html ) For some of these things, HL7 already has worked out profiles and they SHALL be used when such a use case is needed. Specifically, projects SHALL take note of the existing profiles described on https://www.hl7.org/fhir/R4/observation-vitalsigns.html

The official URL for this profile is:

https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-observation

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

 

Other representations of profile: Schematron

Terminology Bindings

Terminology Bindings

Path	Conformance	ValueSet
Observation.language	preferred	CommonLanguages Max Binding: AllLanguages
Observation.status	required	ObservationStatus
Observation.category	preferred	ObservationCategoryCodes
Observation.code	example	LOINCCodes
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	extensible	ObservationInterpretationCodes
Observation.bodySite	example	SNOMEDCTBodyStructures
Observation.method	example	ObservationMethods
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes
Observation.component.code	example	LOINCCodes
Observation.component.dataAbsentReason	extensible	DataAbsentReason
Observation.component.interpretation	extensible	ObservationInterpretationCodes

Constraints

Constraints

Id	Path	Details	Requirements
dom-2	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Observation	A resource should have narrative for robust management : text.`div`.exists()
obs-6	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
ele-1	Observation.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.basedOn	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.partOf	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.category	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.encounter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.effective[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.issued	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.performer	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.interpretation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.note	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.bodySite	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.method	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.specimen	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.device	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.referenceRange	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
obs-3	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
ele-1	Observation.referenceRange.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.referenceRange.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.referenceRange.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.referenceRange.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.referenceRange.low	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.referenceRange.high	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.referenceRange.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.referenceRange.appliesTo	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.referenceRange.age	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.referenceRange.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.hasMember	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.derivedFrom	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.component	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.component.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.component.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.component.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.component.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.component.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.component.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.component.dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.component.interpretation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.component.referenceRange	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())