Release 4

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

10.3.12.21 StructureDefinition: HDLCholesterol

Orders and Observations Work Group Maturity Level: 1 Trial Use Use Context: Not yet ready for Production use

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/hdlcholesterol

HDL Cholesterol Result

This profile was published on Sat, May 12, 2012 00:00+1000 as a draft by Grahame Grieve.

10.3.12.21.1 Formal Views of Profile Content

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

This structure is derived from Observation.

Summary

Mandatory: 3 elements
Must-Support: 5 elements
Fixed Value: 2 elements
Prohibited: 6 elements

This structure is derived from Observation.

Name Flags Card. Type Description & Constraints doco
.. Observation 1..1HDL Cholesterol Result
... code S1..1CodeableConcept HDL Cholesterol
Fixed Value: As shown
.... coding 1..1Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1code Symbol in syntax defined by the system
Fixed Value: 2085-9
..... display 1..1string Representation defined by the system
Fixed Value: HDL Cholesterol
... valueQuantity S0..1Quantity HDL Cholesterol value
... interpretation S0..1CodeableConcept + | ++ | +++ | - | -- | ---
... note S0..*Annotation Comments about result
... referenceRange S1..1BackboneElement
.... low 1..1SimpleQuantity Fixed Value: As shown
..... value 1..1decimal Numerical value (with implicit precision)
Fixed Value: 1.5
.... high0..0
.... type0..0
.... appliesTo0..0
.... age0..0
... hasMember0..0
... derivedFrom0..0

doco Documentation for this format
Name Flags Card. Type Description & Constraints doco
.. Observation I1..1HDL Cholesterol Result
... id Σ0..1string Logical id of this artifact
... meta ΣI0..1Meta Metadata about the resource
... implicitRules ?!ΣI0..1uri A set of rules under which this content was created
... language I0..1code Language of the resource content
Binding: Common Languages (preferred)
Max Binding: All Languages
... text I0..1Narrative Text summary of the resource, for human interpretation
... contained 0..*Resource Contained, inline Resources
... extension I0..*Extension Additional content defined by implementations
... modifierExtension ?!I0..*Extension Extensions that cannot be ignored
... identifier ΣI0..*Identifier Business Identifier for observation
... basedOn ΣI0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf ΣI0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!ΣI1..1code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category I0..*CodeableConcept Classification of type of observation
Binding: Observation Category Codes (preferred)
... code SΣI1..1CodeableConcept HDL Cholesterol
Binding: LOINC Codes (example)
Fixed Value: As shown
.... id 0..0string Unique id for inter-element referencing
.... extension 0..0Extension Additional content defined by implementations
.... coding 1..1Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..0string Unique id for inter-element referencing
..... extension 0..0Extension Additional content defined by implementations
..... system 1..1uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..0string Version of the system - if relevant
..... code 1..1code Symbol in syntax defined by the system
Fixed Value: 2085-9
..... display 1..1string Representation defined by the system
Fixed Value: HDL Cholesterol
..... userSelected 0..0boolean If this coding was chosen directly by the user
.... text 0..0string Plain text representation of the concept
... subject ΣI0..1Reference(Patient | Group | Device | Location)Who and/or what the observation is about
... focus ΣI0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter ΣI0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] ΣI0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued ΣI0..1instant Date/Time this version was made available
... performer ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... value[x] ΣI(Slice Definition) Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣI0..1Quantity HDL Cholesterol value
... dataAbsentReason I0..1CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible)
... interpretation SI0..1CodeableConcept + | ++ | +++ | - | -- | ---
Binding: Observation Interpretation Codes (extensible)
... note SI0..*Annotation Comments about result
... bodySite I0..1CodeableConcept Observed body part
Binding: SNOMED CT Body Structures (example)
... method I0..1CodeableConcept How it was done
Binding: Observation Methods (example)
... specimen I0..1Reference(Specimen)Specimen used for this observation
... device I0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange SI1..1BackboneElement Provides guide for interpretation
.... id 0..1string Unique id for inter-element referencing
.... extension I0..*Extension Additional content defined by implementations
.... modifierExtension ?!ΣI0..*Extension Extensions that cannot be ignored even if unrecognized
.... low I1..1SimpleQuantity A fixed quantity (no comparator)
Fixed Value: As shown
..... id 0..0string Unique id for inter-element referencing
..... extension 0..0Extension Additional content defined by implementations
..... value 1..1decimal Numerical value (with implicit precision)
Fixed Value: 1.5
..... comparator 0..0code < | <= | >= | > - how to understand the value
..... unit 0..0string Unit representation
..... system 0..0uri System that defines coded unit form
..... code 0..0code Coded form of the unit
.... text I0..1string Text based reference range in an observation
... component ΣI0..*BackboneElement Component results
.... id 0..1string Unique id for inter-element referencing
.... extension I0..*Extension Additional content defined by implementations
.... modifierExtension ?!ΣI0..*Extension Extensions that cannot be ignored even if unrecognized
.... code ΣI1..1CodeableConcept Type of component observation (code / type)
Binding: LOINC Codes (example)
.... value[x] ΣI0..1Actual component result
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason I0..1CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible)
.... interpretation I0..*CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
.... referenceRange I0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result

doco Documentation for this format 
<!-- Example Lipid Profile -->doco 
<Observation xmlns="http://hl7.org/fhir"
>
 <!-- from Element: extension -->
 <id><!-- 0..1 string  Logical id of this artifact --></id>
 <meta><!-- ?? 0..1 Meta  Metadata about the resource --></meta>
 <implicitRules value="[uri ]"/><!-- ?? 0..1 A set of rules under which this content was created -->
 <language value="[code ]"/><!-- ?? 0..1 Language of the resource content  -->
 <text><!-- ?? 0..1 Narrative  
 Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource  Contained, inline Resources --></contained>
 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- ?? 0..* Identifier  
 Business Identifier for observation --></identifier>
 <basedOn><!-- ?? 0..* Reference(CarePlan) Fulfills plan, proposal or order --></basedOn>
 <partOf><!-- ?? 0..* Reference(MedicationAdministration) Part of referenced event --></partOf>
 <status value="[code ]"/><!-- ?? 1..1 registered | preliminary | final | amended +  -->
 <category><!-- ?? 0..* CodeableConcept  Classification of type of observation  --></category>
 <code><!-- ?? 1..1 CodeableConcept  HDL Cholesterol  --></code>
 <subject><!-- ?? 0..1 Reference(Patient) 
 Who and/or what the observation is about --></subject>
 <focus><!-- ?? 0..* Reference(Resource) 
 What the observation is about, when it is not about the subject of record --></focus>
 <encounter><!-- ?? 0..1 Reference(Encounter) 
 Healthcare event during which this observation is made --></encounter>
 <effective[x]><!-- ?? 0..1 dateTime|Period|Timing|instant  
 Clinically relevant time/time-period for observation --></effective[x]>
 <issued value="[instant ]"/><!-- ?? 0..1 Date/Time this version was made available -->
 <performer><!-- ?? 0..* Reference(Practitioner) 
 Who is responsible for the observation --></performer>
 <-- valueQuantity sliced by type:$this in the specified orderClosed-->
 <valueQuantity><!-- ?? 0..1 Quantity  HDL Cholesterol value --></valueQuantity>
 <dataAbsentReason><!-- ?? 0..1 CodeableConcept  Why the result is missing  --></dataAbsentReason>
 <interpretation><!-- ?? 0..1 CodeableConcept  + | ++ | +++ | - | -- | ---  --></interpretation>
 <note><!-- ?? 0..* Annotation  Comments about result --></note>
 <bodySite><!-- ?? 0..1 CodeableConcept  Observed body part  --></bodySite>
 <method><!-- ?? 0..1 CodeableConcept  How it was done  --></method>
 <specimen><!-- ?? 0..1 Reference(Specimen) Specimen used for this observation --></specimen>
 <device><!-- ?? 0..1 Reference(Device) (Measurement) Device --></device>
 <referenceRange> ?? 1..1 BackboneElement  <!-- ?? 1..1 Provides guide for interpretation -->
 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
 <low><!-- ?? 1..1 Quantity  
 A fixed quantity (no comparator) --></low>
 <high><!-- ?? 0..0 Quantity  
 High Range, if relevant --></high>
 <type><!-- ?? 0..0 CodeableConcept  Reference range qualifier  --></type>
 <appliesTo><!-- ?? 0..0 CodeableConcept  Reference range population  --></appliesTo>
 <age><!-- ?? 0..0 Range  
 Applicable age range, if relevant --></age>
 <text value="[string ]"/><!-- ?? 0..1 Text based reference range in an observation -->
 </referenceRange>
 <hasMember><!-- ?? 0..0 Reference(Observation) 
 Related resource that belongs to the Observation group --></hasMember>
 <derivedFrom><!-- ?? 0..0 Reference(DocumentReference) 
 Related measurements the observation is made from --></derivedFrom>
 <component> ?? 0..* BackboneElement  <!-- ?? 0..* Component results -->
 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
 <code><!-- ?? 1..1 CodeableConcept  Type of component observation (code / type)  --></code>
 <value[x]><!-- ?? 0..1 Quantity|CodeableConcept|string|
 boolean|integer|Range|Ratio|SampledData|time|dateTime|Period  
 Actual component result --></value[x]>
 <dataAbsentReason><!-- ?? 0..1 CodeableConcept  Why the component result is missing  --></dataAbsentReason>
 <interpretation><!-- ?? 0..* CodeableConcept  High, low, normal, etc.  --></interpretation>
 <referenceRange><!-- See #Observation.referenceRange Provides guide for interpretation of component result --></referenceRange>
 </component>
</Observation>

{ // Example Lipid Profile
 // from Element: extension
 "meta" : { Meta  }, // C?Metadata about the resource
 "implicitRules" : "<uri >", // C?A set of rules under which this content was created
 "language" : "<code >", // C?Language of the resource content 
 "text" : { Narrative  }, // C?Text summary of the resource, for human interpretation
 "contained" : [{ Resource  }], //Contained, inline Resources
 "modifierExtension" : [{ Extension  }], // C?Extensions that cannot be ignored
 "identifier" : [{ Identifier  }], // C?Business Identifier for observation
 "basedOn" : [{ Reference (CarePlan ) }], // C?Fulfills plan, proposal or order
 "partOf" : [{ Reference (MedicationAdministration ) }], // C?Part of referenced event
 "status" : "<code >", // C? R! registered | preliminary | final | amended + 
 "category" : [{ CodeableConcept  }], // C?Classification of type of observation 
 "code" : { CodeableConcept  }, // C? R! 
 "subject" : { Reference (Patient ) }, // C?Who and/or what the observation is about
 "focus" : [{ Reference (Resource ) }], // C?What the observation is about, when it is not about the subject of record
 "encounter" : { Reference (Encounter ) }, // C?Healthcare event during which this observation is made
// value[x]: Clinically relevant time/time-period for observation. One of these 4:
 "effectiveDateTime" : "<dateTime >", // C?Clinically relevant time/time-period for observation
 "effectivePeriod" : { Period  }, // C?Clinically relevant time/time-period for observation
 "effectiveTiming" : { Timing  }, // C?Clinically relevant time/time-period for observation
 "effectiveInstant" : "<instant >", // C?Clinically relevant time/time-period for observation
 "issued" : "<instant >", // C?Date/Time this version was made available
 "performer" : [{ Reference (Practitioner ) }], // C?Who is responsible for the observation
 "valueQuantity" : [ //  sliced by type:$this in the specified order, Closed 
 { // HDL Cholesterol value // C?
 // from Element: extension
 }
 ],
 "dataAbsentReason" : { CodeableConcept  }, // C?Why the result is missing 
 "interpretation" : { CodeableConcept  }, // C?+ | ++ | +++ | - | -- | --- 
 "note" : [{ Annotation  }], // C?Comments about result
 "bodySite" : { CodeableConcept  }, // C?Observed body part 
 "method" : { CodeableConcept  }, // C?How it was done 
 "specimen" : { Reference (Specimen ) }, // C?Specimen used for this observation
 "device" : { Reference (Device ) }, // C?(Measurement) Device
 "referenceRange" : { BackboneElement  }, // C? R! Provides guide for interpretation
 "component" : [{ BackboneElement  }], // C?Component results
 }

This structure is derived from Observation.

Summary

Mandatory: 3 elements
Must-Support: 5 elements
Fixed Value: 2 elements
Prohibited: 6 elements

Differential View

This structure is derived from Observation.

Name Flags Card. Type Description & Constraints doco
.. Observation 1..1HDL Cholesterol Result
... code S1..1CodeableConcept HDL Cholesterol
Fixed Value: As shown
.... coding 1..1Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1code Symbol in syntax defined by the system
Fixed Value: 2085-9
..... display 1..1string Representation defined by the system
Fixed Value: HDL Cholesterol
... valueQuantity S0..1Quantity HDL Cholesterol value
... interpretation S0..1CodeableConcept + | ++ | +++ | - | -- | ---
... note S0..*Annotation Comments about result
... referenceRange S1..1BackboneElement
.... low 1..1SimpleQuantity Fixed Value: As shown
..... value 1..1decimal Numerical value (with implicit precision)
Fixed Value: 1.5
.... high0..0
.... type0..0
.... appliesTo0..0
.... age0..0
... hasMember0..0
... derivedFrom0..0

doco Documentation for this format

Snapshot View

Name Flags Card. Type Description & Constraints doco
.. Observation I1..1HDL Cholesterol Result
... id Σ0..1string Logical id of this artifact
... meta ΣI0..1Meta Metadata about the resource
... implicitRules ?!ΣI0..1uri A set of rules under which this content was created
... language I0..1code Language of the resource content
Binding: Common Languages (preferred)
Max Binding: All Languages
... text I0..1Narrative Text summary of the resource, for human interpretation
... contained 0..*Resource Contained, inline Resources
... extension I0..*Extension Additional content defined by implementations
... modifierExtension ?!I0..*Extension Extensions that cannot be ignored
... identifier ΣI0..*Identifier Business Identifier for observation
... basedOn ΣI0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf ΣI0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!ΣI1..1code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category I0..*CodeableConcept Classification of type of observation
Binding: Observation Category Codes (preferred)
... code SΣI1..1CodeableConcept HDL Cholesterol
Binding: LOINC Codes (example)
Fixed Value: As shown
.... id 0..0string Unique id for inter-element referencing
.... extension 0..0Extension Additional content defined by implementations
.... coding 1..1Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..0string Unique id for inter-element referencing
..... extension 0..0Extension Additional content defined by implementations
..... system 1..1uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..0string Version of the system - if relevant
..... code 1..1code Symbol in syntax defined by the system
Fixed Value: 2085-9
..... display 1..1string Representation defined by the system
Fixed Value: HDL Cholesterol
..... userSelected 0..0boolean If this coding was chosen directly by the user
.... text 0..0string Plain text representation of the concept
... subject ΣI0..1Reference(Patient | Group | Device | Location)Who and/or what the observation is about
... focus ΣI0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter ΣI0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] ΣI0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued ΣI0..1instant Date/Time this version was made available
... performer ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... value[x] ΣI(Slice Definition) Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣI0..1Quantity HDL Cholesterol value
... dataAbsentReason I0..1CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible)
... interpretation SI0..1CodeableConcept + | ++ | +++ | - | -- | ---
Binding: Observation Interpretation Codes (extensible)
... note SI0..*Annotation Comments about result
... bodySite I0..1CodeableConcept Observed body part
Binding: SNOMED CT Body Structures (example)
... method I0..1CodeableConcept How it was done
Binding: Observation Methods (example)
... specimen I0..1Reference(Specimen)Specimen used for this observation
... device I0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange SI1..1BackboneElement Provides guide for interpretation
.... id 0..1string Unique id for inter-element referencing
.... extension I0..*Extension Additional content defined by implementations
.... modifierExtension ?!ΣI0..*Extension Extensions that cannot be ignored even if unrecognized
.... low I1..1SimpleQuantity A fixed quantity (no comparator)
Fixed Value: As shown
..... id 0..0string Unique id for inter-element referencing
..... extension 0..0Extension Additional content defined by implementations
..... value 1..1decimal Numerical value (with implicit precision)
Fixed Value: 1.5
..... comparator 0..0code < | <= | >= | > - how to understand the value
..... unit 0..0string Unit representation
..... system 0..0uri System that defines coded unit form
..... code 0..0code Coded form of the unit
.... text I0..1string Text based reference range in an observation
... component ΣI0..*BackboneElement Component results
.... id 0..1string Unique id for inter-element referencing
.... extension I0..*Extension Additional content defined by implementations
.... modifierExtension ?!ΣI0..*Extension Extensions that cannot be ignored even if unrecognized
.... code ΣI1..1CodeableConcept Type of component observation (code / type)
Binding: LOINC Codes (example)
.... value[x] ΣI0..1Actual component result
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason I0..1CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible)
.... interpretation I0..*CodeableConcept High, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
.... referenceRange I0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result

doco Documentation for this format

XML Template

<!-- Example Lipid Profile -->doco 
<Observation xmlns="http://hl7.org/fhir"
>
 <!-- from Element: extension -->
 <id><!-- 0..1 string  Logical id of this artifact --></id>
 <meta><!-- ?? 0..1 Meta  Metadata about the resource --></meta>
 <implicitRules value="[uri ]"/><!-- ?? 0..1 A set of rules under which this content was created -->
 <language value="[code ]"/><!-- ?? 0..1 Language of the resource content  -->
 <text><!-- ?? 0..1 Narrative  
 Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource  Contained, inline Resources --></contained>
 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- ?? 0..* Identifier  
 Business Identifier for observation --></identifier>
 <basedOn><!-- ?? 0..* Reference(CarePlan) Fulfills plan, proposal or order --></basedOn>
 <partOf><!-- ?? 0..* Reference(MedicationAdministration) Part of referenced event --></partOf>
 <status value="[code ]"/><!-- ?? 1..1 registered | preliminary | final | amended +  -->
 <category><!-- ?? 0..* CodeableConcept  Classification of type of observation  --></category>
 <code><!-- ?? 1..1 CodeableConcept  HDL Cholesterol  --></code>
 <subject><!-- ?? 0..1 Reference(Patient) 
 Who and/or what the observation is about --></subject>
 <focus><!-- ?? 0..* Reference(Resource) 
 What the observation is about, when it is not about the subject of record --></focus>
 <encounter><!-- ?? 0..1 Reference(Encounter) 
 Healthcare event during which this observation is made --></encounter>
 <effective[x]><!-- ?? 0..1 dateTime|Period|Timing|instant  
 Clinically relevant time/time-period for observation --></effective[x]>
 <issued value="[instant ]"/><!-- ?? 0..1 Date/Time this version was made available -->
 <performer><!-- ?? 0..* Reference(Practitioner) 
 Who is responsible for the observation --></performer>
 <-- valueQuantity sliced by type:$this in the specified orderClosed-->
 <valueQuantity><!-- ?? 0..1 Quantity  HDL Cholesterol value --></valueQuantity>
 <dataAbsentReason><!-- ?? 0..1 CodeableConcept  Why the result is missing  --></dataAbsentReason>
 <interpretation><!-- ?? 0..1 CodeableConcept  + | ++ | +++ | - | -- | ---  --></interpretation>
 <note><!-- ?? 0..* Annotation  Comments about result --></note>
 <bodySite><!-- ?? 0..1 CodeableConcept  Observed body part  --></bodySite>
 <method><!-- ?? 0..1 CodeableConcept  How it was done  --></method>
 <specimen><!-- ?? 0..1 Reference(Specimen) Specimen used for this observation --></specimen>
 <device><!-- ?? 0..1 Reference(Device) (Measurement) Device --></device>
 <referenceRange> ?? 1..1 BackboneElement  <!-- ?? 1..1 Provides guide for interpretation -->
 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
 <low><!-- ?? 1..1 Quantity  
 A fixed quantity (no comparator) --></low>
 <high><!-- ?? 0..0 Quantity  
 High Range, if relevant --></high>
 <type><!-- ?? 0..0 CodeableConcept  Reference range qualifier  --></type>
 <appliesTo><!-- ?? 0..0 CodeableConcept  Reference range population  --></appliesTo>
 <age><!-- ?? 0..0 Range  
 Applicable age range, if relevant --></age>
 <text value="[string ]"/><!-- ?? 0..1 Text based reference range in an observation -->
 </referenceRange>
 <hasMember><!-- ?? 0..0 Reference(Observation) 
 Related resource that belongs to the Observation group --></hasMember>
 <derivedFrom><!-- ?? 0..0 Reference(DocumentReference) 
 Related measurements the observation is made from --></derivedFrom>
 <component> ?? 0..* BackboneElement  <!-- ?? 0..* Component results -->
 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
 <code><!-- ?? 1..1 CodeableConcept  Type of component observation (code / type)  --></code>
 <value[x]><!-- ?? 0..1 Quantity|CodeableConcept|string|
 boolean|integer|Range|Ratio|SampledData|time|dateTime|Period  
 Actual component result --></value[x]>
 <dataAbsentReason><!-- ?? 0..1 CodeableConcept  Why the component result is missing  --></dataAbsentReason>
 <interpretation><!-- ?? 0..* CodeableConcept  High, low, normal, etc.  --></interpretation>
 <referenceRange><!-- See #Observation.referenceRange Provides guide for interpretation of component result --></referenceRange>
 </component>
</Observation>

JSON Template

{ // Example Lipid Profile
 // from Element: extension
 "meta" : { Meta  }, // C?Metadata about the resource
 "implicitRules" : "<uri >", // C?A set of rules under which this content was created
 "language" : "<code >", // C?Language of the resource content 
 "text" : { Narrative  }, // C?Text summary of the resource, for human interpretation
 "contained" : [{ Resource  }], //Contained, inline Resources
 "modifierExtension" : [{ Extension  }], // C?Extensions that cannot be ignored
 "identifier" : [{ Identifier  }], // C?Business Identifier for observation
 "basedOn" : [{ Reference (CarePlan ) }], // C?Fulfills plan, proposal or order
 "partOf" : [{ Reference (MedicationAdministration ) }], // C?Part of referenced event
 "status" : "<code >", // C? R! registered | preliminary | final | amended + 
 "category" : [{ CodeableConcept  }], // C?Classification of type of observation 
 "code" : { CodeableConcept  }, // C? R! 
 "subject" : { Reference (Patient ) }, // C?Who and/or what the observation is about
 "focus" : [{ Reference (Resource ) }], // C?What the observation is about, when it is not about the subject of record
 "encounter" : { Reference (Encounter ) }, // C?Healthcare event during which this observation is made
// value[x]: Clinically relevant time/time-period for observation. One of these 4:
 "effectiveDateTime" : "<dateTime >", // C?Clinically relevant time/time-period for observation
 "effectivePeriod" : { Period  }, // C?Clinically relevant time/time-period for observation
 "effectiveTiming" : { Timing  }, // C?Clinically relevant time/time-period for observation
 "effectiveInstant" : "<instant >", // C?Clinically relevant time/time-period for observation
 "issued" : "<instant >", // C?Date/Time this version was made available
 "performer" : [{ Reference (Practitioner ) }], // C?Who is responsible for the observation
 "valueQuantity" : [ //  sliced by type:$this in the specified order, Closed 
 { // HDL Cholesterol value // C?
 // from Element: extension
 }
 ],
 "dataAbsentReason" : { CodeableConcept  }, // C?Why the result is missing 
 "interpretation" : { CodeableConcept  }, // C?+ | ++ | +++ | - | -- | --- 
 "note" : [{ Annotation  }], // C?Comments about result
 "bodySite" : { CodeableConcept  }, // C?Observed body part 
 "method" : { CodeableConcept  }, // C?How it was done 
 "specimen" : { Reference (Specimen ) }, // C?Specimen used for this observation
 "device" : { Reference (Device ) }, // C?(Measurement) Device
 "referenceRange" : { BackboneElement  }, // C? R! Provides guide for interpretation
 "component" : [{ BackboneElement  }], // C?Component results
 }

Alternate definitions: Master Definition (XML, JSON), Schematron

10.3.12.21.2 Terminology Bindings

Path Name Conformance ValueSet
Observation.language Common Languages preferred Common Languages
Observation.status ObservationStatus required ObservationStatus
Observation.category Observation Category Codes preferred Observation Category Codes
Observation.code LOINC Codes example LOINC Codes
Observation.dataAbsentReason DataAbsentReason extensible DataAbsentReason
Observation.interpretation Observation Interpretation Codes extensible Observation Interpretation Codes
Observation.bodySite SNOMED CT Body Structures example SNOMED CT Body Structures
Observation.method Observation Methods example Observation Methods
Observation.component.code LOINC Codes example LOINC Codes
Observation.component.dataAbsentReason DataAbsentReason extensible DataAbsentReason
Observation.component.interpretation Observation Interpretation Codes extensible Observation Interpretation Codes
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