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deep-response.edn
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deep-response.edn
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{:data
{:getResource
{:description
"Defines constraints on the Observation resource to represent inspired O2 by pulse oximetry and inspired oxygen concentration observations with a standard LOINC codes and UCUM units of measure. This profile is derived from the US Core Vital Signs Profile.",
:date "2020-11-18",
:derivation "constraint",
:publisher "HL7 International - US Realm Steering Committee",
:fhirVersion "4.0.1",
:jurisdiction
[{:coding
[{:system "urn:iso:std:iso:3166", :value nil, :code "US"}]}],
:name "USCorePulseOximetryProfile",
:mapping
[{:identity "workflow",
:uri "http://hl7.org/fhir/workflow",
:name "Workflow Pattern"}
{:identity "sct-concept",
:uri "http://snomed.info/conceptdomain",
:name "SNOMED CT Concept Domain Binding"}
{:identity "v2", :uri "http://hl7.org/v2", :name "HL7 v2 Mapping"}
{:identity "rim", :uri "http://hl7.org/v3", :name "RIM Mapping"}
{:identity "w5",
:uri "http://hl7.org/fhir/fivews",
:name "FiveWs Pattern Mapping"}
{:identity "sct-attr",
:uri "http://snomed.org/attributebinding",
:name "SNOMED CT Attribute Binding"}],
:abstract false,
:copyright
"Used by permission of HL7 International, all rights reserved Creative Commons License",
:type "Observation",
:experimental false,
:resourceType "StructureDefinition",
:snapshot
{:element
[{:constraint
[{:key "dom-2",
:severity "error",
:human
"If the resource is contained in another resource, it SHALL NOT contain nested Resources",
:expression "contained.contained.empty()",
:xpath "not(parent::f:contained and f:contained)",
:source
"http://hl7.org/fhir/StructureDefinition/DomainResource",
:extension nil}
{:key "dom-3",
:severity "error",
:human
"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",
:expression
"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()",
:xpath
"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
:source
"http://hl7.org/fhir/StructureDefinition/DomainResource",
:extension nil}
{:key "dom-4",
:severity "error",
:human
"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
:expression
"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
:xpath
"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
:source
"http://hl7.org/fhir/StructureDefinition/DomainResource",
:extension nil}
{:key "dom-5",
:severity "error",
:human
"If a resource is contained in another resource, it SHALL NOT have a security label",
:expression "contained.meta.security.empty()",
:xpath "not(exists(f:contained/*/f:meta/f:security))",
:source
"http://hl7.org/fhir/StructureDefinition/DomainResource",
:extension nil}
{:key "dom-6",
:severity "warning",
:human
"A resource should have narrative for robust management",
:expression "text.`div`.exists()",
:xpath "exists(f:text/h:div)",
:source
"http://hl7.org/fhir/StructureDefinition/DomainResource",
:extension
[{:url
"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
:valueBoolean true,
:valueMarkdown nil,
:valueCanonical nil,
:valueString nil}
{:url
"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
:valueBoolean nil,
:valueMarkdown
"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.",
:valueCanonical nil,
:valueString nil}]}
{:key "obs-6",
:severity "error",
:human
"dataAbsentReason SHALL only be present if Observation.value[x] is not present",
:expression "dataAbsentReason.empty() or value.empty()",
:xpath
"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))",
:source "http://hl7.org/fhir/StructureDefinition/Observation",
:extension nil}
{:key "obs-7",
:severity "error",
:human
"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present",
:expression
"value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()",
:xpath
"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))",
:source "http://hl7.org/fhir/StructureDefinition/Observation",
:extension nil}
{:key "vs-2",
:severity "error",
:human
"If there is no component or hasMember element then either a value[x] or a data absent reason must be present.",
:expression
"(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())",
:xpath
"f:component or f:memberOF or f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason",
:source "http://hl7.org/fhir/StructureDefinition/vitalsigns",
:extension nil}],
:path "Observation",
:min 0,
:definition
"Defines constraints on the Observation resource to represent inspired O2 by pulse oximetry and inspired oxygen concentration observations with a standard LOINC codes and UCUM units of measure. This profile is derived from the US Core Vital Signs Profile.",
:isModifier false,
:short "US Core Pulse Oximetry Profile",
:mapping
[{:identity "rim", :map "Entity. Role, or Act"}
{:identity "workflow", :map "Event"}
{:identity "sct-concept",
:map "< 363787002 |Observable entity|"}
{:identity "v2", :map "OBX"}
{:identity "rim",
:map "Observation[classCode=OBS, moodCode=EVN]"}],
:slicing nil,
:type nil,
:mustSupport false,
:binding nil,
:alias ["Vital Signs" "Measurement" "Results" "Tests"],
:max "*",
:id "Observation",
:comment
"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.",
:base {:path "Observation", :min 0, :max "*"},
:isModifierReason nil,
:isSummary false}
{:constraint nil,
:path "Observation.id",
:min 0,
:definition
"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
:isModifier false,
:short "Logical id of this artifact",
:mapping nil,
:slicing nil,
:type
[{:code "http://hl7.org/fhirpath/System.String",
:targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias nil,
:max "1",
:id "Observation.id",
:comment
"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
:base {:path "Resource.id", :min 0, :max "1"},
:isModifierReason nil,
:isSummary true}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.meta",
:min 0,
:definition
"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
:isModifier false,
:short "Metadata about the resource",
:mapping nil,
:slicing nil,
:type [{:code "Meta", :targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias nil,
:max "1",
:id "Observation.meta",
:comment nil,
:base {:path "Resource.meta", :min 0, :max "1"},
:isModifierReason nil,
:isSummary true}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.implicitRules",
:min 0,
:definition
"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
:isModifier true,
:short "A set of rules under which this content was created",
:mapping nil,
:slicing nil,
:type [{:code "uri", :targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias nil,
:max "1",
:id "Observation.implicitRules",
:comment
"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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
:base {:path "Resource.implicitRules", :min 0, :max "1"},
:isModifierReason
"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
:isSummary true}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.language",
:min 0,
:definition
"The base language in which the resource is written.",
:isModifier false,
:short "Language of the resource content",
:mapping nil,
:slicing nil,
:type [{:code "code", :targetProfile nil}],
:mustSupport nil,
:binding
{:strength "preferred",
:description "A human language.",
:valueSet "http://hl7.org/fhir/ValueSet/languages",
:extension
[{:url
"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
:valueBoolean nil,
:valueMarkdown nil,
:valueCanonical "http://hl7.org/fhir/ValueSet/all-languages",
:valueString nil}
{:url
"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
:valueBoolean nil,
:valueMarkdown nil,
:valueCanonical nil,
:valueString "Language"}
{:url
"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
:valueBoolean true,
:valueMarkdown nil,
:valueCanonical nil,
:valueString nil}]},
:alias nil,
:max "1",
:id "Observation.language",
:comment
"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).",
:base {:path "Resource.language", :min 0, :max "1"},
:isModifierReason nil,
:isSummary false}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.text",
:min 0,
:definition
"A human-readable narrative that contains a summary of the resource and can 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.",
:isModifier false,
:short "Text summary of the resource, for human interpretation",
:mapping [{:identity "rim", :map "Act.text?"}],
:slicing nil,
:type [{:code "Narrative", :targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias ["narrative" "html" "xhtml" "display"],
:max "1",
:id "Observation.text",
:comment
"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
:base {:path "DomainResource.text", :min 0, :max "1"},
:isModifierReason nil,
:isSummary false}
{:constraint nil,
:path "Observation.contained",
:min 0,
:definition
"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.",
:isModifier false,
:short "Contained, inline Resources",
:mapping [{:identity "rim", :map "N/A"}],
:slicing nil,
:type [{:code "Resource", :targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias
["inline resources" "anonymous resources" "contained resources"],
:max "*",
:id "Observation.contained",
:comment
"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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
:base {:path "DomainResource.contained", :min 0, :max "*"},
:isModifierReason nil,
:isSummary false}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}
{:key "ext-1",
:severity "error",
:human "Must have either extensions or value[x], not both",
:expression "extension.exists() != value.exists()",
:xpath
"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
:source "http://hl7.org/fhir/StructureDefinition/Extension",
:extension nil}],
:path "Observation.extension",
:min 0,
:definition
"May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
:isModifier false,
:short "Additional content defined by implementations",
:mapping [{:identity "rim", :map "N/A"}],
:slicing nil,
:type [{:code "Extension", :targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias ["extensions" "user content"],
:max "*",
:id "Observation.extension",
:comment
"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.",
:base {:path "DomainResource.extension", :min 0, :max "*"},
:isModifierReason nil,
:isSummary false}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}
{:key "ext-1",
:severity "error",
:human "Must have either extensions or value[x], not both",
:expression "extension.exists() != value.exists()",
:xpath
"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
:source "http://hl7.org/fhir/StructureDefinition/Extension",
:extension nil}],
:path "Observation.modifierExtension",
:min 0,
:definition
"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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
:isModifier true,
:short "Extensions that cannot be ignored",
:mapping [{:identity "rim", :map "N/A"}],
:slicing nil,
:type [{:code "Extension", :targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias ["extensions" "user content"],
:max "*",
:id "Observation.modifierExtension",
:comment
"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.",
:base
{:path "DomainResource.modifierExtension", :min 0, :max "*"},
:isModifierReason
"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
:isSummary false}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.identifier",
:min 0,
:definition "A unique identifier assigned to this observation.",
:isModifier false,
:short "Business Identifier for observation",
:mapping
[{:identity "workflow", :map "Event.identifier"}
{:identity "w5", :map "FiveWs.identifier"}
{:identity "v2",
:map
"OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."}
{:identity "rim", :map "id"}],
:slicing nil,
:type [{:code "Identifier", :targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias nil,
:max "*",
:id "Observation.identifier",
:comment nil,
:base {:path "Observation.identifier", :min 0, :max "*"},
:isModifierReason nil,
:isSummary true}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.basedOn",
:min 0,
:definition
"A plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed.",
:isModifier false,
:short "Fulfills plan, proposal or order",
:mapping
[{:identity "workflow", :map "Event.basedOn"}
{:identity "v2", :map "ORC"}
{:identity "rim",
:map
".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}],
:slicing nil,
:type
[{:code "Reference",
:targetProfile
["http://hl7.org/fhir/StructureDefinition/CarePlan"
"http://hl7.org/fhir/StructureDefinition/DeviceRequest"
"http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"
"http://hl7.org/fhir/StructureDefinition/MedicationRequest"
"http://hl7.org/fhir/StructureDefinition/NutritionOrder"
"http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],
:mustSupport nil,
:binding nil,
:alias ["Fulfills"],
:max "*",
:id "Observation.basedOn",
:comment nil,
:base {:path "Observation.basedOn", :min 0, :max "*"},
:isModifierReason nil,
:isSummary true}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.partOf",
:min 0,
:definition
"A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.",
:isModifier false,
:short "Part of referenced event",
:mapping
[{:identity "workflow", :map "Event.partOf"}
{:identity "v2", :map "Varies by domain"}
{:identity "rim",
:map ".outboundRelationship[typeCode=FLFS].target"}],
:slicing nil,
:type
[{:code "Reference",
:targetProfile
["http://hl7.org/fhir/StructureDefinition/MedicationAdministration"
"http://hl7.org/fhir/StructureDefinition/MedicationDispense"
"http://hl7.org/fhir/StructureDefinition/MedicationStatement"
"http://hl7.org/fhir/StructureDefinition/Procedure"
"http://hl7.org/fhir/StructureDefinition/Immunization"
"http://hl7.org/fhir/StructureDefinition/ImagingStudy"]}],
:mustSupport nil,
:binding nil,
:alias ["Container"],
:max "*",
:id "Observation.partOf",
:comment
"To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/observation.html#obsgrouping) below for guidance on referencing another Observation.",
:base {:path "Observation.partOf", :min 0, :max "*"},
:isModifierReason nil,
:isSummary true}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.status",
:min 1,
:definition "The status of the result value.",
:isModifier true,
:short "registered | preliminary | final | amended +",
:mapping
[{:identity "workflow", :map "Event.status"}
{:identity "w5", :map "FiveWs.status"}
{:identity "sct-concept",
:map "< 445584004 |Report by finality status|"}
{:identity "v2", :map "OBX-11"}
{:identity "rim",
:map
"status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""}],
:slicing nil,
:type [{:code "code", :targetProfile nil}],
:mustSupport true,
:binding
{:strength "required",
:description nil,
:valueSet
"http://hl7.org/fhir/ValueSet/observation-status|4.0.1",
:extension
[{:url
"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
:valueBoolean nil,
:valueMarkdown nil,
:valueCanonical nil,
:valueString "Status"}]},
:alias nil,
:max "1",
:id "Observation.status",
:comment
"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
:base {:path "Observation.status", :min 1, :max "1"},
:isModifierReason
"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
:isSummary true}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.category",
:min 1,
:definition
"A code that classifies the general type of observation being made.",
:isModifier false,
:short "Classification of type of observation",
:mapping
[{:identity "w5", :map "FiveWs.class"}
{:identity "rim",
:map
".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}],
:slicing
{:ordered false,
:rules "open",
:description nil,
:discriminator
[{:type "value", :path "coding.code"}
{:type "value", :path "coding.system"}]},
:type [{:code "CodeableConcept", :targetProfile nil}],
:mustSupport true,
:binding
{:strength "preferred",
:description "Codes for high level observation categories.",
:valueSet "http://hl7.org/fhir/ValueSet/observation-category",
:extension
[{:url
"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
:valueBoolean nil,
:valueMarkdown nil,
:valueCanonical nil,
:valueString "ObservationCategory"}]},
:alias nil,
:max "*",
:id "Observation.category",
:comment
"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.",
:base {:path "Observation.category", :min 0, :max "*"},
:isModifierReason nil,
:isSummary false}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.category",
:min 1,
:definition
"A code that classifies the general type of observation being made.",
:isModifier false,
:short "Classification of type of observation",
:mapping
[{:identity "w5", :map "FiveWs.class"}
{:identity "rim",
:map
".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}],
:slicing nil,
:type [{:code "CodeableConcept", :targetProfile nil}],
:mustSupport true,
:binding
{:strength "preferred",
:description "Codes for high level observation categories.",
:valueSet "http://hl7.org/fhir/ValueSet/observation-category",
:extension
[{:url
"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
:valueBoolean nil,
:valueMarkdown nil,
:valueCanonical nil,
:valueString "ObservationCategory"}]},
:alias nil,
:max "1",
:id "Observation.category:VSCat",
:comment
"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.",
:base {:path "Observation.category", :min 0, :max "*"},
:isModifierReason nil,
:isSummary false}
{:constraint nil,
:path "Observation.category.id",
:min 0,
:definition
"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
:isModifier false,
:short "Unique id for inter-element referencing",
:mapping [{:identity "rim", :map "n/a"}],
:slicing nil,
:type
[{:code "http://hl7.org/fhirpath/System.String",
:targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias nil,
:max "1",
:id "Observation.category:VSCat.id",
:comment nil,
:base {:path "Element.id", :min 0, :max "1"},
:isModifierReason nil,
:isSummary false}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}
{:key "ext-1",
:severity "error",
:human "Must have either extensions or value[x], not both",
:expression "extension.exists() != value.exists()",
:xpath
"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
:source "http://hl7.org/fhir/StructureDefinition/Extension",
:extension nil}],
:path "Observation.category.extension",
:min 0,
:definition
"May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
:isModifier false,
:short "Additional content defined by implementations",
:mapping [{:identity "rim", :map "n/a"}],
:slicing
{:ordered nil,
:rules "open",
:description "Extensions are always sliced by (at least) url",
:discriminator [{:type "value", :path "url"}]},
:type [{:code "Extension", :targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias ["extensions" "user content"],
:max "*",
:id "Observation.category:VSCat.extension",
:comment
"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.",
:base {:path "Element.extension", :min 0, :max "*"},
:isModifierReason nil,
:isSummary false}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.category.coding",
:min 1,
:definition
"A reference to a code defined by a terminology system.",
:isModifier false,
:short "Code defined by a terminology system",
:mapping
[{:identity "v2", :map "C*E.1-8, C*E.10-22"}
{:identity "rim", :map "union(., ./translation)"}
{:identity "orim",
:map
"fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"}],
:slicing nil,
:type [{:code "Coding", :targetProfile nil}],
:mustSupport true,
:binding nil,
:alias nil,
:max "*",
:id "Observation.category:VSCat.coding",
:comment
"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 labeled as UserSelected = true.",
:base {:path "CodeableConcept.coding", :min 0, :max "*"},
:isModifierReason nil,
:isSummary true}
{:constraint nil,
:path "Observation.category.coding.id",
:min 0,
:definition
"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
:isModifier false,
:short "Unique id for inter-element referencing",
:mapping [{:identity "rim", :map "n/a"}],
:slicing nil,
:type
[{:code "http://hl7.org/fhirpath/System.String",
:targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias nil,
:max "1",
:id "Observation.category:VSCat.coding.id",
:comment nil,
:base {:path "Element.id", :min 0, :max "1"},
:isModifierReason nil,
:isSummary false}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}
{:key "ext-1",
:severity "error",
:human "Must have either extensions or value[x], not both",
:expression "extension.exists() != value.exists()",
:xpath
"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
:source "http://hl7.org/fhir/StructureDefinition/Extension",
:extension nil}],
:path "Observation.category.coding.extension",
:min 0,
:definition
"May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
:isModifier false,
:short "Additional content defined by implementations",
:mapping [{:identity "rim", :map "n/a"}],
:slicing
{:ordered nil,
:rules "open",
:description "Extensions are always sliced by (at least) url",
:discriminator [{:type "value", :path "url"}]},
:type [{:code "Extension", :targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias ["extensions" "user content"],
:max "*",
:id "Observation.category:VSCat.coding.extension",
:comment
"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.",
:base {:path "Element.extension", :min 0, :max "*"},
:isModifierReason nil,
:isSummary false}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.category.coding.system",
:min 1,
:definition
"The identification of the code system that defines the meaning of the symbol in the code.",
:isModifier false,
:short "Identity of the terminology system",
:mapping
[{:identity "v2", :map "C*E.3"}
{:identity "rim", :map "./codeSystem"}
{:identity "orim",
:map
"fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"}],
:slicing nil,
:type [{:code "uri", :targetProfile nil}],
:mustSupport true,
:binding nil,
:alias nil,
:max "1",
:id "Observation.category:VSCat.coding.system",
:comment
"The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
:base {:path "Coding.system", :min 0, :max "1"},
:isModifierReason nil,
:isSummary true}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.category.coding.version",
:min 0,
:definition
"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.",
:isModifier false,
:short "Version of the system - if relevant",
:mapping
[{:identity "v2", :map "C*E.7"}
{:identity "rim", :map "./codeSystemVersion"}
{:identity "orim",
:map
"fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"}],
:slicing nil,
:type [{:code "string", :targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias nil,
:max "1",
:id "Observation.category:VSCat.coding.version",
:comment
"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.",
:base {:path "Coding.version", :min 0, :max "1"},
:isModifierReason nil,
:isSummary true}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.category.coding.code",
:min 1,
:definition
"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).",
:isModifier false,
:short "Symbol in syntax defined by the system",
:mapping
[{:identity "v2", :map "C*E.1"}
{:identity "rim", :map "./code"}
{:identity "orim",
:map "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"}],
:slicing nil,
:type [{:code "code", :targetProfile nil}],
:mustSupport true,
:binding nil,
:alias nil,
:max "1",
:id "Observation.category:VSCat.coding.code",
:comment nil,
:base {:path "Coding.code", :min 0, :max "1"},
:isModifierReason nil,
:isSummary true}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.category.coding.display",
:min 0,
:definition
"A representation of the meaning of the code in the system, following the rules of the system.",
:isModifier false,
:short "Representation defined by the system",
:mapping
[{:identity "v2",
:map "C*E.2 - but note this is not well followed"}
{:identity "rim", :map "CV.displayName"}
{:identity "orim",
:map
"fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"}],
:slicing nil,
:type [{:code "string", :targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias nil,
:max "1",
:id "Observation.category:VSCat.coding.display",
:comment nil,
:base {:path "Coding.display", :min 0, :max "1"},
:isModifierReason nil,
:isSummary true}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.category.coding.userSelected",
:min 0,
:definition
"Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
:isModifier false,
:short "If this coding was chosen directly by the user",
:mapping
[{:identity "v2", :map "Sometimes implied by being first"}
{:identity "rim", :map "CD.codingRationale"}
{:identity "orim",
:map
"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 ]"}],
:slicing nil,
:type [{:code "boolean", :targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias nil,
:max "1",
:id "Observation.category:VSCat.coding.userSelected",
:comment
"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.",
:base {:path "Coding.userSelected", :min 0, :max "1"},
:isModifierReason nil,
:isSummary true}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.category.text",
:min 0,
:definition
"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.",
:isModifier false,
:short "Plain text representation of the concept",
:mapping
[{:identity "v2",
:map "C*E.9. But note many systems use C*E.2 for this"}
{:identity "rim",
:map "./originalText[mediaType/code=\"text/plain\"]/data"}
{:identity "orim",
:map
"fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"}],
:slicing nil,
:type [{:code "string", :targetProfile nil}],
:mustSupport nil,
:binding nil,
:alias nil,
:max "1",
:id "Observation.category:VSCat.text",
:comment
"Very often the text is the same as a displayName of one of the codings.",
:base {:path "CodeableConcept.text", :min 0, :max "1"},
:isModifierReason nil,
:isSummary true}
{:constraint
[{:key "ele-1",
:severity "error",
:human "All FHIR elements must have a @value or children",
:expression "hasValue() or (children().count() > id.count())",
:xpath "@value|f:*|h:div",
:source "http://hl7.org/fhir/StructureDefinition/Element",
:extension nil}],
:path "Observation.code",
:min 1,
:definition "Coded Responses from C-CDA Vital Sign Results.",
:isModifier false,
:short "Oxygen Saturation by Pulse Oximetry",
:mapping
[{:identity "workflow", :map "Event.code"}