Left: | US Core Heart Rate Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate) |
Right: | Functional Performance Observation (http://hl7.org/fhir/us/pacio-fp/StructureDefinition/fp-observation) |
Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate' vs 'http://hl7.org/fhir/us/pacio-fp/StructureDefinition/fp-observation' |
Error | StructureDefinition.version | Values for version differ: '5.0.0' vs '1.0.0' |
Information | StructureDefinition.name | Values for name differ: 'USCoreHeartRateProfile' vs 'FunctionalPerformanceObservation' |
Information | StructureDefinition.title | Values for title differ: 'US Core Heart Rate Profile' vs 'Functional Performance Observation' |
Information | StructureDefinition.date | Values for date differ: '2022-04-20' vs '2022-05-13T16:07:55-04:00' |
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 Patient Care Work Group' |
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs' vs 'http://hl7.org/fhir/StructureDefinition/Observation' |
Warning | Observation | Elements differ in short: 'US Core Heart Rate Profile' vs 'Measurements and simple assertions' |
Warning | Observation | Elements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.' |
Warning | Observation | Elements differ in comments: '\-' vs '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.' |
Warning | Observation.extension | Elements differ in short: 'Additional content defined by implementations' vs 'Extension' |
Warning | Observation.extension | Elements differ in 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.' vs 'An Extension' |
Warning | Observation.basedOn | Elements differ in short: 'Fulfills plan, proposal or order' vs 'Currently not used in FunctionalPerformanceObservation.' |
Warning | Observation.partOf | Elements differ in short: 'Part of referenced event' vs 'Currently not used in FunctionalPerformanceObservation.' |
Warning | Observation.status | Elements differ in short: 'registered | preliminary | final | amended +' vs 'Should have the value 'final' when the observation is complete and there are no further actions needed. Otherwise, another value from the value set may appropriately be used.' |
Warning | Observation.status | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.category | Elements differ in short: 'Classification of type of observation' vs 'A second category code may be used along with the code “functioning”. For example, for assessment tool/survey instrument observations use “survey” as a second code.' |
Warning | Observation.code | Elements differ in short: 'Heart Rate' vs 'For a Post-Acute Care Assessment, should include a LOINC code and text for the question or concept name.' |
Warning | Observation.code | Elements differ in definition: 'Coded Responses from C-CDA Vital Sign Results.' vs 'Describes what was observed. Sometimes this is called the observation 'name'.' |
Warning | Observation.code | Elements differ in requirements: '5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).' vs 'Knowing what kind of observation is being made is essential to understanding the observation.' |
Warning | Observation.code | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.subject | Elements differ in short: 'Who and/or what the observation is about' vs 'Should only reference a Patient resource.' |
Warning | Observation.subject | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.focus | Elements differ in short: 'What the observation is about, when it is not about the subject of record' vs 'Currently not used in FunctionalPerformanceObservation.' |
Warning | Observation.effective[x] | Elements differ in short: 'Often just a dateTime for Vital Signs' vs 'Clinically relevant time/time-period for observation' |
Warning | Observation.effective[x] | Elements differ in definition: 'Often just a dateTime for Vital Signs.' vs 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the 'physiologically relevant time'. This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.' |
Warning | Observation.effective[x] | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.issued | Elements differ in short: 'Date/Time this version was made available' vs 'Currently not used in FunctionalPerformanceObservation.' |
Warning | Observation.performer | Elements differ in short: 'Who is responsible for the observation' vs 'The person who performed the assessment. The preferred way to specify the performer is to use the PractitionerRole resource to provide both the practitioner and organization.' |
Information | Observation.performer | Element minimum cardinalities differ: '0' vs '1' |
Warning | Observation.value[x] | Elements differ in short: 'Vital Signs Value' vs 'Whenever possible should use the CodeableConcept datatype to provide a suitable code to define the concept for the observation data. As for values like an assessment score or roll-up value, the datatype for this element should be determined by Observation.code. However, for values that are ordinal, may use the CodeableConcept datatype along with the Ordinal Value Extension.' |
Warning | Observation.value[x] | Elements differ in definition: 'Vital Signs value are typically recorded using the Quantity data type.' vs 'The information determined as a result of making the observation, if the information has a simple value.' |
Warning | Observation.value[x] | Elements differ in requirements: '9. SHALL contain exactly one [1..1] value with @xsi:type='PQ' (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.' |
Warning | Observation.value[x] | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.dataAbsentReason | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.interpretation | Elements differ in short: 'High, low, normal, etc.' vs 'Currently not used in FunctionalPerformanceObservation.' |
Warning | Observation.bodySite | Elements differ in short: 'Observed body part' vs 'Currently not used in FunctionalPerformanceObservation.' |
Warning | Observation.method | Elements differ in short: 'How it was done' vs 'Currently not used in FunctionalPerformanceObservation.' |
Warning | Observation.specimen | Elements differ in short: 'Specimen used for this observation' vs 'Currently not used in FunctionalPerformanceObservation.' |
Warning | Observation.device | Elements differ in short: '(Measurement) Device' vs 'Currently not used in FunctionalPerformanceObservation.' |
Warning | Observation.referenceRange | Elements differ in short: 'Provides guide for interpretation' vs 'Currently not used in FunctionalPerformanceObservation.' |
Warning | Observation.hasMember | Elements differ in short: 'Used when reporting vital signs panel components' vs 'Currently not used in FunctionalPerformanceObservation.' |
Warning | Observation.hasMember | Elements differ in definition: 'Used when reporting vital signs panel components.' vs 'This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.' |
Error | Observation.hasMember | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) |
Warning | Observation.derivedFrom | Elements differ in short: 'Related measurements the observation is made from' vs 'Should point back to the SDC QuestionnaireResponse that this resource is derived from.' |
Warning | Observation.derivedFrom | Elements differ in definition for mustSupport: 'false' vs 'true' |
Error | Observation.derivedFrom | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]]) vs Reference([CanonicalType[http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse]]) |
Warning | Observation.component | Elements differ in short: 'Component observations' vs 'Currently not used in FunctionalPerformanceObservation.' |
Warning | Observation.component | Elements differ in definition: 'Used when reporting component observation such as systolic and diastolic blood pressure.' vs 'Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.' |
Warning | Observation.component | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.component.code | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.component.code | Elements differ in binding.description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'Codes identifying names of simple observations.' |
Warning | Observation.component.value[x] | Elements differ in short: 'Vital Sign Component Value' vs 'Actual component result' |
Warning | Observation.component.value[x] | Elements differ in definition: 'Vital Signs value are typically recorded using the Quantity data type. For supporting observations such as cuff size could use other datatypes such as CodeableConcept.' vs 'The information determined as a result of making the observation, if the information has a simple value.' |
Warning | Observation.component.value[x] | Elements differ in requirements: '9. SHALL contain exactly one [1..1] value with @xsi:type='PQ' (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.' |
Warning | Observation.component.value[x] | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | Observation.component.dataAbsentReason | Elements differ in definition for mustSupport: 'true' vs 'false' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | http://hl7.org/fhir/StructureDefinition/Observation |
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copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
| |
date | 2022-04-20 | 2022-05-13T16:07:55-04:00 |
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description | To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch heart rate observations with a standard LOINC code and UCUM units of measure. It is based on the US Core Vital Signs Profile and identifies the *additional* mandatory core elements, extensions, vocabularies and value sets which **SHALL** be present in the Observation resource when using this profile. It provides the floor for standards development for specific uses cases. | An exchange of post-acute care observation for a patient. This profile is used for exchanging a single observation data generally included in a set of observation data collected through the use of a structured resource (e.g. assessment tool, instrument, or screen). |
|
experimental | false |
| |
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | resource | ||
name | USCoreHeartRateProfile | FunctionalPerformanceObservation |
|
publisher | HL7 International - Cross-Group Projects | HL7 Patient Care Work Group |
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purpose | |||
status | active | ||
title | US Core Heart Rate Profile | Functional Performance Observation |
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type | Observation | ||
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate | http://hl7.org/fhir/us/pacio-fp/StructureDefinition/fp-observation |
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version | 5.0.0 | 1.0.0 |
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Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Observation | I | 0..* | USCoreVitalSignsProfile | US Core Heart Rate Profile | I | 0..* | Observation | Measurements and simple assertions |
| ||||||||
id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | string | Logical id of this artifact | |||||||||
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| ||||||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
identifier | Σ | 0..* | Identifier | Business Identifier for observation | Σ | 0..* | Identifier | Business Identifier for observation | |||||||||
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Currently not used in FunctionalPerformanceObservation. |
| ||||||||
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Currently not used in FunctionalPerformanceObservation. |
| ||||||||
status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | ?!Σ | 1..1 | code | Should have the value 'final' when the observation is complete and there are no further actions needed. Otherwise, another value from the value set may appropriately be used. Binding: ObservationStatus (required): Codes providing the status of an observation. |
| ||||||||
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | S | 1..* | CodeableConcept | A second category code may be used along with the code “functioning”. For example, for assessment tool/survey instrument observations use “survey” as a second code. Slice: Ordered, Open by pattern:coding Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| ||||||||
code | SΣ | 1..1 | CodeableConcept | Heart Rate Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"8867-4"}]} | Σ | 1..1 | CodeableConcept | For a Post-Acute Care Assessment, should include a LOINC code and text for the question or concept name. Binding: Functional Performance ValueSet LOINC SNOMED (extensible) |
| ||||||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | Σ | 1..1 | Reference(US Core Patient Profile) | Should only reference a Patient resource. |
| ||||||||
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | Σ | 0..* | Reference(Resource) | Currently not used in FunctionalPerformanceObservation. |
| ||||||||
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | Σ | 0..1 | Reference(US Core Encounter Profile) | Healthcare event during which this observation is made | |||||||||
effective[x] | SΣI | 1..1 | dateTime S, Period | Often just a dateTime for Vital Signs | Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation |
| ||||||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | Σ | 0..1 | instant | Currently not used in FunctionalPerformanceObservation. |
| ||||||||
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | Σ | 1..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile) | The person who performed the assessment. The preferred way to specify the performer is to use the PractitionerRole resource to provide both the practitioner and organization. |
| ||||||||
Slices for value[x] | SΣI | 0..1 | Quantity | Vital Signs Value Slice: Unordered, Closed by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | ΣI | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Whenever possible should use the CodeableConcept datatype to provide a suitable code to define the concept for the observation data. As for values like an assessment score or roll-up value, the datatype for this element should be determined by Observation.code. However, for values that are ordinal, may use the CodeableConcept datatype along with the Ordinal Value Extension. |
| ||||||||
dataAbsentReason | SI | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | I | 0..1 | CodeableConcept | Why the 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. | 0..* | CodeableConcept | Currently not used in FunctionalPerformanceObservation. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. |
| ||||||||||
note | 0..* | Annotation | Comments about the observation | 0..* | Annotation | Comments about the observation | |||||||||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | 0..1 | CodeableConcept | Currently not used in FunctionalPerformanceObservation. Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
| ||||||||||
method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | 0..1 | CodeableConcept | Currently not used in FunctionalPerformanceObservation. Binding: ObservationMethods (example): Methods for simple observations. |
| ||||||||||
specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | 0..1 | Reference(Specimen) | Currently not used in FunctionalPerformanceObservation. |
| ||||||||||
device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | 0..1 | Reference(Device | DeviceMetric) | Currently not used in FunctionalPerformanceObservation. |
| ||||||||||
referenceRange | I | 0..* | BackboneElement | Provides guide for interpretation | I | 0..* | BackboneElement | Currently not used in FunctionalPerformanceObservation. |
| ||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
low | I | 0..1 | SimpleQuantity | Low Range, if relevant | I | 0..1 | SimpleQuantity | Low Range, if relevant | |||||||||
high | I | 0..1 | SimpleQuantity | High Range, if relevant | I | 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. | 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. | 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 | 0..1 | Range | Applicable age range, if relevant | |||||||||||
text | 0..1 | string | Text based reference range in an observation | 0..1 | string | Text based reference range in an observation | |||||||||||
hasMember | Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Currently not used in FunctionalPerformanceObservation. |
| ||||||||
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | SΣ | 0..* | Reference(SDC Questionnaire Response) | Should point back to the SDC QuestionnaireResponse that this resource is derived from. |
| ||||||||
component | SΣI | 0..* | BackboneElement | Component observations | Σ | 0..* | BackboneElement | Currently not used in FunctionalPerformanceObservation. |
| ||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
code | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| ||||||||
value[x] | SΣI | 0..1 | Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Sign Component Value Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result |
| ||||||||
dataAbsentReason | SI | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | I | 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. | 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 | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||||
Documentation for this format |