| Official URL: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Observation_Abdominal_Circumference | Version: 1.0.0-kommentierung | |||
| Draft as of 2026-03-11 | Computable Name: KBV_PR_WEST_Observation_Abdominal_Circumference | |||
Copyright/Legal: Im folgenden Profil können Codes aus den Code-Systemen SNOMED CT®, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT® Clinical Terms® (SNOMED CT® CT®) which is used by permission of SNOMED CT® International. All rights reserved. SNOMED CT® CT®, was originally created by The College of American Pathologists. SNOMED CT® and SNOMED CT® CT are registered trademarks of SNOMED CT® International. Implementers of these artefacts must have the appropriate SNOMED CT® CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED ‘AS IS.’ ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enthält Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datenträger der amtlichen Fassung der ATC-Klassifikation mit DDD des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts für Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte © Weltgesundheitsorganisation, übersetzt und herausgegeben durch das Deutsche Institut für Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation. |
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In dieser Ressource wird der Bauchumfang dokumentiert
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Observation |
C | 0..* | VitalSignDE(1.5.4) | Bauchumfang Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, vs-de-2 |
  id |
Σ | 1..1 | id | Logical id of this artifact |
  meta |
SΣ | 1..1 | Meta | Metadata about the resource |
   Slices for profile |
SΣ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:$this |
   profile:mioProfile |
SΣ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Observation_Abdominal_Circumference|1.0.0-kommentierung |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final |
| Slices for category |
N | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
 category:VSCat |
N | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |
| display |
0..1 | string | Representation defined by the system | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
 text |
0..1 | string | Plain text representation of the concept | |
| code |
SΣ | 1..1 | CodeableConcept | Typ der Observation Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| Slices for coding |
SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by pattern:$this |
  coding:All Slices |
Content/Rules for all slices | |||
  system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| coding:snomed |
SΣ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 396552003 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Abdominal circumference | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| version |
SΣ | 1..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 1..1 | string | Representation defined by the system |
| coding:loinc |
SΣ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8280-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Waist Circumference at umbilicus by Tape measure | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| version |
SΣ | 1..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 1..1 | string | Representation defined by the system |
 subject |
SΣC | 1..1 | Reference(KBV_PR_WEST_Patient(1.0.0-kommentierung)) | Patientenbezug Constraints: ref-1 |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for effective[x] |
SΣC | 1..1 | dateTime | Zeitpunkt der Messung Slice: Unordered, Closed by type:$this Constraints: vs-de-1 |
| effective[x]:effectiveDateTime |
SΣC | 1..1 | dateTime | Zeitpunkt der Messung Constraints: vs-de-1 |
| performer |
SΣC | 0..* | Reference(KBV_PR_WEST_Practitioner(1.0.0-kommentierung) | KBV_PR_WEST_PractitionerRole(1.0.0-kommentierung)) | Who is responsible for the observation Constraints: ref-1 |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for value[x] |
SΣC | 0..1 | Quantity | Actual result Slice: Unordered, Closed by type:$this |
| value[x]:valueQuantity |
SΣC | 0..1 | Quantity | Actual result Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| value |
0..1 | decimal | Numerical value (with implicit precision) | |
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value | |
| unit |
1..1 | string | Unit representation Fixed Value: centimeter | |
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Fixed Value: cm | |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
SΣ | 1..1 | string | Unit representation |
| system |
SΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded form of the unit Binding: UCUM Vitals Common DE (required) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | required | UCUM Vitals Common DE | 📦1.5.4 | de.basisprofil.r4 v1.5 |
| Observation.component.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| qty-3 | error | Observation.referenceRange.low, Observation.referenceRange.high | If a code for the unit is present, the system SHALL also be present |
code.empty() or system.exists()
|
| ref-1 | error | Observation.subject, Observation.performer | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| vs-de-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | If Observation.effective[x] has a value then that value shall be precise to the day |
(($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
|
| vs-de-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
This structure is derived from VitalSignDE
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | VitalSignDE(1.5.4) | Bauchumfang | |
| id |
1..1 | id | Logical id of this artifact | |
| meta |
S | 1..1 | Meta | Metadata about the resource |
| versionId |
0..0 | Version specific identifier | ||
| lastUpdated |
0..0 | When the resource version last changed | ||
| source |
0..0 | Identifies where the resource comes from | ||
| Slices for profile |
S | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:$this |
| profile:mioProfile |
S | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Observation_Abdominal_Circumference|1.0.0-kommentierung |
| text |
0..0 | Text summary of the resource, for human interpretation | ||
| identifier |
0..0 | Business Identifier for observation | ||
| basedOn |
0..0 | Fulfills plan, proposal or order | ||
| partOf |
0..0 | Part of referenced event | ||
| status |
S | 1..1 | code | registered | preliminary | final | amended + Fixed Value: final |
| code |
S | 1..1 | CodeableConcept | Typ der Observation |
| Slices for coding |
S | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by pattern:$this |
| coding:snomed |
S | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 396552003 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Abdominal circumference | |
| system |
S | 1..1 | uri | Identity of the terminology system |
| version |
S | 1..1 | string | Version of the system - if relevant |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| display |
S | 1..1 | string | Representation defined by the system |
| userSelected |
0..0 | If this coding was chosen directly by the user | ||
| coding:loinc |
S | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8280-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Waist Circumference at umbilicus by Tape measure | |
| system |
S | 1..1 | uri | Identity of the terminology system |
| version |
S | 1..1 | string | Version of the system - if relevant |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| display |
S | 1..1 | string | Representation defined by the system |
| userSelected |
0..0 | If this coding was chosen directly by the user | ||
| text |
0..0 | Plain text representation of the concept | ||
| subject |
S | 1..1 | Reference(KBV_PR_WEST_Patient(1.0.0-kommentierung)) | Patientenbezug |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| focus |
0..0 | What the observation is about, when it is not about the subject of record | ||
| encounter |
0..0 | Healthcare event during which this observation is made | ||
| Slices for effective[x] |
S | 1..1 | dateTime | Zeitpunkt der Messung Slice: Unordered, Closed by type:$this |
| effective[x]:effectiveDateTime |
S | 1..1 | dateTime | Zeitpunkt der Messung |
| issued |
0..0 | Date/Time this version was made available | ||
| performer |
S | 0..* | Reference(KBV_PR_WEST_Practitioner(1.0.0-kommentierung) | KBV_PR_WEST_PractitionerRole(1.0.0-kommentierung)) | Who is responsible for the observation |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| Slices for value[x] |
S | 0..1 | Quantity | Actual result Slice: Unordered, Closed by type:$this |
| value[x]:valueQuantity |
S | 0..1 | Quantity | Actual result Required Pattern: At least the following |
| unit |
1..1 | string | Unit representation Fixed Value: centimeter | |
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Fixed Value: cm | |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator |
0..0 | < | <= | >= | > - how to understand the value | ||
| unit |
S | 1..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form |
| code |
S | 1..1 | code | Coded form of the unit |
| dataAbsentReason |
0..0 | Why the result is missing | ||
| interpretation |
0..0 | High, low, normal, etc. | ||
| note |
0..0 | Comments about the observation | ||
| bodySite |
0..0 | Observed body part | ||
| method |
0..0 | How it was done | ||
| specimen |
0..0 | Specimen used for this observation | ||
| device |
0..0 | (Measurement) Device | ||
| referenceRange |
0..0 | Provides guide for interpretation | ||
| hasMember |
0..0 | Related resource that belongs to the Observation group | ||
| derivedFrom |
0..0 | Related measurements the observation is made from | ||
| component |
0..0 | Component results | ||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | VitalSignDE(1.5.4) | Bauchumfang Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, vs-de-2 | ||||
| id |
Σ | 1..1 | id | Logical id of this artifact | ||||
| meta |
SΣ | 1..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for profile |
SΣ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:$this | ||||
| profile:mioProfile |
SΣ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Observation_Abdominal_Circumference|1.0.0-kommentierung | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!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.
| |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||
| Slices for category |
N | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| category:VSCat |
N | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
SΣ | 1..1 | CodeableConcept | Typ der Observation Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by pattern:$this | ||||
| coding:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:snomed |
SΣ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 396552003 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Abdominal circumference | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
SΣ | 1..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
SΣ | 1..1 | string | Representation defined by the system | ||||
| coding:loinc |
SΣ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8280-0 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Waist Circumference at umbilicus by Tape measure | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
SΣ | 1..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
SΣ | 1..1 | string | Representation defined by the system | ||||
| subject |
SΣC | 1..1 | Reference(KBV_PR_WEST_Patient(1.0.0-kommentierung)) | Patientenbezug Constraints: ref-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| Slices for effective[x] |
SΣC | 1..1 | dateTime | Zeitpunkt der Messung Slice: Unordered, Closed by type:$this Constraints: vs-de-1 | ||||
| effective[x]:effectiveDateTime |
SΣC | 1..1 | dateTime | Zeitpunkt der Messung Constraints: vs-de-1 | ||||
| performer |
SΣC | 0..* | Reference(KBV_PR_WEST_Practitioner(1.0.0-kommentierung) | KBV_PR_WEST_PractitionerRole(1.0.0-kommentierung)) | Who is responsible for the observation Constraints: ref-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| Slices for value[x] |
SΣC | 0..1 | Quantity | Actual result Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueQuantity |
SΣC | 0..1 | Quantity | Actual result Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| value |
0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit |
1..1 | string | Unit representation Fixed Value: centimeter | |||||
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code |
1..1 | code | Coded form of the unit Fixed Value: cm | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| unit |
SΣ | 1..1 | string | Unit representation | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded form of the unit Binding: UCUM Vitals Common DE (required) | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Observation.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Observation.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | required | UCUM Vitals Common DE | 📦1.5.4 | de.basisprofil.r4 v1.5 |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| qty-3 | error | Observation.referenceRange.low, Observation.referenceRange.high | If a code for the unit is present, the system SHALL also be present |
code.empty() or system.exists()
|
| ref-1 | error | Observation.subject, Observation.performer | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| rng-2 | error | Observation.referenceRange.age | If present, low SHALL have a lower value than high |
low.empty() or high.empty() or (low <= high)
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| vs-de-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | If Observation.effective[x] has a value then that value shall be precise to the day |
(($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
|
| vs-de-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
This structure is derived from VitalSignDE
Summary
Mandatory: 12 elements(1 nested mandatory element)
Must-Support: 28 elements
Fixed: 2 elements
Prohibited: 31 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | VitalSignDE(1.5.4) | Bauchumfang Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, vs-de-2 |
| id |
Σ | 1..1 | id | Logical id of this artifact |
| meta |
SΣ | 1..1 | Meta | Metadata about the resource |
| Slices for profile |
SΣ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:$this |
| profile:mioProfile |
SΣ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Observation_Abdominal_Circumference|1.0.0-kommentierung |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final |
| Slices for category |
N | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| category:VSCat |
N | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| code |
SΣ | 1..1 | CodeableConcept | Typ der Observation Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| Slices for coding |
SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by pattern:$this |
| coding:All Slices |
Content/Rules for all slices | |||
| system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| coding:snomed |
SΣ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 396552003 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Abdominal circumference | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| version |
SΣ | 1..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 1..1 | string | Representation defined by the system |
| coding:loinc |
SΣ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8280-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Waist Circumference at umbilicus by Tape measure | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| version |
SΣ | 1..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 1..1 | string | Representation defined by the system |
| subject |
SΣC | 1..1 | Reference(KBV_PR_WEST_Patient(1.0.0-kommentierung)) | Patientenbezug Constraints: ref-1 |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for effective[x] |
SΣC | 1..1 | dateTime | Zeitpunkt der Messung Slice: Unordered, Closed by type:$this Constraints: vs-de-1 |
| effective[x]:effectiveDateTime |
SΣC | 1..1 | dateTime | Zeitpunkt der Messung Constraints: vs-de-1 |
| performer |
SΣC | 0..* | Reference(KBV_PR_WEST_Practitioner(1.0.0-kommentierung) | KBV_PR_WEST_PractitionerRole(1.0.0-kommentierung)) | Who is responsible for the observation Constraints: ref-1 |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for value[x] |
SΣC | 0..1 | Quantity | Actual result Slice: Unordered, Closed by type:$this |
| value[x]:valueQuantity |
SΣC | 0..1 | Quantity | Actual result Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| value |
0..1 | decimal | Numerical value (with implicit precision) | |
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value | |
| unit |
1..1 | string | Unit representation Fixed Value: centimeter | |
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Fixed Value: cm | |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
SΣ | 1..1 | string | Unit representation |
| system |
SΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded form of the unit Binding: UCUM Vitals Common DE (required) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | required | UCUM Vitals Common DE | 📦1.5.4 | de.basisprofil.r4 v1.5 |
| Observation.component.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| qty-3 | error | Observation.referenceRange.low, Observation.referenceRange.high | If a code for the unit is present, the system SHALL also be present |
code.empty() or system.exists()
|
| ref-1 | error | Observation.subject, Observation.performer | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| vs-de-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | If Observation.effective[x] has a value then that value shall be precise to the day |
(($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
|
| vs-de-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
Differential View
This structure is derived from VitalSignDE
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | VitalSignDE(1.5.4) | Bauchumfang | |
| id |
1..1 | id | Logical id of this artifact | |
| meta |
S | 1..1 | Meta | Metadata about the resource |
| versionId |
0..0 | Version specific identifier | ||
| lastUpdated |
0..0 | When the resource version last changed | ||
| source |
0..0 | Identifies where the resource comes from | ||
| Slices for profile |
S | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:$this |
| profile:mioProfile |
S | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Observation_Abdominal_Circumference|1.0.0-kommentierung |
| text |
0..0 | Text summary of the resource, for human interpretation | ||
| identifier |
0..0 | Business Identifier for observation | ||
| basedOn |
0..0 | Fulfills plan, proposal or order | ||
| partOf |
0..0 | Part of referenced event | ||
| status |
S | 1..1 | code | registered | preliminary | final | amended + Fixed Value: final |
| code |
S | 1..1 | CodeableConcept | Typ der Observation |
| Slices for coding |
S | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by pattern:$this |
| coding:snomed |
S | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 396552003 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Abdominal circumference | |
| system |
S | 1..1 | uri | Identity of the terminology system |
| version |
S | 1..1 | string | Version of the system - if relevant |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| display |
S | 1..1 | string | Representation defined by the system |
| userSelected |
0..0 | If this coding was chosen directly by the user | ||
| coding:loinc |
S | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8280-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Waist Circumference at umbilicus by Tape measure | |
| system |
S | 1..1 | uri | Identity of the terminology system |
| version |
S | 1..1 | string | Version of the system - if relevant |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| display |
S | 1..1 | string | Representation defined by the system |
| userSelected |
0..0 | If this coding was chosen directly by the user | ||
| text |
0..0 | Plain text representation of the concept | ||
| subject |
S | 1..1 | Reference(KBV_PR_WEST_Patient(1.0.0-kommentierung)) | Patientenbezug |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| focus |
0..0 | What the observation is about, when it is not about the subject of record | ||
| encounter |
0..0 | Healthcare event during which this observation is made | ||
| Slices for effective[x] |
S | 1..1 | dateTime | Zeitpunkt der Messung Slice: Unordered, Closed by type:$this |
| effective[x]:effectiveDateTime |
S | 1..1 | dateTime | Zeitpunkt der Messung |
| issued |
0..0 | Date/Time this version was made available | ||
| performer |
S | 0..* | Reference(KBV_PR_WEST_Practitioner(1.0.0-kommentierung) | KBV_PR_WEST_PractitionerRole(1.0.0-kommentierung)) | Who is responsible for the observation |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type |
0..0 | Type the reference refers to (e.g. "Patient") | ||
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| display |
0..0 | Text alternative for the resource | ||
| Slices for value[x] |
S | 0..1 | Quantity | Actual result Slice: Unordered, Closed by type:$this |
| value[x]:valueQuantity |
S | 0..1 | Quantity | Actual result Required Pattern: At least the following |
| unit |
1..1 | string | Unit representation Fixed Value: centimeter | |
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Fixed Value: cm | |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator |
0..0 | < | <= | >= | > - how to understand the value | ||
| unit |
S | 1..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form |
| code |
S | 1..1 | code | Coded form of the unit |
| dataAbsentReason |
0..0 | Why the result is missing | ||
| interpretation |
0..0 | High, low, normal, etc. | ||
| note |
0..0 | Comments about the observation | ||
| bodySite |
0..0 | Observed body part | ||
| method |
0..0 | How it was done | ||
| specimen |
0..0 | Specimen used for this observation | ||
| device |
0..0 | (Measurement) Device | ||
| referenceRange |
0..0 | Provides guide for interpretation | ||
| hasMember |
0..0 | Related resource that belongs to the Observation group | ||
| derivedFrom |
0..0 | Related measurements the observation is made from | ||
| component |
0..0 | Component results | ||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | VitalSignDE(1.5.4) | Bauchumfang Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, vs-de-2 | ||||
| id |
Σ | 1..1 | id | Logical id of this artifact | ||||
| meta |
SΣ | 1..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for profile |
SΣ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:$this | ||||
| profile:mioProfile |
SΣ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Observation_Abdominal_Circumference|1.0.0-kommentierung | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!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.
| |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final | ||||
| Slices for category |
N | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| category:VSCat |
N | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
SΣ | 1..1 | CodeableConcept | Typ der Observation Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by pattern:$this | ||||
| coding:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:snomed |
SΣ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 396552003 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Abdominal circumference | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
SΣ | 1..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
SΣ | 1..1 | string | Representation defined by the system | ||||
| coding:loinc |
SΣ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8280-0 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Waist Circumference at umbilicus by Tape measure | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
SΣ | 1..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
SΣ | 1..1 | string | Representation defined by the system | ||||
| subject |
SΣC | 1..1 | Reference(KBV_PR_WEST_Patient(1.0.0-kommentierung)) | Patientenbezug Constraints: ref-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| Slices for effective[x] |
SΣC | 1..1 | dateTime | Zeitpunkt der Messung Slice: Unordered, Closed by type:$this Constraints: vs-de-1 | ||||
| effective[x]:effectiveDateTime |
SΣC | 1..1 | dateTime | Zeitpunkt der Messung Constraints: vs-de-1 | ||||
| performer |
SΣC | 0..* | Reference(KBV_PR_WEST_Practitioner(1.0.0-kommentierung) | KBV_PR_WEST_PractitionerRole(1.0.0-kommentierung)) | Who is responsible for the observation Constraints: ref-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| Slices for value[x] |
SΣC | 0..1 | Quantity | Actual result Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueQuantity |
SΣC | 0..1 | Quantity | Actual result Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| value |
0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit |
1..1 | string | Unit representation Fixed Value: centimeter | |||||
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code |
1..1 | code | Coded form of the unit Fixed Value: cm | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| unit |
SΣ | 1..1 | string | Unit representation | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded form of the unit Binding: UCUM Vitals Common DE (required) | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Observation.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Observation.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | required | UCUM Vitals Common DE | 📦1.5.4 | de.basisprofil.r4 v1.5 |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| qty-3 | error | Observation.referenceRange.low, Observation.referenceRange.high | If a code for the unit is present, the system SHALL also be present |
code.empty() or system.exists()
|
| ref-1 | error | Observation.subject, Observation.performer | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| rng-2 | error | Observation.referenceRange.age | If present, low SHALL have a lower value than high |
low.empty() or high.empty() or (low <= high)
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| vs-de-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | If Observation.effective[x] has a value then that value shall be precise to the day |
(($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
|
| vs-de-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
This structure is derived from VitalSignDE
Summary
Mandatory: 12 elements(1 nested mandatory element)
Must-Support: 28 elements
Fixed: 2 elements
Prohibited: 31 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron