HL7 FHIR Profile: Skin and Wound Assessment, Release 1 (For Comment)

ObservationModel

 

The official URL for this logical model is: 

http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Observation-model

Represents the result of evaluations (measurements, tests, or questions) that have been performed. Observation has a value representing the result (answer), or an ExceptionValue indicating why the value is not present. The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments.

This logical model was published on Fri Aug 17 00:00:00 EDT 2018 as a draft by HL7 Patient Care and Clinical Information Modeling Initiative Work Groups.

View the corresponding ObservationProfile profile.

NameFlagsCard.TypeDescription & Constraintsdoco
.. cimi-statement-Observation-model 0..*
... personOfRecord 1..1Reference(SW Person Logical Model)The person this entry belongs to.
... recorded 0..1AttributionModelThe person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.
... signed 0..1AttributionModelProvenance information specific to the signing of the clinical statement.
... additionalText 0..1stringA text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.
... contextCode 0..1CodingCode representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement.
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
.... version Σ0..1stringVersion of the system - if relevant
.... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 424975005
.... display Σ0..1stringRepresentation defined by the system
.... userSelected Σ0..1booleanIf this coding was chosen directly by the user
... encounter 0..1EncounterModelA description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
... interpretation 0..1CodingA clinical interpretation of a finding (applies to both assertions and observation).
Binding: Observation Interpretation Codes (extensible)
... relevantTime 0..1dateTime, TimePeriodModelThe time or time period that the finding addresses.
... findingMethod 0..1CodingThe technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.
Binding: SW FindingMethodVS ValueSet (preferred)
... media 0..*MediaModelA file that contains audio, video, image, or similar content.
... topicCode 1..1CodingThe concept representing the finding or action that is the topic of the statement.
... resultValue 0..1QuantityModel, Coding, string, boolean, RangeModel, RatioModel, time, dateTime, TimePeriodModelThe finding itself, such as the blood pressure value recorded.
... exceptionValue 0..1CodingReason that a value associated with a test or other finding is missing.
Binding: DataAbsentReason (extensible)
... deltaFlag 0..1CodingIndicator of significant change (delta) from the last or previous measurement.
Binding: SW DeltaFlagVS ValueSet (required)
... category 1..*CodingThe type, kind, or class of this item.
Binding: Observation Category Codes (extensible)
... anatomicalLocation 0..1AnatomicalLocationModelA location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart.
... device 0..1DeviceModelA specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients.
... specimen 0..1SpecimenModelA specimen is a substance, physical object, or collection of objects, that the laboratory considers a single discrete, uniquely identified unit that is the subject of one or more steps in the laboratory workflow. A specimen may include multiple physical pieces as long as they are considered a single unit within the laboratory workflow. A specimen results from one to many specimen collection procedures, and may be contained in multiple specimen containers. Specimen may have one or more processing activities.
... precondition 0..*Coding, Reference(SW Observation Logical Model)A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar.
... referenceRange 0..*ReferenceRangeModelThe usual or acceptable range for a test result.
... evaluationComponent 0..*EvaluationComponentModelA simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation.
... panelMembers 0..1PanelMembersModelPanelMembers represent the elements of a group of a related but independent evaluations.

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL)

 

Terminology Bindings

PathNameConformanceValueSet
cimi-statement-Observation-model.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes
cimi-statement-Observation-model.findingMethodSW FindingMethodVS ValueSetpreferredFindingMethodVS
cimi-statement-Observation-model.exceptionValueDataAbsentReasonextensibleDataAbsentReason
cimi-statement-Observation-model.deltaFlagSW DeltaFlagVS ValueSetrequiredDeltaFlagVS
cimi-statement-Observation-model.categoryObservation Category CodesextensibleObservation Category Codes