INCISIVE Implementation Guide - Local Development build (v0.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: Observation for Lung cancer

Defines the Observation structure used by Lung cancer in the INCISIVE

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements, simple assertions or information about diagnosis of a patient
status		1..1	code	Status of this observation
category		0..*	CodeableConcept	Describe classification of lung cancer type or define the timepoint that this observation was taken Binding: Cancer_Type_Codes (preferred): Cancer Type Codes
coding		0..*	Coding	Code defined by INCISIVE local codes
system		0..1	uri	Identity of the INCISIVE local code system
code		0..1	code	Cancer Type code
display		0..1	string	Cancer Type description
text		0..1	string	Indicate timepoint that this observation was taken
code		1..1	CodeableConcept	Describe case use of this observation or label of this observation Binding: Label_Codes (preferred): Label Codes
coding		0..*	Coding	Code defined by a SNOMED CT terminology or INCISIVE local codes
system		0..1	uri	Identity of the SNOMED CT terminology system or INCISIVE local code system
code		0..1	code	SNOMED CT code or Label Code
display		0..1	string	SNOMED CT FSN or Label description
subject		0..1	Reference(Patient | Group | Device | Location)	Patient whose measurement has been made
reference		0..1	string	Use relative reference to the Patient resource
type		0..1	uri	Type the resource reference refers to
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Describe date of this observation
note		0..*	Annotation	Observation notes
text		1..1	markdown	Notes content
bodySite		0..1	CodeableConcept	Describe observed body location Binding: Location_Codes (preferred): Location Codes
coding		0..*	Coding	Code defined by INCISIVE local codes
system		0..1	uri	Identity of the INCISIVE local code system
code		0..1	code	Location code
display		0..1	string	Location description
component		0..*	BackboneElement	Result of measurements, simple assertions or information about diagnosis of a patient
code		1..1	CodeableConcept	Classification of component observation
coding		0..*	Coding	Code defined by a SNOMED CT or LOINC terminology
system		0..1	uri	Identity of the SNOMED CT url or LOINC url
code		0..1	code	SNOMED CT code or LOINC code
display		0..1	string	Fully Specified Name defined by the SNOMED CT or name defined by the LOINC
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual observation component result Binding: Lung_Component_Codes (preferred): Lung Component Codes
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.category	preferred	Cancer_Type_Codes https://fhir.incisive-project.eu/ValueSet/CancerTypeCodes from this IG
Observation.code	preferred	Label_Codes https://fhir.incisive-project.eu/ValueSet/LabelCodes from this IG
Observation.bodySite	preferred	Location_Codes https://fhir.incisive-project.eu/ValueSet/LocationCodes from this IG
Observation.component.value[x]	preferred	Lung_Component_Codes https://fhir.incisive-project.eu/ValueSet/LungComponentCodes from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements, simple assertions or information about diagnosis of a patient obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Status of this observation Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Describe classification of lung cancer type or define the timepoint that this observation was taken Binding: Cancer_Type_Codes (preferred): Cancer Type Codes
coding	Σ	0..*	Coding	Code defined by INCISIVE local codes
system	Σ	0..1	uri	Identity of the INCISIVE local code system
code	Σ	0..1	code	Cancer Type code
display	Σ	0..1	string	Cancer Type description
text	Σ	0..1	string	Indicate timepoint that this observation was taken
code	Σ	1..1	CodeableConcept	Describe case use of this observation or label of this observation Binding: Label_Codes (preferred): Label Codes
coding	Σ	0..*	Coding	Code defined by a SNOMED CT terminology or INCISIVE local codes
system	Σ	0..1	uri	Identity of the SNOMED CT terminology system or INCISIVE local code system
code	Σ	0..1	code	SNOMED CT code or Label Code
display	Σ	0..1	string	SNOMED CT FSN or Label description
subject	Σ	0..1	Reference(Patient | Group | Device | Location)	Patient whose measurement has been made
reference	ΣC	0..1	string	Use relative reference to the Patient resource
type	Σ	0..1	uri	Type the resource reference refers to Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
value[x]	ΣC	0..1		Describe date of this observation
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
note		0..*	Annotation	Observation notes
text	Σ	1..1	markdown	Notes content
bodySite		0..1	CodeableConcept	Describe observed body location Binding: Location_Codes (preferred): Location Codes
coding	Σ	0..*	Coding	Code defined by INCISIVE local codes
system	Σ	0..1	uri	Identity of the INCISIVE local code system
code	Σ	0..1	code	Location code
display	Σ	0..1	string	Location description
component	Σ	0..*	BackboneElement	Result of measurements, simple assertions or information about diagnosis of a patient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Classification of component observation Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	0..*	Coding	Code defined by a SNOMED CT or LOINC terminology
system	Σ	0..1	uri	Identity of the SNOMED CT url or LOINC url
code	Σ	0..1	code	SNOMED CT code or LOINC code
display	Σ	0..1	string	Fully Specified Name defined by the SNOMED CT or name defined by the LOINC
value[x]	Σ	0..1		Actual observation component result Binding: Lung_Component_Codes (preferred): Lung Component Codes
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	Cancer_Type_Codes https://fhir.incisive-project.eu/ValueSet/CancerTypeCodes from this IG
Observation.code	preferred	Label_Codes https://fhir.incisive-project.eu/ValueSet/LabelCodes from this IG
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.bodySite	preferred	Location_Codes https://fhir.incisive-project.eu/ValueSet/LocationCodes from this IG
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.value[x]	preferred	Lung_Component_Codes https://fhir.incisive-project.eu/ValueSet/LungComponentCodes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements, simple assertions or information about diagnosis of a patient obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	Status of this observation Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Describe classification of lung cancer type or define the timepoint that this observation was taken Binding: Cancer_Type_Codes (preferred): Cancer Type Codes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by INCISIVE local codes
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	0..1	uri	Identity of the INCISIVE local code system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Cancer Type code
display	Σ	0..1	string	Cancer Type description
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Indicate timepoint that this observation was taken
code	Σ	1..1	CodeableConcept	Describe case use of this observation or label of this observation Binding: Label_Codes (preferred): Label Codes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a SNOMED CT terminology or INCISIVE local codes
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	0..1	uri	Identity of the SNOMED CT terminology system or INCISIVE local code system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	SNOMED CT code or Label Code
display	Σ	0..1	string	SNOMED CT FSN or Label description
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Patient | Group | Device | Location)	Patient whose measurement has been made
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	ΣC	0..1	string	Use relative reference to the Patient resource
type	Σ	0..1	uri	Type the resource reference refers to Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	Σ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	ΣC	0..1		Describe date of this observation
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	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.
note		0..*	Annotation	Observation notes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Notes content
bodySite		0..1	CodeableConcept	Describe observed body location Binding: Location_Codes (preferred): Location Codes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by INCISIVE local codes
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	0..1	uri	Identity of the INCISIVE local code system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Location code
display	Σ	0..1	string	Location description
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	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.
appliesTo		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
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Result of measurements, simple assertions or information about diagnosis of a patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Classification of component 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
coding	Σ	0..*	Coding	Code defined by a SNOMED CT or LOINC terminology
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	0..1	uri	Identity of the SNOMED CT url or LOINC url
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	SNOMED CT code or LOINC code
display	Σ	0..1	string	Fully Specified Name defined by the SNOMED CT or name defined by the LOINC
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1		Actual observation component result Binding: Lung_Component_Codes (preferred): Lung Component Codes
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	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.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	Cancer_Type_Codes https://fhir.incisive-project.eu/ValueSet/CancerTypeCodes from this IG
Observation.code	preferred	Label_Codes https://fhir.incisive-project.eu/ValueSet/LabelCodes from this IG
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	preferred	Location_Codes https://fhir.incisive-project.eu/ValueSet/LocationCodes from this IG
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.value[x]	preferred	Lung_Component_Codes https://fhir.incisive-project.eu/ValueSet/LungComponentCodes from this IG
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.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()

This structure is derived from Observation

Summary

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements, simple assertions or information about diagnosis of a patient
status		1..1	code	Status of this observation
category		0..*	CodeableConcept	Describe classification of lung cancer type or define the timepoint that this observation was taken Binding: Cancer_Type_Codes (preferred): Cancer Type Codes
coding		0..*	Coding	Code defined by INCISIVE local codes
system		0..1	uri	Identity of the INCISIVE local code system
code		0..1	code	Cancer Type code
display		0..1	string	Cancer Type description
text		0..1	string	Indicate timepoint that this observation was taken
code		1..1	CodeableConcept	Describe case use of this observation or label of this observation Binding: Label_Codes (preferred): Label Codes
coding		0..*	Coding	Code defined by a SNOMED CT terminology or INCISIVE local codes
system		0..1	uri	Identity of the SNOMED CT terminology system or INCISIVE local code system
code		0..1	code	SNOMED CT code or Label Code
display		0..1	string	SNOMED CT FSN or Label description
subject		0..1	Reference(Patient | Group | Device | Location)	Patient whose measurement has been made
reference		0..1	string	Use relative reference to the Patient resource
type		0..1	uri	Type the resource reference refers to
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Describe date of this observation
note		0..*	Annotation	Observation notes
text		1..1	markdown	Notes content
bodySite		0..1	CodeableConcept	Describe observed body location Binding: Location_Codes (preferred): Location Codes
coding		0..*	Coding	Code defined by INCISIVE local codes
system		0..1	uri	Identity of the INCISIVE local code system
code		0..1	code	Location code
display		0..1	string	Location description
component		0..*	BackboneElement	Result of measurements, simple assertions or information about diagnosis of a patient
code		1..1	CodeableConcept	Classification of component observation
coding		0..*	Coding	Code defined by a SNOMED CT or LOINC terminology
system		0..1	uri	Identity of the SNOMED CT url or LOINC url
code		0..1	code	SNOMED CT code or LOINC code
display		0..1	string	Fully Specified Name defined by the SNOMED CT or name defined by the LOINC
value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual observation component result Binding: Lung_Component_Codes (preferred): Lung Component Codes
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.category	preferred	Cancer_Type_Codes https://fhir.incisive-project.eu/ValueSet/CancerTypeCodes from this IG
Observation.code	preferred	Label_Codes https://fhir.incisive-project.eu/ValueSet/LabelCodes from this IG
Observation.bodySite	preferred	Location_Codes https://fhir.incisive-project.eu/ValueSet/LocationCodes from this IG
Observation.component.value[x]	preferred	Lung_Component_Codes https://fhir.incisive-project.eu/ValueSet/LungComponentCodes from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements, simple assertions or information about diagnosis of a patient obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Status of this observation Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Describe classification of lung cancer type or define the timepoint that this observation was taken Binding: Cancer_Type_Codes (preferred): Cancer Type Codes
coding	Σ	0..*	Coding	Code defined by INCISIVE local codes
system	Σ	0..1	uri	Identity of the INCISIVE local code system
code	Σ	0..1	code	Cancer Type code
display	Σ	0..1	string	Cancer Type description
text	Σ	0..1	string	Indicate timepoint that this observation was taken
code	Σ	1..1	CodeableConcept	Describe case use of this observation or label of this observation Binding: Label_Codes (preferred): Label Codes
coding	Σ	0..*	Coding	Code defined by a SNOMED CT terminology or INCISIVE local codes
system	Σ	0..1	uri	Identity of the SNOMED CT terminology system or INCISIVE local code system
code	Σ	0..1	code	SNOMED CT code or Label Code
display	Σ	0..1	string	SNOMED CT FSN or Label description
subject	Σ	0..1	Reference(Patient | Group | Device | Location)	Patient whose measurement has been made
reference	ΣC	0..1	string	Use relative reference to the Patient resource
type	Σ	0..1	uri	Type the resource reference refers to Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
value[x]	ΣC	0..1		Describe date of this observation
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
note		0..*	Annotation	Observation notes
text	Σ	1..1	markdown	Notes content
bodySite		0..1	CodeableConcept	Describe observed body location Binding: Location_Codes (preferred): Location Codes
coding	Σ	0..*	Coding	Code defined by INCISIVE local codes
system	Σ	0..1	uri	Identity of the INCISIVE local code system
code	Σ	0..1	code	Location code
display	Σ	0..1	string	Location description
component	Σ	0..*	BackboneElement	Result of measurements, simple assertions or information about diagnosis of a patient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Classification of component observation Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	0..*	Coding	Code defined by a SNOMED CT or LOINC terminology
system	Σ	0..1	uri	Identity of the SNOMED CT url or LOINC url
code	Σ	0..1	code	SNOMED CT code or LOINC code
display	Σ	0..1	string	Fully Specified Name defined by the SNOMED CT or name defined by the LOINC
value[x]	Σ	0..1		Actual observation component result Binding: Lung_Component_Codes (preferred): Lung Component Codes
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	Cancer_Type_Codes https://fhir.incisive-project.eu/ValueSet/CancerTypeCodes from this IG
Observation.code	preferred	Label_Codes https://fhir.incisive-project.eu/ValueSet/LabelCodes from this IG
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.bodySite	preferred	Location_Codes https://fhir.incisive-project.eu/ValueSet/LocationCodes from this IG
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.value[x]	preferred	Lung_Component_Codes https://fhir.incisive-project.eu/ValueSet/LungComponentCodes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements, simple assertions or information about diagnosis of a patient obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	Status of this observation Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Describe classification of lung cancer type or define the timepoint that this observation was taken Binding: Cancer_Type_Codes (preferred): Cancer Type Codes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by INCISIVE local codes
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	0..1	uri	Identity of the INCISIVE local code system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Cancer Type code
display	Σ	0..1	string	Cancer Type description
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Indicate timepoint that this observation was taken
code	Σ	1..1	CodeableConcept	Describe case use of this observation or label of this observation Binding: Label_Codes (preferred): Label Codes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a SNOMED CT terminology or INCISIVE local codes
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	0..1	uri	Identity of the SNOMED CT terminology system or INCISIVE local code system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	SNOMED CT code or Label Code
display	Σ	0..1	string	SNOMED CT FSN or Label description
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Patient | Group | Device | Location)	Patient whose measurement has been made
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	ΣC	0..1	string	Use relative reference to the Patient resource
type	Σ	0..1	uri	Type the resource reference refers to Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	Σ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	ΣC	0..1		Describe date of this observation
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	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.
note		0..*	Annotation	Observation notes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Notes content
bodySite		0..1	CodeableConcept	Describe observed body location Binding: Location_Codes (preferred): Location Codes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by INCISIVE local codes
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	0..1	uri	Identity of the INCISIVE local code system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Location code
display	Σ	0..1	string	Location description
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	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.
appliesTo		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
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Result of measurements, simple assertions or information about diagnosis of a patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Classification of component 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
coding	Σ	0..*	Coding	Code defined by a SNOMED CT or LOINC terminology
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	0..1	uri	Identity of the SNOMED CT url or LOINC url
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	SNOMED CT code or LOINC code
display	Σ	0..1	string	Fully Specified Name defined by the SNOMED CT or name defined by the LOINC
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1		Actual observation component result Binding: Lung_Component_Codes (preferred): Lung Component Codes
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	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.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	Cancer_Type_Codes https://fhir.incisive-project.eu/ValueSet/CancerTypeCodes from this IG
Observation.code	preferred	Label_Codes https://fhir.incisive-project.eu/ValueSet/LabelCodes from this IG
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	preferred	Location_Codes https://fhir.incisive-project.eu/ValueSet/LocationCodes from this IG
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.value[x]	preferred	Lung_Component_Codes https://fhir.incisive-project.eu/ValueSet/LungComponentCodes from this IG
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.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()

This structure is derived from Observation

Summary

Other representations of profile: CSV, Excel, Schematron