Name	Flags	Card.	Type	Description & Constraints
Observation			observation-vitalsigns	Finnish PHR base profile for Observation resource
meta		1..
Slices for profile		1..		Slice: Unordered, Open by value:$this
profile:fiphrProfile		1..1
language		1..		Binding: (unbound) (required): Finnish PHR: A code of human language.
text		1..
Slices for extension				Slice: Unordered, Open by value:url
creatingApplication		0..*	(Complex)	Application identification URL: http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication
identifier		1..
use
type	S
system		1..		Example General: urn:ietf:rfc:3986
value		1..
assigner		..0
basedOn		..0
partOf		..0
status				Finnish PHR: Status final Fixed Value: final
category				Classification of type of observation. Binding: (unbound) (preferred): Classification of type of observation.
category:VSCat				Binding: (unbound) (required)
code				Binding: Value Set Finnish PHR Vital Signs (extensible)
subject			Reference(Finnish PHR Patient profile) {r}
reference		1..
identifier
assigner		..0
focus		..0
encounter		..0
effective[x]			dateTime
issued		1..		Finnish PHR: The date and time this observation is stored
performer		1..1	Reference(Finnish PHR Patient profile) {r}	Finnish PHR: Application user who is responsible for the observation
reference		1..
identifier
assigner		..0
value[x]
dataAbsentReason				Binding: (unbound) (extensible): Codes specifying why the result (Observation.value[x]) is missing.
id				xml:id (or equivalent in JSON)
Slices for coding		..1		Slice: Unordered, Open by value:system
coding:fiphrDataAbsentReason		1..1
system		1..		Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code		1..
display		1..
interpretation		..1		Binding: (unbound) (extensible): Finnish PHR: Codes identifying interpretations of observations.
Slices for coding		1..		Slice: Unordered, Open by value:system
coding:fiphrInterpretation		1..1
system		1..		Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
code		1..
display		1..
note
author[x]		..0
bodySite		..0
method		..0
specimen		..0
device		..0
hasMember		..0
derivedFrom		..0
component
code				Binding: Value Set Finnish PHR Vital Signs (extensible)
coding		1..
dataAbsentReason
Slices for coding		1..		Slice: Unordered, Open by value:system
coding:fiphrCoding		1..1
system		1..		Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code		1..
display		1..
interpretation
Slices for coding		1..		Slice: Unordered, Open by value:system
coding:fiphrCoding		1..1
system		1..		Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
code		1..
display		1..
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.language	required
Observation.category	preferred
Observation.category:VSCat	required
Observation.code	extensible	fiphr-vs-vitalsigns
Observation.dataAbsentReason	extensible
Observation.interpretation	extensible
Observation.component.code	extensible	fiphr-vs-vitalsigns

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	observation-vitalsigns	Finnish PHR base profile for Observation resource
meta	ΣN	1..1	Meta	Metadata about the resource
Slices for profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fiphrProfile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the resource content Binding: CommonLanguages (required): Finnish PHR: A code of human language.
text	N	1..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
creatingApplication	N	0..*	(Complex)	Application identification URL: http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	ΣN	1..*	Identifier	Business Identifier for observation
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣN	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient Example General: urn:ietf:rfc:3986
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	Finnish PHR: Status final Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
Slices for category	SN	1..*	CodeableConcept	Classification of type of observation. Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Classification of type of observation.
category:VSCat	SN	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (required): Codes for high level observation categories.
coding	SΣN	1..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
code	SΣN	1..1	CodeableConcept	Coded Responses from C-CDA Vital Sign Results Binding: Value Set Finnish PHR Vital Signs (extensible): This identifies the vital sign result type.
subject	SΣCN	1..1	Reference(Finnish PHR Patient profile) {r}	Who and/or what the observation is about
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
effective[x]	SΣC	1..1	dateTime	Often just a dateTime for Vital Signs
issued	Σ	1..1	instant	Finnish PHR: The date and time this observation is stored
performer	ΣCN	1..1	Reference(Finnish PHR Patient profile) {r}	Finnish PHR: Application user who is responsible for the observation
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
value[x]	SΣCN	0..1		Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SCN	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for coding	ΣN	0..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrDataAbsentReason	ΣN	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
interpretation	N	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Finnish PHR: Codes identifying interpretations of observations.
Slices for coding	ΣN	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrInterpretation	ΣN	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
component	SΣCN	0..*	BackboneElement	Used when reporting systolic and diastolic blood pressure.
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣN	1..1	CodeableConcept	Type of component observation (code / type) Binding: Value Set Finnish PHR Vital Signs (extensible): This identifies the vital sign result type.
coding	ΣN	1..*	Coding	Code defined by a terminology system
value[x]	SΣCN	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SCN	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Slices for coding	ΣN	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrCoding	ΣN	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.language	required	CommonLanguages
Observation.identifier.use	required	IdentifierUse
Observation.identifier.type	extensible	Identifier Type Codes
Observation.status	required	Fixed Value: final
Observation.category	preferred	ObservationCategoryCodes
Observation.category:VSCat	required	ObservationCategoryCodes
Observation.code	extensible	fiphr-vs-vitalsigns
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	extensible	ObservationInterpretationCodes
Observation.component.code	extensible	fiphr-vs-vitalsigns
Observation.component.value[x]	required	VitalSignsUnits
Observation.component.dataAbsentReason	extensible	DataAbsentReason

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	Observation.extension, Observation.extension:creatingApplication, Observation.modifierExtension, Observation.component.modifierExtension	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.value[x], Observation.component.value[x]	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'))
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : ($this as dateTime).toString().length() >= 8
vs-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())
vs-3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	observation-vitalsigns	Finnish PHR base profile for Observation resource
id	Σ	0..1	id	Logical id of this artifact
meta	ΣN	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices for profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fiphrProfile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	ΣN	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	ΣN	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		1..1	code	Language of the resource content Binding: CommonLanguages (required): Finnish PHR: A code of human language.
text	N	1..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
creatingApplication	N	0..*	(Complex)	Application identification URL: http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	ΣN	1..*	Identifier	Business Identifier for observation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣN	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient Example General: urn:ietf:rfc:3986
value	Σ	1..1	string	The value that is unique Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use
status	?!SΣ	1..1	code	Finnish PHR: Status final Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
Slices for category	SN	1..*	CodeableConcept	Classification of type of observation. Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Classification of type of observation.
category:VSCat	SN	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (required): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣN	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
display	Σ	0..1	string	Representation defined by the system
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
code	SΣN	1..1	CodeableConcept	Coded Responses from C-CDA Vital Sign Results Binding: Value Set Finnish PHR Vital Signs (extensible): This identifies the vital sign result type.
subject	SΣCN	1..1	Reference(Finnish PHR Patient profile) {r}	Who and/or what the observation is about
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use
display	Σ	0..1	string	Text alternative for the resource
effective[x]	SΣC	1..1	dateTime	Often just a dateTime for Vital Signs
issued	Σ	1..1	instant	Finnish PHR: The date and time this observation is stored
performer	ΣCN	1..1	Reference(Finnish PHR Patient profile) {r}	Finnish PHR: Application user who is responsible for the observation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use
display	Σ	0..1	string	Text alternative for the resource
value[x]	SΣCN	0..1		Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SCN	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
id		0..1	string	xml:id (or equivalent in JSON)
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	ΣN	0..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrDataAbsentReason	ΣN	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
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	1..1	string	Representation defined by the system
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
interpretation	N	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Finnish PHR: Codes identifying interpretations of observations.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	ΣN	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrInterpretation	ΣN	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
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	1..1	string	Representation defined by the system
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
note	N	0..*	Annotation	Comments about the observation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
referenceRange	CN	0..*	BackboneElement	Provides guide for interpretation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	CN	0..1	SimpleQuantity	Low Range, if relevant
high	CN	0..1	SimpleQuantity	High Range, if relevant
type	N	0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo	N	0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age	CN	0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
component	SΣCN	0..*	BackboneElement	Used when reporting systolic and diastolic blood pressure.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣN	1..1	CodeableConcept	Type of component observation (code / type) Binding: Value Set Finnish PHR Vital Signs (extensible): This identifies the vital sign result type.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	ΣN	1..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
value[x]	SΣCN	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SCN	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	ΣN	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrCoding	ΣN	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
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	1..1	string	Representation defined by the system
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
interpretation	N	0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	ΣN	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrCoding	ΣN	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
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	1..1	string	Representation defined by the system
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
referenceRange		0..*	See referenceRange	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.meta.security	extensible	All Security Labels
Observation.meta.tag	example	CommonTags
Observation.language	required	CommonLanguages
Observation.identifier.use	required	IdentifierUse
Observation.identifier.type	extensible	Identifier Type Codes
Observation.status	required	Fixed Value: final
Observation.category	preferred	ObservationCategoryCodes
Observation.category:VSCat	required	ObservationCategoryCodes
Observation.code	extensible	fiphr-vs-vitalsigns
Observation.subject.type	extensible	ResourceType
Observation.subject.identifier.use	required	IdentifierUse
Observation.subject.identifier.type	extensible	Identifier Type Codes
Observation.performer.type	extensible	ResourceType
Observation.performer.identifier.use	required	IdentifierUse
Observation.performer.identifier.type	extensible	Identifier Type Codes
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	extensible	ObservationInterpretationCodes
Observation.note.author[x].type	extensible	ResourceType
Observation.note.author[x].identifier.use	required	IdentifierUse
Observation.note.author[x].identifier.type	extensible	Identifier Type Codes
Observation.device.type	extensible	ResourceType
Observation.device.identifier.use	required	IdentifierUse
Observation.device.identifier.type	extensible	Identifier Type Codes
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes
Observation.hasMember.type	extensible	ResourceType
Observation.hasMember.identifier.use	required	IdentifierUse
Observation.hasMember.identifier.type	extensible	Identifier Type Codes
Observation.component.code	extensible	fiphr-vs-vitalsigns
Observation.component.value[x]	required	VitalSignsUnits
Observation.component.dataAbsentReason	extensible	DataAbsentReason
Observation.component.interpretation	extensible	ObservationInterpretationCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Observation.meta.extension, Observation.extension, Observation.extension:creatingApplication, Observation.modifierExtension, Observation.identifier.extension, Observation.category:VSCat.extension, Observation.category:VSCat.coding.extension, Observation.subject.extension, Observation.subject.identifier.extension, Observation.performer.extension, Observation.performer.identifier.extension, Observation.dataAbsentReason.extension, Observation.dataAbsentReason.coding:fiphrDataAbsentReason.extension, Observation.interpretation.extension, Observation.interpretation.coding:fiphrInterpretation.extension, Observation.note.extension, Observation.note.author[x].extension, Observation.note.author[x].identifier.extension, Observation.device.extension, Observation.device.identifier.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.hasMember.extension, Observation.hasMember.identifier.extension, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code.extension, Observation.component.dataAbsentReason.extension, Observation.component.dataAbsentReason.coding:fiphrCoding.extension, Observation.component.interpretation.extension, Observation.component.interpretation.coding:fiphrCoding.extension	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()
per-1	error	Observation.identifier.period, Observation.subject.identifier.period, Observation.performer.identifier.period, Observation.note.author[x].identifier.period, Observation.device.identifier.period, Observation.hasMember.identifier.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	Observation.value[x], Observation.referenceRange.low, Observation.referenceRange.high, Observation.component.value[x]	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-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : ($this as dateTime).toString().length() >= 8
vs-3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

Summary

Mandatory: 0 element (32 nested mandatory elements)
Must-Support: 1 element
Fixed Value: 6 elements
Prohibited: 17 elements

Structures

This structure refers to these other structures:

• Finnish PHR Patient profile (http://phr.kanta.fi/StructureDefinition/fiphr-sd-patient)
• Vital Signs Profile (http://hl7.org/fhir/StructureDefinition/vitalsigns)

Extensions

This structure refers to these extensions:

• http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication

Slices

This structure defines the following Slices:

• The element Observation.meta.profile is sliced based on the value of value:$this
• The element Observation.dataAbsentReason.coding is sliced based on the value of value:system
• The element Observation.interpretation.coding is sliced based on the value of value:system
• The element Observation.component.dataAbsentReason.coding is sliced based on the value of value:system
• The element Observation.component.interpretation.coding is sliced based on the value of value:system

Name	Flags	Card.	Type	Description & Constraints
Observation			observation-vitalsigns	Finnish PHR base profile for Observation resource
meta		1..
Slices for profile		1..		Slice: Unordered, Open by value:$this
profile:fiphrProfile		1..1
language		1..		Binding: (unbound) (required): Finnish PHR: A code of human language.
text		1..
Slices for extension				Slice: Unordered, Open by value:url
creatingApplication		0..*	(Complex)	Application identification URL: http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication
identifier		1..
use
type	S
system		1..		Example General: urn:ietf:rfc:3986
value		1..
assigner		..0
basedOn		..0
partOf		..0
status				Finnish PHR: Status final Fixed Value: final
category				Classification of type of observation. Binding: (unbound) (preferred): Classification of type of observation.
category:VSCat				Binding: (unbound) (required)
code				Binding: Value Set Finnish PHR Vital Signs (extensible)
subject			Reference(Finnish PHR Patient profile) {r}
reference		1..
identifier
assigner		..0
focus		..0
encounter		..0
effective[x]			dateTime
issued		1..		Finnish PHR: The date and time this observation is stored
performer		1..1	Reference(Finnish PHR Patient profile) {r}	Finnish PHR: Application user who is responsible for the observation
reference		1..
identifier
assigner		..0
value[x]
dataAbsentReason				Binding: (unbound) (extensible): Codes specifying why the result (Observation.value[x]) is missing.
id				xml:id (or equivalent in JSON)
Slices for coding		..1		Slice: Unordered, Open by value:system
coding:fiphrDataAbsentReason		1..1
system		1..		Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code		1..
display		1..
interpretation		..1		Binding: (unbound) (extensible): Finnish PHR: Codes identifying interpretations of observations.
Slices for coding		1..		Slice: Unordered, Open by value:system
coding:fiphrInterpretation		1..1
system		1..		Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
code		1..
display		1..
note
author[x]		..0
bodySite		..0
method		..0
specimen		..0
device		..0
hasMember		..0
derivedFrom		..0
component
code				Binding: Value Set Finnish PHR Vital Signs (extensible)
coding		1..
dataAbsentReason
Slices for coding		1..		Slice: Unordered, Open by value:system
coding:fiphrCoding		1..1
system		1..		Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code		1..
display		1..
interpretation
Slices for coding		1..		Slice: Unordered, Open by value:system
coding:fiphrCoding		1..1
system		1..		Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
code		1..
display		1..
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.language	required
Observation.category	preferred
Observation.category:VSCat	required
Observation.code	extensible	fiphr-vs-vitalsigns
Observation.dataAbsentReason	extensible
Observation.interpretation	extensible
Observation.component.code	extensible	fiphr-vs-vitalsigns

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	observation-vitalsigns	Finnish PHR base profile for Observation resource
meta	ΣN	1..1	Meta	Metadata about the resource
Slices for profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fiphrProfile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the resource content Binding: CommonLanguages (required): Finnish PHR: A code of human language.
text	N	1..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
creatingApplication	N	0..*	(Complex)	Application identification URL: http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	ΣN	1..*	Identifier	Business Identifier for observation
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣN	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient Example General: urn:ietf:rfc:3986
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	Finnish PHR: Status final Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
Slices for category	SN	1..*	CodeableConcept	Classification of type of observation. Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Classification of type of observation.
category:VSCat	SN	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (required): Codes for high level observation categories.
coding	SΣN	1..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
code	SΣN	1..1	CodeableConcept	Coded Responses from C-CDA Vital Sign Results Binding: Value Set Finnish PHR Vital Signs (extensible): This identifies the vital sign result type.
subject	SΣCN	1..1	Reference(Finnish PHR Patient profile) {r}	Who and/or what the observation is about
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
effective[x]	SΣC	1..1	dateTime	Often just a dateTime for Vital Signs
issued	Σ	1..1	instant	Finnish PHR: The date and time this observation is stored
performer	ΣCN	1..1	Reference(Finnish PHR Patient profile) {r}	Finnish PHR: Application user who is responsible for the observation
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
value[x]	SΣCN	0..1		Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SCN	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for coding	ΣN	0..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrDataAbsentReason	ΣN	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
interpretation	N	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Finnish PHR: Codes identifying interpretations of observations.
Slices for coding	ΣN	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrInterpretation	ΣN	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
component	SΣCN	0..*	BackboneElement	Used when reporting systolic and diastolic blood pressure.
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣN	1..1	CodeableConcept	Type of component observation (code / type) Binding: Value Set Finnish PHR Vital Signs (extensible): This identifies the vital sign result type.
coding	ΣN	1..*	Coding	Code defined by a terminology system
value[x]	SΣCN	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SCN	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Slices for coding	ΣN	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrCoding	ΣN	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.language	required	CommonLanguages
Observation.identifier.use	required	IdentifierUse
Observation.identifier.type	extensible	Identifier Type Codes
Observation.status	required	Fixed Value: final
Observation.category	preferred	ObservationCategoryCodes
Observation.category:VSCat	required	ObservationCategoryCodes
Observation.code	extensible	fiphr-vs-vitalsigns
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	extensible	ObservationInterpretationCodes
Observation.component.code	extensible	fiphr-vs-vitalsigns
Observation.component.value[x]	required	VitalSignsUnits
Observation.component.dataAbsentReason	extensible	DataAbsentReason

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	Observation.extension, Observation.extension:creatingApplication, Observation.modifierExtension, Observation.component.modifierExtension	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.value[x], Observation.component.value[x]	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'))
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : ($this as dateTime).toString().length() >= 8
vs-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())
vs-3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()