| Name | Flags | Card. | Type |
Description & Constraints
|
|---|---|---|---|---|
cimi-statement-ComponentOnlyNonLaboratoryObservation-model
|
0..* | Element |
This logical model cannot be the target of a reference
|
|
personOfRecord
|
1..1 | Reference (BC PersonOfRecord Logical Model) | The person this entry belongs to. | |
observationTopic
|
1..1 | cimi-topic-ObservationTopic-model | The base class, independent of context for evaluations (measurements, tests, or questions). The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments. | |
topicCode
|
1..1 | Coding | The concept representing the finding or action that is the topic of the statement. | |
|
findingMethod
|
0..1 | Coding |
The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle. Binding: todo ( preferred ) |
|
details
|
0..1 | string | A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information. | |
|
media
|
0..* | shr-core-Media-model |
A file that contains audio, video, image, or similar content. |
|
|
category
|
1..* | Coding |
A class or division of people or things having particular shared characteristics Binding: Observation Category Codes ( extensible ) |
|
|
anatomicalLocation
|
0..1 | cimi-element-AnatomicalLocation-model | A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart. | |
|
device
|
0..1 | Reference (BC Device Logical Model) | A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients. | |
|
specimen
|
0 .. 0 | |||
precondition
|
0..* |
A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar. |
||
|
precondition
|
Coding | |||
precondition
|
Reference (BC Observation Logical Model) | |||
|
referenceRange
|
0 .. 0 | |||
|
evaluationComponent
|
0..* | cimi-topic-EvaluationComponent-model |
A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation. |
|
|
panelMembers
|
0 .. 0 | |||
|
observationContext
|
1..1 | cimi-context-ObservationContext-model | Context for recording an evaluation result, used to indicate an evaluation has been made. | |
contextCode
|
1..1 | Coding | A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. | |
|
@id
|
0..1 | string | xml:id (or equivalent in JSON) | |
extension
|
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://snomed.info/sct |
|
version
|
Σ | 0..1 | string | Version of the system - if relevant |
|
code
|
Σ | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 424975005 |
|
display
|
Σ | 0..1 | string | Representation defined by the system |
|
userSelected
|
Σ | 0..1 | boolean | If this coding was chosen directly by the user |
|
encounter
|
0..1 | cimi-encounter-Encounter-model | A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient. | |
|
interpretation
|
0..1 | Coding |
A clinical interpretation of a finding (applies to both assertions and observation). Binding: Observation Interpretation Codes ( extensible ) |
|
|
findingStatus
|
1..1 | code |
Indicates whether the finding is preliminary, amended, final, etc. Binding: Observation Status ( required ) |
|
|
relevantTime
|
0..1 | The time or time period that the finding addresses. | ||
|
relevantTime
|
dateTime | |||
|
relevantTime
|
shr-core-TimePeriod-model | |||
|
resultValue
|
0 .. 0 | |||
|
exceptionValue
|
0 .. 0 | |||
|
deltaFlag
|
0..1 | Coding |
Indicator of significant change (delta) from the last or previous measurement. Binding: BC DeltaFlagVS ValueSet ( required ) |
|
|
issued
|
0..1 | instant | The date and time this observation was made available to providers, typically after the results have been reviewed and verified. | |
|
observer
|
0..* | Reference (BC Practitioner Logical Model | BC Organization Logical Model | BC Patient Logical Model | BC RelatedPerson Logical Model) |
The person or organization who observed or informed the reporter about the characteristic, potentially the clinician, the patient, or a related person. |
|
|
Documentation for this format
|
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