Source | hl7.fhir.us.core#current:US Core Implementation Guide (v4.0.1) |
resourceType | StructureDefinition |
id | us-core-observation-screening-assessment |
canonical | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment |
version | 7.0.0-ballot |
status | active |
publisher | HL7 International - Cross-Group Projects |
name | USCoreObservationScreeningAssessmentProfile |
title | US Core Observation Screening Assessment Profile |
date | 2022-04-20 |
description | The US Core Observation Screening Assessment Profile meets the requirements of the US Core Data for Interoperability (USCDI) Assessments. To promote interoperability and adoption through common implementation, it sets the minimum expectations for the Observation Resource to record, search, and fetch observations representing the questions and responses to surveys and screening and assessment tools. For example, a social history status such as education or food insecurity or an assessment of the patient's cognitive, functional, or disability status. It can represent a single response, multiple responses, and multi-select "check all that apply" type questions. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases. |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
jurisdictions | us |
fhirVersion | 4.0.1 |
kind | resource |
abstract | false |
sdTtype | Observation |
derivation | constraint |
base | http://hl7.org/fhir/StructureDefinition/Observation |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | Observation |
Survey Observation us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present us-core-3: SHALL use UCUM for coded quantity units. |
|
status | S | (USCDI) registered | preliminary | final | amended + | ||
Slices for category | S | 1 .. |
(USCDI) Classification of type of observation
Slice: Unordered, Open by pattern:$this |
|
category:survey | S | 1..1 |
(USCDI) Classification of type of observation Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: survey |
|
category:screening-assessment | S |
(USCDI) Classification of type of observation Binding: US Core Screening Assessment Observation Category ( required ): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets |
||
code | S |
(USCDI) Type of observation (code / type) Binding: US Core Survey Codes ( preferred ) |
||
subject | S | 1.. | Reference (US Core Patient Profile) | (USCDI) Who and/or what the observation is about |
effective[x] | S C |
(USCDI) Clinically relevant time/time-period for observation us-core-1: Datetime must be at least to day. |
||
effectiveDateTime | dateTime S | |||
effectivePeriod | Period | |||
effectiveTiming | Timing | |||
effectiveInstant | instant | |||
performer | S | Reference (US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) | (USCDI) Who is responsible for the observation | |
value[x] | S C | (USCDI) Actual result | ||
valueQuantity | Quantity S | |||
valueCodeableConcept | CodeableConcept S | |||
valueString | string S | |||
valueBoolean | boolean | |||
valueInteger | integer | |||
valueRange | Range | |||
valueRatio | Ratio | |||
valueSampledData | SampledData | |||
valueTime | time | |||
valueDateTime | dateTime | |||
valuePeriod | Period | |||
dataAbsentReason | S C | (USCDI) Why the result is missing | ||
hasMember | S | Reference (US Core Observation Screening Assessment Profile S | QuestionnaireResponse | MolecularSequence ) | (USCDI) Reference to panel members or multi-select responses or multi-select responses | |
derivedFrom | S | Reference (US Core Observation Screening Assessment Profile S | US Core QuestionnaireResponse Profile S | US Core DocumentReference Profile | ImagingStudy | Media | MolecularSequence ) | (USCDI) Related Observation(s) or other resource the observation is made from | |
Documentation for this format |
Produced 08 Sep 2023