oncologyfhirigkenya - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Oncology Observation Kenya

Observation profile for cancer-related data elements in Kenya’s oncology care, supporting reporting, staging, diagnosis, and national registry alignment.

Usages:

• This 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    Filter: Bindings Constraints Obligations
Observation		0..*	Observation	Measurements and simple assertions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:icdo3Morphology	S	0..1	Coding	ICD-O-3 Morphology URL: http://example.org/StructureDefinition/Icdo3Morphology
extension:icdo3Topography	S	0..1	CodeableConcept	​ICD-O-3 Topography Code URL: http://example.org/StructureDefinition/icdo3-topography Binding: http://terminology.hl7.org/CodeSystem/icd-o-3-topography (required)
extension:ecogPerformanceStatus	S	0..1	CodeableConcept	ECOG Performance Status URL: http://example.org/StructureDefinition/ecogPerformanceStatus Binding: http://fhir.org/guides/kenya/ValueSet/ecog-status (preferred)
extension:registryReporting	S	0..1	boolean	Registry Reporting URL: http://example.org/StructureDefinition/RegistryReporting
status	S	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
category	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (required)
code	S	1..1	CodeableConcept	Type of observation (code / type) Binding: http://fhir.org/guides/kenya/ValueSet/cancer-stage (extensible)
subject	S	1..1	Reference(Patient)	Who and/or what the observation is about
effective[x]	S	1..1	dateTime, Period, Timing, instant	Clinically relevant time/time-period for observation
value[x]	S	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Binding: http://fhir.org/guides/kenya/ValueSet/cancer-stage-values (extensible)
interpretation	S	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible)
bodySite	S	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
method	S	0..1	CodeableConcept	How it was done Binding: http://fhir.org/guides/kenya/ValueSet/cancer-observation-method (example)
specimen	S	0..1	Reference(Specimen)	Specimen used for this observation
referenceRange	S	0..*	BackboneElement	Provides guide for interpretation
component	S	0..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Binding: http://fhir.org/guides/kenya/ValueSet/tumor-marker (example)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status From the FHIR Standard
Observation.category	required	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	extensible	http://fhir.org/guides/kenya/ValueSet/cancer-stage http://fhir.org/guides/kenya/ValueSet/cancer-stage
Observation.value[x]	extensible	http://fhir.org/guides/kenya/ValueSet/cancer-stage-values http://fhir.org/guides/kenya/ValueSet/cancer-stage-values
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	http://fhir.org/guides/kenya/ValueSet/cancer-observation-method http://fhir.org/guides/kenya/ValueSet/cancer-observation-method
Observation.component.code	example	http://fhir.org/guides/kenya/ValueSet/tumor-marker http://fhir.org/guides/kenya/ValueSet/tumor-marker

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:icdo3Morphology	S	0..1	Coding	ICD-O-3 Morphology URL: http://example.org/StructureDefinition/Icdo3Morphology
extension:icdo3Topography	S	0..1	CodeableConcept	​ICD-O-3 Topography Code URL: http://example.org/StructureDefinition/icdo3-topography Binding: http://terminology.hl7.org/CodeSystem/icd-o-3-topography (required)
extension:ecogPerformanceStatus	S	0..1	CodeableConcept	ECOG Performance Status URL: http://example.org/StructureDefinition/ecogPerformanceStatus Binding: http://fhir.org/guides/kenya/ValueSet/ecog-status (preferred)
extension:registryReporting	S	0..1	boolean	Registry Reporting URL: http://example.org/StructureDefinition/RegistryReporting
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
category	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (required)
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: http://fhir.org/guides/kenya/ValueSet/cancer-stage (extensible)
subject	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about
effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
value[x]	SΣC	0..1		Actual result Binding: http://fhir.org/guides/kenya/ValueSet/cancer-stage-values (extensible)
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible)
bodySite	S	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
method	S	0..1	CodeableConcept	How it was done Binding: http://fhir.org/guides/kenya/ValueSet/cancer-observation-method (example)
specimen	S	0..1	Reference(Specimen)	Specimen used for this observation
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
component	SΣ	0..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: http://fhir.org/guides/kenya/ValueSet/tumor-marker (example)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status From the FHIR Standard
Observation.category	required	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	extensible	http://fhir.org/guides/kenya/ValueSet/cancer-stage http://fhir.org/guides/kenya/ValueSet/cancer-stage
Observation.value[x]	extensible	http://fhir.org/guides/kenya/ValueSet/cancer-stage-values http://fhir.org/guides/kenya/ValueSet/cancer-stage-values
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	http://fhir.org/guides/kenya/ValueSet/cancer-observation-method http://fhir.org/guides/kenya/ValueSet/cancer-observation-method
Observation.component.code	example	http://fhir.org/guides/kenya/ValueSet/tumor-marker http://fhir.org/guides/kenya/ValueSet/tumor-marker

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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:icdo3Morphology	S	0..1	Coding	ICD-O-3 Morphology URL: http://example.org/StructureDefinition/Icdo3Morphology
extension:icdo3Topography	S	0..1	CodeableConcept	​ICD-O-3 Topography Code URL: http://example.org/StructureDefinition/icdo3-topography Binding: http://terminology.hl7.org/CodeSystem/icd-o-3-topography (required)
extension:ecogPerformanceStatus	S	0..1	CodeableConcept	ECOG Performance Status URL: http://example.org/StructureDefinition/ecogPerformanceStatus Binding: http://fhir.org/guides/kenya/ValueSet/ecog-status (preferred)
extension:registryReporting	S	0..1	boolean	Registry Reporting URL: http://example.org/StructureDefinition/RegistryReporting
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	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
category	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (required)
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: http://fhir.org/guides/kenya/ValueSet/cancer-stage (extensible)
subject	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about
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]	SΣ	1..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]	SΣC	0..1		Actual result Binding: http://fhir.org/guides/kenya/ValueSet/cancer-stage-values (extensible)
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	S	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible)
note		0..*	Annotation	Comments about the observation
bodySite	S	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
method	S	0..1	CodeableConcept	How it was done Binding: http://fhir.org/guides/kenya/ValueSet/cancer-observation-method (example)
specimen	S	0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
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	SΣ	0..*	BackboneElement	Component results
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	Type of component observation (code / type) Binding: http://fhir.org/guides/kenya/ValueSet/tumor-marker (example)
value[x]	Σ	0..1		Actual component result
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 http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status From the FHIR Standard
Observation.category	required	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	extensible	http://fhir.org/guides/kenya/ValueSet/cancer-stage http://fhir.org/guides/kenya/ValueSet/cancer-stage
Observation.value[x]	extensible	http://fhir.org/guides/kenya/ValueSet/cancer-stage-values http://fhir.org/guides/kenya/ValueSet/cancer-stage-values
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	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	http://fhir.org/guides/kenya/ValueSet/cancer-observation-method http://fhir.org/guides/kenya/ValueSet/cancer-observation-method
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	http://fhir.org/guides/kenya/ValueSet/tumor-marker http://fhir.org/guides/kenya/ValueSet/tumor-marker
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

Mandatory: 3 elements
Must-Support: 16 elements

Extensions

This structure refers to these extensions:

• http://example.org/StructureDefinition/Icdo3Morphology
• http://example.org/StructureDefinition/icdo3-topography
• http://example.org/StructureDefinition/ecogPerformanceStatus
• http://example.org/StructureDefinition/RegistryReporting

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	Observation	Measurements and simple assertions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:icdo3Morphology	S	0..1	Coding	ICD-O-3 Morphology URL: http://example.org/StructureDefinition/Icdo3Morphology
extension:icdo3Topography	S	0..1	CodeableConcept	​ICD-O-3 Topography Code URL: http://example.org/StructureDefinition/icdo3-topography Binding: http://terminology.hl7.org/CodeSystem/icd-o-3-topography (required)
extension:ecogPerformanceStatus	S	0..1	CodeableConcept	ECOG Performance Status URL: http://example.org/StructureDefinition/ecogPerformanceStatus Binding: http://fhir.org/guides/kenya/ValueSet/ecog-status (preferred)
extension:registryReporting	S	0..1	boolean	Registry Reporting URL: http://example.org/StructureDefinition/RegistryReporting
status	S	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
category	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (required)
code	S	1..1	CodeableConcept	Type of observation (code / type) Binding: http://fhir.org/guides/kenya/ValueSet/cancer-stage (extensible)
subject	S	1..1	Reference(Patient)	Who and/or what the observation is about
effective[x]	S	1..1	dateTime, Period, Timing, instant	Clinically relevant time/time-period for observation
value[x]	S	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Binding: http://fhir.org/guides/kenya/ValueSet/cancer-stage-values (extensible)
interpretation	S	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible)
bodySite	S	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
method	S	0..1	CodeableConcept	How it was done Binding: http://fhir.org/guides/kenya/ValueSet/cancer-observation-method (example)
specimen	S	0..1	Reference(Specimen)	Specimen used for this observation
referenceRange	S	0..*	BackboneElement	Provides guide for interpretation
component	S	0..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Binding: http://fhir.org/guides/kenya/ValueSet/tumor-marker (example)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status From the FHIR Standard
Observation.category	required	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	extensible	http://fhir.org/guides/kenya/ValueSet/cancer-stage http://fhir.org/guides/kenya/ValueSet/cancer-stage
Observation.value[x]	extensible	http://fhir.org/guides/kenya/ValueSet/cancer-stage-values http://fhir.org/guides/kenya/ValueSet/cancer-stage-values
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	http://fhir.org/guides/kenya/ValueSet/cancer-observation-method http://fhir.org/guides/kenya/ValueSet/cancer-observation-method
Observation.component.code	example	http://fhir.org/guides/kenya/ValueSet/tumor-marker http://fhir.org/guides/kenya/ValueSet/tumor-marker

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:icdo3Morphology	S	0..1	Coding	ICD-O-3 Morphology URL: http://example.org/StructureDefinition/Icdo3Morphology
extension:icdo3Topography	S	0..1	CodeableConcept	​ICD-O-3 Topography Code URL: http://example.org/StructureDefinition/icdo3-topography Binding: http://terminology.hl7.org/CodeSystem/icd-o-3-topography (required)
extension:ecogPerformanceStatus	S	0..1	CodeableConcept	ECOG Performance Status URL: http://example.org/StructureDefinition/ecogPerformanceStatus Binding: http://fhir.org/guides/kenya/ValueSet/ecog-status (preferred)
extension:registryReporting	S	0..1	boolean	Registry Reporting URL: http://example.org/StructureDefinition/RegistryReporting
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
category	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (required)
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: http://fhir.org/guides/kenya/ValueSet/cancer-stage (extensible)
subject	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about
effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
value[x]	SΣC	0..1		Actual result Binding: http://fhir.org/guides/kenya/ValueSet/cancer-stage-values (extensible)
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible)
bodySite	S	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
method	S	0..1	CodeableConcept	How it was done Binding: http://fhir.org/guides/kenya/ValueSet/cancer-observation-method (example)
specimen	S	0..1	Reference(Specimen)	Specimen used for this observation
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
component	SΣ	0..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: http://fhir.org/guides/kenya/ValueSet/tumor-marker (example)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status From the FHIR Standard
Observation.category	required	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	extensible	http://fhir.org/guides/kenya/ValueSet/cancer-stage http://fhir.org/guides/kenya/ValueSet/cancer-stage
Observation.value[x]	extensible	http://fhir.org/guides/kenya/ValueSet/cancer-stage-values http://fhir.org/guides/kenya/ValueSet/cancer-stage-values
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	http://fhir.org/guides/kenya/ValueSet/cancer-observation-method http://fhir.org/guides/kenya/ValueSet/cancer-observation-method
Observation.component.code	example	http://fhir.org/guides/kenya/ValueSet/tumor-marker http://fhir.org/guides/kenya/ValueSet/tumor-marker

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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:icdo3Morphology	S	0..1	Coding	ICD-O-3 Morphology URL: http://example.org/StructureDefinition/Icdo3Morphology
extension:icdo3Topography	S	0..1	CodeableConcept	​ICD-O-3 Topography Code URL: http://example.org/StructureDefinition/icdo3-topography Binding: http://terminology.hl7.org/CodeSystem/icd-o-3-topography (required)
extension:ecogPerformanceStatus	S	0..1	CodeableConcept	ECOG Performance Status URL: http://example.org/StructureDefinition/ecogPerformanceStatus Binding: http://fhir.org/guides/kenya/ValueSet/ecog-status (preferred)
extension:registryReporting	S	0..1	boolean	Registry Reporting URL: http://example.org/StructureDefinition/RegistryReporting
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	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
category	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (required)
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: http://fhir.org/guides/kenya/ValueSet/cancer-stage (extensible)
subject	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about
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]	SΣ	1..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]	SΣC	0..1		Actual result Binding: http://fhir.org/guides/kenya/ValueSet/cancer-stage-values (extensible)
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	S	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible)
note		0..*	Annotation	Comments about the observation
bodySite	S	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
method	S	0..1	CodeableConcept	How it was done Binding: http://fhir.org/guides/kenya/ValueSet/cancer-observation-method (example)
specimen	S	0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
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	SΣ	0..*	BackboneElement	Component results
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	Type of component observation (code / type) Binding: http://fhir.org/guides/kenya/ValueSet/tumor-marker (example)
value[x]	Σ	0..1		Actual component result
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 http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status From the FHIR Standard
Observation.category	required	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	extensible	http://fhir.org/guides/kenya/ValueSet/cancer-stage http://fhir.org/guides/kenya/ValueSet/cancer-stage
Observation.value[x]	extensible	http://fhir.org/guides/kenya/ValueSet/cancer-stage-values http://fhir.org/guides/kenya/ValueSet/cancer-stage-values
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	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	http://fhir.org/guides/kenya/ValueSet/cancer-observation-method http://fhir.org/guides/kenya/ValueSet/cancer-observation-method
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	http://fhir.org/guides/kenya/ValueSet/tumor-marker http://fhir.org/guides/kenya/ValueSet/tumor-marker
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

Mandatory: 3 elements
Must-Support: 16 elements

Extensions

This structure refers to these extensions:

• http://example.org/StructureDefinition/Icdo3Morphology
• http://example.org/StructureDefinition/icdo3-topography
• http://example.org/StructureDefinition/ecogPerformanceStatus
• http://example.org/StructureDefinition/RegistryReporting

Other representations of profile: CSV, Excel, Schematron