0.1.0 - ci-build

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

Resource Profile: Oncology Observation Kenya

Official URL: http://example.org/StructureDefinition/oncology-observation-kenya Version: 0.1.0
Draft as of 2026-06-23 Computable Name: OncologyObservationKenya

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 Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.category Base required Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base extensible http://fhir.org/guides/kenya/ValueSet/cancer-stage Not State Unknown
Observation.value[x] Base extensible http://fhir.org/guides/kenya/ValueSet/cancer-stage-values Not State Unknown
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base example http://fhir.org/guides/kenya/ValueSet/cancer-observation-method Not State Unknown
Observation.component.​code Base example http://fhir.org/guides/kenya/ValueSet/tumor-marker Not State Unknown

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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)
... 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)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.category Base required Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base extensible http://fhir.org/guides/kenya/ValueSet/cancer-stage Not State Unknown
Observation.value[x] Base extensible http://fhir.org/guides/kenya/ValueSet/cancer-stage-values Not State Unknown
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base example http://fhir.org/guides/kenya/ValueSet/cancer-observation-method Not State Unknown
Observation.component.​code Base example http://fhir.org/guides/kenya/ValueSet/tumor-marker Not State Unknown
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.category Base required Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base extensible http://fhir.org/guides/kenya/ValueSet/cancer-stage Not State Unknown
Observation.value[x] Base extensible http://fhir.org/guides/kenya/ValueSet/cancer-stage-values Not State Unknown
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base example http://fhir.org/guides/kenya/ValueSet/cancer-observation-method Not State Unknown
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example http://fhir.org/guides/kenya/ValueSet/tumor-marker Not State Unknown
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.category Base required Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base extensible http://fhir.org/guides/kenya/ValueSet/cancer-stage Not State Unknown
Observation.value[x] Base extensible http://fhir.org/guides/kenya/ValueSet/cancer-stage-values Not State Unknown
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base example http://fhir.org/guides/kenya/ValueSet/cancer-observation-method Not State Unknown
Observation.component.​code Base example http://fhir.org/guides/kenya/ValueSet/tumor-marker Not State Unknown

Constraints

Id Grade Path(s) Description Expression
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()

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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)
... 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)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.category Base required Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base extensible http://fhir.org/guides/kenya/ValueSet/cancer-stage Not State Unknown
Observation.value[x] Base extensible http://fhir.org/guides/kenya/ValueSet/cancer-stage-values Not State Unknown
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base example http://fhir.org/guides/kenya/ValueSet/cancer-observation-method Not State Unknown
Observation.component.​code Base example http://fhir.org/guides/kenya/ValueSet/tumor-marker Not State Unknown

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.category Base required Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base extensible http://fhir.org/guides/kenya/ValueSet/cancer-stage Not State Unknown
Observation.value[x] Base extensible http://fhir.org/guides/kenya/ValueSet/cancer-stage-values Not State Unknown
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Observation.method Base example http://fhir.org/guides/kenya/ValueSet/cancer-observation-method Not State Unknown
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example http://fhir.org/guides/kenya/ValueSet/tumor-marker Not State Unknown
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

 

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