ÚNICAS Rare Diseases HL7 FHIR Implementation Guide
0.0.12 - draft
ÚNICAS Rare Diseases HL7 FHIR Implementation Guide
0.0.12 - draft
ÚNICAS Rare Diseases HL7 FHIR Implementation Guide - Local Development build (v0.0.12) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASObservationObstetrico | Version: 0.0.12 | |||
| Draft as of 2026-10-13 | Computable Name: UNICASObservationObstetrico | |||
Este profile define las restricciones del recurso Observation para representar el registro de obstétrico en el contexto del caso de uso de ÚNICAS.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, obs-8 |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| contained |
0..* | Resource | Contained, inline Resources | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
  identifier |
1..* | Identifier | Identificador único | |
 use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| system |
C | 1..1 | uri | Sistema para identificar el origen Constraints: regcess-system Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789 |
 value |
C | 1..1 | string | Identificador interno del sistema para el obstétrico Example General: 123456 Example ÚNICAS: 123456 |
| status |
1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | |
| category |
0..* | CodeableConcept | Clasificación de observación: antecedentes obstétricos Binding: Value set de Tipos de informaciones para ÚNICAS (extensible): Value set de Tipos de informaciones para ÚNICAS | |
| code |
C | 1..1 | CodeableConcept | Antecedente obstétrico Binding: Value set de Obstétricos (extensible): Value set de Obstétricos |
 subject |
1..1 | Reference(Patient Paciente ÚNICAS) | Referencia al paciente | |
| reference |
C | 0..1 | string | Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR |
| type |
1..1 | uri | Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |
| identifier |
C | 1..1 | Identifier | Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| type |
0..1 | CodeableConcept | Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS | |
| system |
0..1 | uri | OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40 | |
| value |
C | 0..1 | string | Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597 |
| display |
C | 0..1 | string | Nombre completo del paciente |
| effective[x] |
0..1 | dateTime | Fecha de inicio | |
| performer |
0..* | Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS) | Referencia al profesional sanitario | |
| reference |
C | 0..1 | string | Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR |
| type |
1..1 | uri | Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |
| identifier |
C | 1..1 | Identifier | Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado |
 Slices for extension |
Content/Rules for all slices | |||
  extension:numeroColegiadoProfesionalSanitario |
0..* | Identifier | Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| type |
0..1 | CodeableConcept | Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS | |
| system |
0..1 | uri | OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3 | |
| value |
C | 0..1 | string | Número del DNI Example General: 123456 Example ÚNICAS: 0000001X |
| display |
C | 0..1 | string | Nombre completo del profesional sanitario |
  value[x] |
C | 0..1 | Registro de obstétrico | |
 valueQuantity |
Quantity(SimpleQuantity) | |||
| valueCodeableConcept |
CodeableConcept | |||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Observation.status | Base | required | Observation Status | 📍5.0.0 | FHIR Std. |
| Observation.category | Base | extensible | Value set de Tipos de informaciones para ÚNICAS | 📦0.0.12 | This IG |
| Observation.code | Base | extensible | Value set de Obstétricos | 📦0.0.12 | This IG |
| Observation.subject.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| Observation.subject.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Observation.subject.identifier.type | Base | extensible | Value set de Tipos de documentos de identificación para persona ÚNICAS | 📦0.0.12 | This IG |
| Observation.performer.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| Observation.performer.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Observation.performer.identifier.type | Base | extensible | Value set de Tipos de documentos de identificación para persona ÚNICAS | 📦0.0.12 | This IG |
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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-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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| obs-8 | error | Observation | bodyStructure SHALL only be present if Observation.bodySite is not present |
bodySite.exists() implies bodyStructure.empty()
|
| regcess-system | warning | Observation.identifier.system | system debe comenzar por urn:regcess: seguido del identificador del sistema. |
matches('^urn:regcess:[A-Za-z0-9]+$')
|
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
Observation | |||
 identifier |
1..* | Identifier | Identificador único | |
| system |
C | 1..1 | uri | Sistema para identificar el origen Constraints: regcess-system Example ÚNICAS: urn:regcess:0123456789 |
| value |
1..1 | string | Identificador interno del sistema para el obstétrico Example ÚNICAS: 123456 | |
| category |
0..* | CodeableConcept | Clasificación de observación: antecedentes obstétricos Binding: Value set de Tipos de informaciones para ÚNICAS (extensible): Value set de Tipos de informaciones para ÚNICAS | |
| coding |
||||
| system |
0..1 | uri | URL del SNOMED CT. Extensión para España del SNS | |
| code |
0..1 | code | Código de la clasificación de observación | |
| display |
0..1 | string | Descripción de la clasificación de observación | |
| code |
1..1 | CodeableConcept | Antecedente obstétrico Binding: Value set de Obstétricos (extensible): Value set de Obstétricos | |
| coding |
||||
| system |
1..1 | uri | URL del SNOMED CT. Extensión para España del SNS | |
| code |
1..1 | code | Código del antecedente obstétrico | |
| display |
1..1 | string | Descripción del antecedente obstétrico | |
| subject |
1..1 | Reference(Patient Paciente ÚNICAS) | Referencia al paciente | |
| reference |
0..1 | string | Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR | |
| type |
1..1 | uri | Tipo de recurso FHIR | |
| identifier |
1..1 | Identifier | Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS | |
| type |
0..1 | CodeableConcept | Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS | |
| coding |
||||
| system |
0..1 | uri | URL del SNOMED CT. Extensión para España del SNS | |
| code |
0..1 | code | Código del identificador | |
| display |
0..1 | string | Decripción del identificador | |
| system |
0..1 | uri | OID registro de número de CIP-SNS Example ÚNICAS: urn:oid:2.16.724.4.40 | |
| value |
0..1 | string | Número CIP-SNS Example ÚNICAS: BBBBBBBBQR648597 | |
| display |
0..1 | string | Nombre completo del paciente | |
| effective[x] |
0..1 | dateTime | Fecha de inicio | |
| performer |
0..* | Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS) | Referencia al profesional sanitario | |
| reference |
0..1 | string | Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR | |
| type |
1..1 | uri | Tipo de recurso FHIR | |
| identifier |
1..1 | Identifier | Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:numeroColegiadoProfesionalSanitario |
0..* | Identifier | Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario | |
| type |
0..1 | CodeableConcept | Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS | |
| coding |
||||
| system |
0..1 | uri | URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS | |
| code |
0..1 | code | Código del identificador | |
| display |
0..1 | string | Decripción del identificador | |
| system |
0..1 | uri | OID registro de DNI Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3 | |
| value |
0..1 | string | Número del DNI Example ÚNICAS: 0000001X | |
| display |
0..1 | string | Nombre completo del profesional sanitario | |
| value[x] |
0..1 | Registro de obstétrico | ||
| valueQuantity |
Quantity(SimpleQuantity) | |||
| valueCodeableConcept |
CodeableConcept | |||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.category | Base | extensible | Value set de Tipos de informaciones para ÚNICAS | 📦0.0.12 | This IG |
| Observation.code | Base | extensible | Value set de Obstétricos | 📦0.0.12 | This IG |
| Observation.subject.identifier.type | Base | extensible | Value set de Tipos de documentos de identificación para persona ÚNICAS | 📦0.0.12 | This IG |
| Observation.performer.identifier.type | Base | extensible | Value set de Tipos de documentos de identificación para persona ÚNICAS | 📦0.0.12 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| regcess-system | warning | Observation.identifier.system | system debe comenzar por urn:regcess: seguido del identificador del sistema. |
matches('^urn:regcess:[A-Za-z0-9]+$')
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, obs-8 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| 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 | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
1..* | Identifier | Identificador único | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||
| system |
C | 1..1 | uri | Sistema para identificar el origen Constraints: regcess-system Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789 | ||||
| value |
C | 1..1 | string | Identificador interno del sistema para el obstétrico Example General: 123456 Example ÚNICAS: 123456 | ||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| instantiates[x] |
0..1 | canonical(ObservationDefinition), Reference(ObservationDefinition) | Instantiates FHIR ObservationDefinition | |||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | |||||
| triggeredBy |
0..* | BackboneElement | Triggering observation(s) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| observation |
1..1 | Reference(Observation) | Triggering observation | |||||
| type |
1..1 | code | reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation. | |||||
| reason |
0..1 | string | Reason that the observation was triggered | |||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) | Part of referenced event | |||||
| status |
1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | |||||
| category |
0..* | CodeableConcept | Clasificación de observación: antecedentes obstétricos Binding: Value set de Tipos de informaciones para ÚNICAS (extensible): Value set de Tipos de informaciones para ÚNICAS | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | URL del SNOMED CT. Extensión para España del SNS | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 0..1 | code | Código de la clasificación de observación | ||||
| display |
C | 0..1 | string | Descripción de la clasificación de observación | ||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
C | 1..1 | CodeableConcept | Antecedente obstétrico Binding: Value set de Obstétricos (extensible): Value set de Obstétricos | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | URL del SNOMED CT. Extensión para España del SNS | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 1..1 | code | Código del antecedente obstétrico | ||||
| display |
C | 1..1 | string | Descripción del antecedente obstétrico | ||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| subject |
1..1 | Reference(Patient Paciente ÚNICAS) | Referencia al paciente | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 0..1 | string | Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR | ||||
| type |
1..1 | uri | Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
C | 1..1 | Identifier | Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | URL del SNOMED CT. Extensión para España del SNS | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 0..1 | code | Código del identificador | ||||
| display |
C | 0..1 | string | Decripción del identificador | ||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| system |
0..1 | uri | OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40 | |||||
| value |
C | 0..1 | string | Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597 | ||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| display |
C | 0..1 | string | Nombre completo del paciente | ||||
| focus |
0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | |||||
| encounter |
0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||
| effective[x] |
0..1 | dateTime | Fecha de inicio | |||||
| issued |
0..1 | instant | Date/Time this version was made available | |||||
| performer |
0..* | Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS) | Referencia al profesional sanitario | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 0..1 | string | Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR | ||||
| type |
1..1 | uri | Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
C | 1..1 | Identifier | Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:numeroColegiadoProfesionalSanitario |
0..* | Identifier | Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 0..1 | code | Código del identificador | ||||
| display |
C | 0..1 | string | Decripción del identificador | ||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| system |
0..1 | uri | OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3 | |||||
| value |
C | 0..1 | string | Número del DNI Example General: 123456 Example ÚNICAS: 0000001X | ||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| display |
C | 0..1 | string | Nombre completo del profesional sanitario | ||||
| value[x] |
C | 0..1 | Registro de obstétrico | |||||
| valueQuantity |
Quantity(SimpleQuantity) | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the 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. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
C | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts | ||||
| bodyStructure |
C | 0..1 | Reference(BodyStructure) | Observed body structure | ||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen |
C | 0..1 | Reference(Specimen | Group) | Specimen used for this observation Constraints: obs-9 | ||||
| device |
0..1 | Reference(Device | DeviceMetric) | A reference to the device that generates the measurements or the device settings for the device | |||||
| referenceRange |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| low |
C | 0..1 | SimpleQuantity(5.0.0) | Low Range, if relevant Constraints: sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity(5.0.0) | High Range, if relevant Constraints: sqty-1 | ||||
| normalValue |
0..1 | CodeableConcept | Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation. | |||||
| 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 |
C | 0..1 | markdown | Text based reference range in an observation | ||||
| hasMember |
0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | |||||
| derivedFrom |
0..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made | |||||
| component |
C | 0..* | BackboneElement | Component results | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] |
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 | |||||||
| valueAttachment |
Attachment | |||||||
| valueReference |
Reference(MolecularSequence) | |||||||
| dataAbsentReason |
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 | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| Observation.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Observation.identifier.type | Base | extensible | Identifier Type Codes | 📍5.0.0 | FHIR Std. |
| Observation.triggeredBy.type | Base | required | triggered Bytype | 📍5.0.0 | FHIR Std. |
| Observation.status | Base | required | Observation Status | 📍5.0.0 | FHIR Std. |
| Observation.category | Base | extensible | Value set de Tipos de informaciones para ÚNICAS | 📦0.0.12 | This IG |
| Observation.code | Base | extensible | Value set de Obstétricos | 📦0.0.12 | This IG |
| Observation.subject.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| Observation.subject.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Observation.subject.identifier.type | Base | extensible | Value set de Tipos de documentos de identificación para persona ÚNICAS | 📦0.0.12 | This IG |
| Observation.performer.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| Observation.performer.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Observation.performer.identifier.type | Base | extensible | Value set de Tipos de documentos de identificación para persona ÚNICAS | 📦0.0.12 | This IG |
| Observation.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.normalValue | Base | extensible | Observation Reference Range Normal Value Codes | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍5.0.0 | FHIR Std. |
| Observation.component.code | Base | example | LOINC Codes | 📍5.0.0 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| obs-8 | error | Observation | bodyStructure SHALL only be present if Observation.bodySite is not present |
bodySite.exists() implies bodyStructure.empty()
|
| obs-9 | error | Observation.specimen | If Observation.specimen is a reference to Group, the group can only have specimens |
(reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)
|
| regcess-system | warning | Observation.identifier.system | system debe comenzar por urn:regcess: seguido del identificador del sistema. |
matches('^urn:regcess:[A-Za-z0-9]+$')
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from Observation
Summary
Mandatory: 6 elements(5 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, obs-8 |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| contained |
0..* | Resource | Contained, inline Resources | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
1..* | Identifier | Identificador único | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| system |
C | 1..1 | uri | Sistema para identificar el origen Constraints: regcess-system Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789 |
| value |
C | 1..1 | string | Identificador interno del sistema para el obstétrico Example General: 123456 Example ÚNICAS: 123456 |
| status |
1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | |
| category |
0..* | CodeableConcept | Clasificación de observación: antecedentes obstétricos Binding: Value set de Tipos de informaciones para ÚNICAS (extensible): Value set de Tipos de informaciones para ÚNICAS | |
| code |
C | 1..1 | CodeableConcept | Antecedente obstétrico Binding: Value set de Obstétricos (extensible): Value set de Obstétricos |
| subject |
1..1 | Reference(Patient Paciente ÚNICAS) | Referencia al paciente | |
| reference |
C | 0..1 | string | Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR |
| type |
1..1 | uri | Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |
| identifier |
C | 1..1 | Identifier | Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| type |
0..1 | CodeableConcept | Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS | |
| system |
0..1 | uri | OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40 | |
| value |
C | 0..1 | string | Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597 |
| display |
C | 0..1 | string | Nombre completo del paciente |
| effective[x] |
0..1 | dateTime | Fecha de inicio | |
| performer |
0..* | Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS) | Referencia al profesional sanitario | |
| reference |
C | 0..1 | string | Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR |
| type |
1..1 | uri | Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |
| identifier |
C | 1..1 | Identifier | Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado |
| Slices for extension |
Content/Rules for all slices | |||
| extension:numeroColegiadoProfesionalSanitario |
0..* | Identifier | Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| type |
0..1 | CodeableConcept | Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS | |
| system |
0..1 | uri | OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3 | |
| value |
C | 0..1 | string | Número del DNI Example General: 123456 Example ÚNICAS: 0000001X |
| display |
C | 0..1 | string | Nombre completo del profesional sanitario |
| value[x] |
C | 0..1 | Registro de obstétrico | |
| valueQuantity |
Quantity(SimpleQuantity) | |||
| valueCodeableConcept |
CodeableConcept | |||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Observation.status | Base | required | Observation Status | 📍5.0.0 | FHIR Std. |
| Observation.category | Base | extensible | Value set de Tipos de informaciones para ÚNICAS | 📦0.0.12 | This IG |
| Observation.code | Base | extensible | Value set de Obstétricos | 📦0.0.12 | This IG |
| Observation.subject.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| Observation.subject.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Observation.subject.identifier.type | Base | extensible | Value set de Tipos de documentos de identificación para persona ÚNICAS | 📦0.0.12 | This IG |
| Observation.performer.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| Observation.performer.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Observation.performer.identifier.type | Base | extensible | Value set de Tipos de documentos de identificación para persona ÚNICAS | 📦0.0.12 | This IG |
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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-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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| obs-8 | error | Observation | bodyStructure SHALL only be present if Observation.bodySite is not present |
bodySite.exists() implies bodyStructure.empty()
|
| regcess-system | warning | Observation.identifier.system | system debe comenzar por urn:regcess: seguido del identificador del sistema. |
matches('^urn:regcess:[A-Za-z0-9]+$')
|
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
Observation | |||
| identifier |
1..* | Identifier | Identificador único | |
| system |
C | 1..1 | uri | Sistema para identificar el origen Constraints: regcess-system Example ÚNICAS: urn:regcess:0123456789 |
| value |
1..1 | string | Identificador interno del sistema para el obstétrico Example ÚNICAS: 123456 | |
| category |
0..* | CodeableConcept | Clasificación de observación: antecedentes obstétricos Binding: Value set de Tipos de informaciones para ÚNICAS (extensible): Value set de Tipos de informaciones para ÚNICAS | |
| coding |
||||
| system |
0..1 | uri | URL del SNOMED CT. Extensión para España del SNS | |
| code |
0..1 | code | Código de la clasificación de observación | |
| display |
0..1 | string | Descripción de la clasificación de observación | |
| code |
1..1 | CodeableConcept | Antecedente obstétrico Binding: Value set de Obstétricos (extensible): Value set de Obstétricos | |
| coding |
||||
| system |
1..1 | uri | URL del SNOMED CT. Extensión para España del SNS | |
| code |
1..1 | code | Código del antecedente obstétrico | |
| display |
1..1 | string | Descripción del antecedente obstétrico | |
| subject |
1..1 | Reference(Patient Paciente ÚNICAS) | Referencia al paciente | |
| reference |
0..1 | string | Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR | |
| type |
1..1 | uri | Tipo de recurso FHIR | |
| identifier |
1..1 | Identifier | Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS | |
| type |
0..1 | CodeableConcept | Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS | |
| coding |
||||
| system |
0..1 | uri | URL del SNOMED CT. Extensión para España del SNS | |
| code |
0..1 | code | Código del identificador | |
| display |
0..1 | string | Decripción del identificador | |
| system |
0..1 | uri | OID registro de número de CIP-SNS Example ÚNICAS: urn:oid:2.16.724.4.40 | |
| value |
0..1 | string | Número CIP-SNS Example ÚNICAS: BBBBBBBBQR648597 | |
| display |
0..1 | string | Nombre completo del paciente | |
| effective[x] |
0..1 | dateTime | Fecha de inicio | |
| performer |
0..* | Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS) | Referencia al profesional sanitario | |
| reference |
0..1 | string | Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR | |
| type |
1..1 | uri | Tipo de recurso FHIR | |
| identifier |
1..1 | Identifier | Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:numeroColegiadoProfesionalSanitario |
0..* | Identifier | Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario | |
| type |
0..1 | CodeableConcept | Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS | |
| coding |
||||
| system |
0..1 | uri | URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS | |
| code |
0..1 | code | Código del identificador | |
| display |
0..1 | string | Decripción del identificador | |
| system |
0..1 | uri | OID registro de DNI Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3 | |
| value |
0..1 | string | Número del DNI Example ÚNICAS: 0000001X | |
| display |
0..1 | string | Nombre completo del profesional sanitario | |
| value[x] |
0..1 | Registro de obstétrico | ||
| valueQuantity |
Quantity(SimpleQuantity) | |||
| valueCodeableConcept |
CodeableConcept | |||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.category | Base | extensible | Value set de Tipos de informaciones para ÚNICAS | 📦0.0.12 | This IG |
| Observation.code | Base | extensible | Value set de Obstétricos | 📦0.0.12 | This IG |
| Observation.subject.identifier.type | Base | extensible | Value set de Tipos de documentos de identificación para persona ÚNICAS | 📦0.0.12 | This IG |
| Observation.performer.identifier.type | Base | extensible | Value set de Tipos de documentos de identificación para persona ÚNICAS | 📦0.0.12 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| regcess-system | warning | Observation.identifier.system | system debe comenzar por urn:regcess: seguido del identificador del sistema. |
matches('^urn:regcess:[A-Za-z0-9]+$')
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7, obs-8 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| 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 | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
1..* | Identifier | Identificador único | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||
| system |
C | 1..1 | uri | Sistema para identificar el origen Constraints: regcess-system Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789 | ||||
| value |
C | 1..1 | string | Identificador interno del sistema para el obstétrico Example General: 123456 Example ÚNICAS: 123456 | ||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| instantiates[x] |
0..1 | canonical(ObservationDefinition), Reference(ObservationDefinition) | Instantiates FHIR ObservationDefinition | |||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | |||||
| triggeredBy |
0..* | BackboneElement | Triggering observation(s) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| observation |
1..1 | Reference(Observation) | Triggering observation | |||||
| type |
1..1 | code | reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation. | |||||
| reason |
0..1 | string | Reason that the observation was triggered | |||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) | Part of referenced event | |||||
| status |
1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | |||||
| category |
0..* | CodeableConcept | Clasificación de observación: antecedentes obstétricos Binding: Value set de Tipos de informaciones para ÚNICAS (extensible): Value set de Tipos de informaciones para ÚNICAS | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | URL del SNOMED CT. Extensión para España del SNS | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 0..1 | code | Código de la clasificación de observación | ||||
| display |
C | 0..1 | string | Descripción de la clasificación de observación | ||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
C | 1..1 | CodeableConcept | Antecedente obstétrico Binding: Value set de Obstétricos (extensible): Value set de Obstétricos | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | URL del SNOMED CT. Extensión para España del SNS | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 1..1 | code | Código del antecedente obstétrico | ||||
| display |
C | 1..1 | string | Descripción del antecedente obstétrico | ||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| subject |
1..1 | Reference(Patient Paciente ÚNICAS) | Referencia al paciente | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 0..1 | string | Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR | ||||
| type |
1..1 | uri | Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
C | 1..1 | Identifier | Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | URL del SNOMED CT. Extensión para España del SNS | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 0..1 | code | Código del identificador | ||||
| display |
C | 0..1 | string | Decripción del identificador | ||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| system |
0..1 | uri | OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40 | |||||
| value |
C | 0..1 | string | Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597 | ||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| display |
C | 0..1 | string | Nombre completo del paciente | ||||
| focus |
0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | |||||
| encounter |
0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||
| effective[x] |
0..1 | dateTime | Fecha de inicio | |||||
| issued |
0..1 | instant | Date/Time this version was made available | |||||
| performer |
0..* | Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS) | Referencia al profesional sanitario | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 0..1 | string | Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR | ||||
| type |
1..1 | uri | Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
C | 1..1 | Identifier | Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:numeroColegiadoProfesionalSanitario |
0..* | Identifier | Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 0..1 | code | Código del identificador | ||||
| display |
C | 0..1 | string | Decripción del identificador | ||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| system |
0..1 | uri | OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3 | |||||
| value |
C | 0..1 | string | Número del DNI Example General: 123456 Example ÚNICAS: 0000001X | ||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| display |
C | 0..1 | string | Nombre completo del profesional sanitario | ||||
| value[x] |
C | 0..1 | Registro de obstétrico | |||||
| valueQuantity |
Quantity(SimpleQuantity) | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the 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. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
C | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts | ||||
| bodyStructure |
C | 0..1 | Reference(BodyStructure) | Observed body structure | ||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen |
C | 0..1 | Reference(Specimen | Group) | Specimen used for this observation Constraints: obs-9 | ||||
| device |
0..1 | Reference(Device | DeviceMetric) | A reference to the device that generates the measurements or the device settings for the device | |||||
| referenceRange |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| low |
C | 0..1 | SimpleQuantity(5.0.0) | Low Range, if relevant Constraints: sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity(5.0.0) | High Range, if relevant Constraints: sqty-1 | ||||
| normalValue |
0..1 | CodeableConcept | Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation. | |||||
| 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 |
C | 0..1 | markdown | Text based reference range in an observation | ||||
| hasMember |
0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | |||||
| derivedFrom |
0..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made | |||||
| component |
C | 0..* | BackboneElement | Component results | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] |
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 | |||||||
| valueAttachment |
Attachment | |||||||
| valueReference |
Reference(MolecularSequence) | |||||||
| dataAbsentReason |
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 | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| Observation.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Observation.identifier.type | Base | extensible | Identifier Type Codes | 📍5.0.0 | FHIR Std. |
| Observation.triggeredBy.type | Base | required | triggered Bytype | 📍5.0.0 | FHIR Std. |
| Observation.status | Base | required | Observation Status | 📍5.0.0 | FHIR Std. |
| Observation.category | Base | extensible | Value set de Tipos de informaciones para ÚNICAS | 📦0.0.12 | This IG |
| Observation.code | Base | extensible | Value set de Obstétricos | 📦0.0.12 | This IG |
| Observation.subject.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| Observation.subject.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Observation.subject.identifier.type | Base | extensible | Value set de Tipos de documentos de identificación para persona ÚNICAS | 📦0.0.12 | This IG |
| Observation.performer.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| Observation.performer.identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Observation.performer.identifier.type | Base | extensible | Value set de Tipos de documentos de identificación para persona ÚNICAS | 📦0.0.12 | This IG |
| Observation.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.normalValue | Base | extensible | Observation Reference Range Normal Value Codes | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍5.0.0 | FHIR Std. |
| Observation.component.code | Base | example | LOINC Codes | 📍5.0.0 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| obs-8 | error | Observation | bodyStructure SHALL only be present if Observation.bodySite is not present |
bodySite.exists() implies bodyStructure.empty()
|
| obs-9 | error | Observation.specimen | If Observation.specimen is a reference to Group, the group can only have specimens |
(reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen)
|
| regcess-system | warning | Observation.identifier.system | system debe comenzar por urn:regcess: seguido del identificador del sistema. |
matches('^urn:regcess:[A-Za-z0-9]+$')
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from Observation
Summary
Mandatory: 6 elements(5 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
ÚNICAS está impulsado por el Consejo Interterritorial del Sistema Nacional de Salud, y financiado con fondos Next Generation de la Unión Europea, en el marco del Plan de Recuperación, Transformación y Resiliencia del Gobierno de España. El Ministerio de Sanidad ejerce la coordinación del proyecto, y Cataluña lidera la parte del desarrollo de los activos tecnológicos para su implementación.
