ÚNICAS Rare Diseases HL7 FHIR Implementation Guide
0.0.2 - draft

ÚNICAS Rare Diseases HL7 FHIR Implementation Guide - Local Development build (v0.0.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Observation Obstetrico ÚNICAS

Official URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASObservationObstetrico Version: 0.0.2
Draft as of 2025-11-10 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

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, obs-8
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system ΣC 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 ΣC 1..1 string Identificador interno del sistema para el obstétrico
Example General: 123456
Example ÚNICAS: 123456
... status ?!Σ 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 (preferred): Value set de Tipos de informaciones para ÚNICAS
... code ΣC 1..1 CodeableConcept Antecedente obstétrico
Binding: Value set de Obstétricos (preferred): Value set de Obstétricos
... subject Σ 1..1 Reference(Patient Paciente ÚNICAS) Referencia al paciente
.... reference ΣC 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 Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 1..1 Identifier Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
..... system Σ 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 ΣC 0..1 string Número CIP-SNS
Example General: 123456
Example ÚNICAS: BBBBBBBBQR648597
.... display ΣC 0..1 string Nombre completo del paciente
... effective[x] Σ 0..1 dateTime Fecha de inicio
... performer Σ 0..* Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS) Referencia al profesional sanitario
.... reference ΣC 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 Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
..... system Σ 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 ΣC 0..1 string Número del DNI
Example General: 123456
Example ÚNICAS: 0000001X
.... display ΣC 0..1 string Nombre completo del profesional sanitario
... value[x] ΣC 0..1 Registro de obstétrico
.... valueQuantity Quantity(SimpleQuantity)
.... valueCodeableConcept CodeableConcept

doco Documentation for this format

Terminology Bindings

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 preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Observation.code Base preferred Value set de Obstétricos 📦0.0.2 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 Identifier Type Codes 📦5.0.0 FHIR Std.
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 Identifier Type Codes 📦5.0.0 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().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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 (preferred): 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 (preferred): 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
.... 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... 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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.category Base preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Observation.code Base preferred Value set de Obstétricos 📦0.0.2 This IG
Observation.subject.​identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
Observation.performer.​identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.

Constraints

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]+$')
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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 ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 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 ΣC 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 ΣC 1..1 string Identificador interno del sistema para el obstétrico
Example General: 123456
Example ÚNICAS: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiates[x] Σ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn Σ 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... observation Σ 1..1 Reference(Observation) Triggering observation
.... type Σ 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 Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!Σ 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 (preferred): 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 Σ 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 Σ 0..1 uri URL del SNOMED CT. Extensión para España del SNS
..... version Σ 0..1 string Version of the system - if relevant
..... code ΣC 0..1 code Código de la clasificación de observación
..... display ΣC 0..1 string Descripción de la clasificación de observación
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... code ΣC 1..1 CodeableConcept Antecedente obstétrico
Binding: Value set de Obstétricos (preferred): 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 Σ 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 Σ 1..1 uri URL del SNOMED CT. Extensión para España del SNS
..... version Σ 0..1 string Version of the system - if relevant
..... code ΣC 1..1 code Código del antecedente obstétrico
..... display ΣC 1..1 string Descripción del antecedente obstétrico
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 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 ΣC 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 Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... 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 Σ 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 Σ 0..1 uri URL del SNOMED CT. Extensión para España del SNS
....... version Σ 0..1 string Version of the system - if relevant
....... code ΣC 0..1 code Código del identificador
....... display ΣC 0..1 string Decripción del identificador
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system Σ 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 ΣC 0..1 string Número CIP-SNS
Example General: 123456
Example ÚNICAS: BBBBBBBBQR648597
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... display ΣC 0..1 string Nombre completo del paciente
... 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] Σ 0..1 dateTime Fecha de inicio
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 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 ΣC 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 Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... 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 Σ 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 Σ 0..1 uri URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
....... version Σ 0..1 string Version of the system - if relevant
....... code ΣC 0..1 code Código del identificador
....... display ΣC 0..1 string Decripción del identificador
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system Σ 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 ΣC 0..1 string Número del DNI
Example General: 123456
Example ÚNICAS: 0000001X
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... display ΣC 0..1 string Nombre completo del profesional sanitario
... value[x] ΣC 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high C 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... 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 Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) Related resource from which the observation is made
... component ΣC 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 ΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... 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
..... 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

doco Documentation for this format

Terminology Bindings

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 preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Observation.code Base preferred Value set de Obstétricos 📦0.0.2 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 Identifier Type Codes 📦5.0.0 FHIR Std.
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 Identifier Type Codes 📦5.0.0 FHIR Std.
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.

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().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($this is Specimen)
regcess-system warning Observation.identifier.system system debe comenzar por urn:regcess: seguido del identificador del sistema. matches('^urn:regcess:[A-Za-z0-9]+$')

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system ΣC 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 ΣC 1..1 string Identificador interno del sistema para el obstétrico
Example General: 123456
Example ÚNICAS: 123456
... status ?!Σ 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 (preferred): Value set de Tipos de informaciones para ÚNICAS
... code ΣC 1..1 CodeableConcept Antecedente obstétrico
Binding: Value set de Obstétricos (preferred): Value set de Obstétricos
... subject Σ 1..1 Reference(Patient Paciente ÚNICAS) Referencia al paciente
.... reference ΣC 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 Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 1..1 Identifier Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
..... system Σ 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 ΣC 0..1 string Número CIP-SNS
Example General: 123456
Example ÚNICAS: BBBBBBBBQR648597
.... display ΣC 0..1 string Nombre completo del paciente
... effective[x] Σ 0..1 dateTime Fecha de inicio
... performer Σ 0..* Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS) Referencia al profesional sanitario
.... reference ΣC 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 Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
..... system Σ 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 ΣC 0..1 string Número del DNI
Example General: 123456
Example ÚNICAS: 0000001X
.... display ΣC 0..1 string Nombre completo del profesional sanitario
... value[x] ΣC 0..1 Registro de obstétrico
.... valueQuantity Quantity(SimpleQuantity)
.... valueCodeableConcept CodeableConcept

doco Documentation for this format

Terminology Bindings

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 preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Observation.code Base preferred Value set de Obstétricos 📦0.0.2 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 Identifier Type Codes 📦5.0.0 FHIR Std.
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 Identifier Type Codes 📦5.0.0 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().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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 (preferred): 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 (preferred): 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
.... 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... 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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.category Base preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Observation.code Base preferred Value set de Obstétricos 📦0.0.2 This IG
Observation.subject.​identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
Observation.performer.​identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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 ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 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 ΣC 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 ΣC 1..1 string Identificador interno del sistema para el obstétrico
Example General: 123456
Example ÚNICAS: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiates[x] Σ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn Σ 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... observation Σ 1..1 Reference(Observation) Triggering observation
.... type Σ 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 Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!Σ 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 (preferred): 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 Σ 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 Σ 0..1 uri URL del SNOMED CT. Extensión para España del SNS
..... version Σ 0..1 string Version of the system - if relevant
..... code ΣC 0..1 code Código de la clasificación de observación
..... display ΣC 0..1 string Descripción de la clasificación de observación
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... code ΣC 1..1 CodeableConcept Antecedente obstétrico
Binding: Value set de Obstétricos (preferred): 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 Σ 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 Σ 1..1 uri URL del SNOMED CT. Extensión para España del SNS
..... version Σ 0..1 string Version of the system - if relevant
..... code ΣC 1..1 code Código del antecedente obstétrico
..... display ΣC 1..1 string Descripción del antecedente obstétrico
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 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 ΣC 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 Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... 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 Σ 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 Σ 0..1 uri URL del SNOMED CT. Extensión para España del SNS
....... version Σ 0..1 string Version of the system - if relevant
....... code ΣC 0..1 code Código del identificador
....... display ΣC 0..1 string Decripción del identificador
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system Σ 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 ΣC 0..1 string Número CIP-SNS
Example General: 123456
Example ÚNICAS: BBBBBBBBQR648597
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... display ΣC 0..1 string Nombre completo del paciente
... 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] Σ 0..1 dateTime Fecha de inicio
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 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 ΣC 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 Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... 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 Σ 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 Σ 0..1 uri URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
....... version Σ 0..1 string Version of the system - if relevant
....... code ΣC 0..1 code Código del identificador
....... display ΣC 0..1 string Decripción del identificador
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system Σ 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 ΣC 0..1 string Número del DNI
Example General: 123456
Example ÚNICAS: 0000001X
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... display ΣC 0..1 string Nombre completo del profesional sanitario
... value[x] ΣC 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high C 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... 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 Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) Related resource from which the observation is made
... component ΣC 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 ΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... 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
..... 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

doco Documentation for this format

Terminology Bindings

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 preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Observation.code Base preferred Value set de Obstétricos 📦0.0.2 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 Identifier Type Codes 📦5.0.0 FHIR Std.
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 Identifier Type Codes 📦5.0.0 FHIR Std.
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.

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().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($this is Specimen)
regcess-system warning Observation.identifier.system system debe comenzar por urn:regcess: seguido del identificador del sistema. matches('^urn:regcess:[A-Za-z0-9]+$')

 

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.