CambioOpenServicesIG - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: ObservationBreastStageFemaleLite

Introduction

The ObservationBreastFemaleLite profile represents the parameter Tanner girls breast stage and is a profile created from the resource Observation which makes the profile compliant with the FHIR standardized way of communicating vital sign data. Tanner girls breast stage is an observation to state the visible stages (tanner stage) of puberty by determining the degree of development of breasts.

Intended Use

The profile ObservationBreastFemaleLite is used for communicating the visible stages (tanner stage) of puberty by determining the degree of development of breasts, by sending a value in the element observation.value.

Read Tanner Girls Breast Stage

Intended use is in first hand that the API is applied for direct access and should not be used to transfer data between caregivers. If it should be used for copying inbetween care givers patient consent must be handled outside the API.

Specific Rules and Limitations

Versions

Supported Operations

Query Operations

Supported Queries

1. GET [baseURL]/Observation/_search?patient=&code= (search)

Error Codes

In the table below, a few error messages specific for observations are listed.

The profile ObservationBreastFemaleLite is used for communicating an entry of a breast development stage of a female patient by sending a value in the element observation.value. The API can be used to read patient Breast development Stage information from COSMIC.

Usages:

• Examples for this Profile: Observation/ObservationBreastStageFemaleLite-95127

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationBreastStageFemaleCore	Measurements and simple assertions Constraints: obs-6, obs-7
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | final Binding: VitalSignStatus (required): The status of th result value.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	ΣN	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	1..1	code	Symbol in syntax defined by the system Fixed Value: 251811005
display	Σ	0..1	string	Tanner girls breast development stage Fixed Value: Tanner girls breast stage
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	ΣC	1..1	Reference(Patient)	Who and/or what the observation is about Constraints: ref-1
reference	ΣCN	0..1	string	Literal reference, Relative, internal or absolute URL
type	ΣN	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
display	Σ	0..1	string	Text alternative for the resource
encounter	ΣC	0..1	Reference(Encounter)	Healthcare event during which this observation is made Constraints: ref-1
effective[x]	ΣN	1..1	dateTime	Clinically relevant time/time-period for observation
Slices for performer	ΣC	1..2	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by type:$this Constraints: ref-1
performer:patient	Σ	0..2	Reference(Patient)	Who is responsible for the observation
performer:organization	Σ	0..2	Reference(Organization)	Who is responsible for the observation
performer:practitionerRole	Σ	0..2	Reference(PractitionerRoleLiteSe)	Who is responsible for the observation
performer:practitioner	Σ	0..2	Reference(Practitioner)	Who is responsible for the observation
value[x]	ΣC	0..1	CodeableConcept	Actual result Constraints: qty-3
coding	Σ	1..1	Coding	Code defined by a terminology system
system	ΣN	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	1..1	code	Symbol in syntax defined by the system Binding: TannerGirlsBreastDevelopmentStageValueSet (required): Value set of TannerGirlsBreastvDevelopmentStages
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	VitalSignStatus https://cambio.codes/fhir/vs/vital-sign-status/v1 From this IG
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.value[x].coding.code	required	TannerGirlsBreastDevelopmentStageValueSet https://fhir.cambio.se/ValueSet/TannerGirlsBreastDevelopmentStageValueSet/v1 From this IG
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3	error	Observation.value[x], Observation.component.value[x]	If a code for the unit is present, the system SHALL also be present :
ref-1	error	Observation.subject, Observation.encounter, Observation.performer	SHALL have a contained resource if a local reference is provided :

This structure is derived from ObservationBreastStageFemaleCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	ObservationBreastStageFemaleCore	Measurements and simple assertions
implicitRules	N	0..0
language	N	0..0
text		0..0
basedOn	C	0..0
partOf	C	0..0
status		1..1	code	registered | final Binding: VitalSignStatus (required): The status of th result value.
category		0..0
code
coding		1..1	Coding	Code defined by a terminology system
system	N	1..1	uri	Identity of the terminology system
version	N	0..1	string	Version of the system - if relevant
code	N	1..1	code	Symbol in syntax defined by the system
display		0..1	string	Tanner girls breast development stage
userSelected	N	0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	C	1..1	Reference(Patient)	Who and/or what the observation is about
reference	N	0..1	string	Literal reference, Relative, internal or absolute URL
type	N	0..1	uri	Type the reference refers to (e.g. "Patient")
display		0..1	string	Text alternative for the resource
focus	C	0..0
encounter	C	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	N	1..1	dateTime	Clinically relevant time/time-period for observation
issued	N	0..0
performer	C	1..2	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Slices for performer				Content/Rules for all slices
performer:patient		0..2	Reference(Patient)	Who is responsible for the observation
performer:organization		0..2	Reference(Organization)	Who is responsible for the observation
performer:practitionerRole		0..2	Reference(PractitionerRoleLiteSe)	Who is responsible for the observation
performer:practitioner		0..2	Reference(Practitioner)	Who is responsible for the observation
value[x]	C	0..1	CodeableConcept	Actual result
coding		1..1	Coding	Code defined by a terminology system
system	N	1..1	uri	Identity of the terminology system
version	N	0..1	string	Version of the system - if relevant
code	N	1..1	code	Symbol in syntax defined by the system Binding: TannerGirlsBreastDevelopmentStageValueSet (required): Value set of TannerGirlsBreastvDevelopmentStages
display		0..1	string	Representation defined by the system
userSelected	N	0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
dataAbsentReason
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code		1..1	code	System isn't capable of supporting this element Fixed Value: unsupported
text		0..1	string	Comment/note about the observation when the value is empty
interpretation		0..0
bodySite		0..0
method		0..0
specimen	C	0..0
device	C	0..0
referenceRange		0..0
hasMember	C	0..0
derivedFrom	C	0..0
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	VitalSignStatus https://cambio.codes/fhir/vs/vital-sign-status/v1 From this IG
Observation.value[x].coding.code	required	TannerGirlsBreastDevelopmentStageValueSet https://fhir.cambio.se/ValueSet/TannerGirlsBreastDevelopmentStageValueSet/v1 From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
qty-3	error	Observation.value[x], Observation.component.value[x]	If a code for the unit is present, the system SHALL also be present :
ref-1	error	Observation.subject, Observation.encounter, Observation.performer	SHALL have a contained resource if a local reference is provided :

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationBreastStageFemaleCore	Measurements and simple assertions Constraints: obs-6, obs-7
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
status	?!Σ	1..1	code	registered | final Binding: VitalSignStatus (required): The status of th result value.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣN	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	1..1	code	Symbol in syntax defined by the system Fixed Value: 251811005
display	Σ	0..1	string	Tanner girls breast development stage Fixed Value: Tanner girls breast stage
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	ΣC	1..1	Reference(Patient)	Who and/or what the observation is about Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣCN	0..1	string	Literal reference, Relative, internal or absolute URL
type	ΣN	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	ΣC	0..1	Reference(Encounter)	Healthcare event during which this observation is made Constraints: ref-1
effective[x]	ΣN	1..1	dateTime	Clinically relevant time/time-period for observation
Slices for performer	ΣC	1..2	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by type:$this Constraints: ref-1
performer:patient	Σ	0..2	Reference(Patient)	Who is responsible for the observation
performer:organization	Σ	0..2	Reference(Organization)	Who is responsible for the observation
performer:practitionerRole	Σ	0..2	Reference(PractitionerRoleLiteSe)	Who is responsible for the observation
performer:practitioner	Σ	0..2	Reference(Practitioner)	Who is responsible for the observation
value[x]	ΣC	0..1	CodeableConcept	Actual result Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣN	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	1..1	code	Symbol in syntax defined by the system Binding: TannerGirlsBreastDevelopmentStageValueSet (required): Value set of TannerGirlsBreastvDevelopmentStages
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	System isn't capable of supporting this element Fixed Value: unsupported
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Comment/note about the observation when the value is empty
note		0..*	Annotation	Comments about the observation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	VitalSignStatus https://cambio.codes/fhir/vs/vital-sign-status/v1 From this IG
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.value[x].coding.code	required	TannerGirlsBreastDevelopmentStageValueSet https://fhir.cambio.se/ValueSet/TannerGirlsBreastDevelopmentStageValueSet/v1 From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3	error	Observation.value[x], Observation.component.value[x]	If a code for the unit is present, the system SHALL also be present :
ref-1	error	Observation.subject, Observation.encounter, Observation.performer	SHALL have a contained resource if a local reference is provided :

This structure is derived from ObservationBreastStageFemaleCore

Summary

Mandatory: 2 elements(4 nested mandatory elements)
Fixed: 2 elements
Prohibited: 17 elements

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationBreastStageFemaleCore	Measurements and simple assertions Constraints: obs-6, obs-7
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | final Binding: VitalSignStatus (required): The status of th result value.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	ΣN	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	1..1	code	Symbol in syntax defined by the system Fixed Value: 251811005
display	Σ	0..1	string	Tanner girls breast development stage Fixed Value: Tanner girls breast stage
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	ΣC	1..1	Reference(Patient)	Who and/or what the observation is about Constraints: ref-1
reference	ΣCN	0..1	string	Literal reference, Relative, internal or absolute URL
type	ΣN	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
display	Σ	0..1	string	Text alternative for the resource
encounter	ΣC	0..1	Reference(Encounter)	Healthcare event during which this observation is made Constraints: ref-1
effective[x]	ΣN	1..1	dateTime	Clinically relevant time/time-period for observation
Slices for performer	ΣC	1..2	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by type:$this Constraints: ref-1
performer:patient	Σ	0..2	Reference(Patient)	Who is responsible for the observation
performer:organization	Σ	0..2	Reference(Organization)	Who is responsible for the observation
performer:practitionerRole	Σ	0..2	Reference(PractitionerRoleLiteSe)	Who is responsible for the observation
performer:practitioner	Σ	0..2	Reference(Practitioner)	Who is responsible for the observation
value[x]	ΣC	0..1	CodeableConcept	Actual result Constraints: qty-3
coding	Σ	1..1	Coding	Code defined by a terminology system
system	ΣN	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	1..1	code	Symbol in syntax defined by the system Binding: TannerGirlsBreastDevelopmentStageValueSet (required): Value set of TannerGirlsBreastvDevelopmentStages
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	VitalSignStatus https://cambio.codes/fhir/vs/vital-sign-status/v1 From this IG
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.value[x].coding.code	required	TannerGirlsBreastDevelopmentStageValueSet https://fhir.cambio.se/ValueSet/TannerGirlsBreastDevelopmentStageValueSet/v1 From this IG
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3	error	Observation.value[x], Observation.component.value[x]	If a code for the unit is present, the system SHALL also be present :
ref-1	error	Observation.subject, Observation.encounter, Observation.performer	SHALL have a contained resource if a local reference is provided :

Differential View

This structure is derived from ObservationBreastStageFemaleCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	ObservationBreastStageFemaleCore	Measurements and simple assertions
implicitRules	N	0..0
language	N	0..0
text		0..0
basedOn	C	0..0
partOf	C	0..0
status		1..1	code	registered | final Binding: VitalSignStatus (required): The status of th result value.
category		0..0
code
coding		1..1	Coding	Code defined by a terminology system
system	N	1..1	uri	Identity of the terminology system
version	N	0..1	string	Version of the system - if relevant
code	N	1..1	code	Symbol in syntax defined by the system
display		0..1	string	Tanner girls breast development stage
userSelected	N	0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	C	1..1	Reference(Patient)	Who and/or what the observation is about
reference	N	0..1	string	Literal reference, Relative, internal or absolute URL
type	N	0..1	uri	Type the reference refers to (e.g. "Patient")
display		0..1	string	Text alternative for the resource
focus	C	0..0
encounter	C	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	N	1..1	dateTime	Clinically relevant time/time-period for observation
issued	N	0..0
performer	C	1..2	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Slices for performer				Content/Rules for all slices
performer:patient		0..2	Reference(Patient)	Who is responsible for the observation
performer:organization		0..2	Reference(Organization)	Who is responsible for the observation
performer:practitionerRole		0..2	Reference(PractitionerRoleLiteSe)	Who is responsible for the observation
performer:practitioner		0..2	Reference(Practitioner)	Who is responsible for the observation
value[x]	C	0..1	CodeableConcept	Actual result
coding		1..1	Coding	Code defined by a terminology system
system	N	1..1	uri	Identity of the terminology system
version	N	0..1	string	Version of the system - if relevant
code	N	1..1	code	Symbol in syntax defined by the system Binding: TannerGirlsBreastDevelopmentStageValueSet (required): Value set of TannerGirlsBreastvDevelopmentStages
display		0..1	string	Representation defined by the system
userSelected	N	0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
dataAbsentReason
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code		1..1	code	System isn't capable of supporting this element Fixed Value: unsupported
text		0..1	string	Comment/note about the observation when the value is empty
interpretation		0..0
bodySite		0..0
method		0..0
specimen	C	0..0
device	C	0..0
referenceRange		0..0
hasMember	C	0..0
derivedFrom	C	0..0
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	VitalSignStatus https://cambio.codes/fhir/vs/vital-sign-status/v1 From this IG
Observation.value[x].coding.code	required	TannerGirlsBreastDevelopmentStageValueSet https://fhir.cambio.se/ValueSet/TannerGirlsBreastDevelopmentStageValueSet/v1 From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
qty-3	error	Observation.value[x], Observation.component.value[x]	If a code for the unit is present, the system SHALL also be present :
ref-1	error	Observation.subject, Observation.encounter, Observation.performer	SHALL have a contained resource if a local reference is provided :

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationBreastStageFemaleCore	Measurements and simple assertions Constraints: obs-6, obs-7
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
status	?!Σ	1..1	code	registered | final Binding: VitalSignStatus (required): The status of th result value.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣN	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	1..1	code	Symbol in syntax defined by the system Fixed Value: 251811005
display	Σ	0..1	string	Tanner girls breast development stage Fixed Value: Tanner girls breast stage
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	ΣC	1..1	Reference(Patient)	Who and/or what the observation is about Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣCN	0..1	string	Literal reference, Relative, internal or absolute URL
type	ΣN	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	ΣC	0..1	Reference(Encounter)	Healthcare event during which this observation is made Constraints: ref-1
effective[x]	ΣN	1..1	dateTime	Clinically relevant time/time-period for observation
Slices for performer	ΣC	1..2	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Open by type:$this Constraints: ref-1
performer:patient	Σ	0..2	Reference(Patient)	Who is responsible for the observation
performer:organization	Σ	0..2	Reference(Organization)	Who is responsible for the observation
performer:practitionerRole	Σ	0..2	Reference(PractitionerRoleLiteSe)	Who is responsible for the observation
performer:practitioner	Σ	0..2	Reference(Practitioner)	Who is responsible for the observation
value[x]	ΣC	0..1	CodeableConcept	Actual result Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣN	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	1..1	code	Symbol in syntax defined by the system Binding: TannerGirlsBreastDevelopmentStageValueSet (required): Value set of TannerGirlsBreastvDevelopmentStages
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	System isn't capable of supporting this element Fixed Value: unsupported
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Comment/note about the observation when the value is empty
note		0..*	Annotation	Comments about the observation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	VitalSignStatus https://cambio.codes/fhir/vs/vital-sign-status/v1 From this IG
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.value[x].coding.code	required	TannerGirlsBreastDevelopmentStageValueSet https://fhir.cambio.se/ValueSet/TannerGirlsBreastDevelopmentStageValueSet/v1 From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3	error	Observation.value[x], Observation.component.value[x]	If a code for the unit is present, the system SHALL also be present :
ref-1	error	Observation.subject, Observation.encounter, Observation.performer	SHALL have a contained resource if a local reference is provided :

This structure is derived from ObservationBreastStageFemaleCore

Summary

Mandatory: 2 elements(4 nested mandatory elements)
Fixed: 2 elements
Prohibited: 17 elements

Other representations of profile: CSV, Excel, Schematron