PreNUDGE FHIR® IG for Data Provider / Data from Apps (R4)
0.1.0 - ci-build

PreNUDGE FHIR® IG for Data Provider / Data from Apps (R4) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: AT PreNUDGE Observation Physical Activity Minutes

Official URL: https://fhir.hl7.at/prenudge/appdata/r4/StructureDefinition/at-prenudge-physical-activity-minutes-observation Version: 0.1.0
Draft as of 2026-08-26 Responsible: The PreNUDGE Consortium Computable Name: AtPrenudgeObservationPhysicalActivity

Observation profile for recording physical activity duration as a panel (moderate, vigorous, and two alternative aggregate components) derived from either a wearable device or the EHIS-PAQ/ATHIS questionnaire (Q7/PE7).

Two aggregate flavors may be sent independently of each other:

  • aggregateActivity — plain/unweighted total: moderateActivity (or 0) + vigorousActivity (or 0). Also used standalone when moderate/vigorous cannot be distinguished at all (e.g. a single questionnaire total). See pa-agg-02.
  • aggregateActivityWeighted — WHO/IPAQ moderate-equivalent total: moderateActivity (or 0) + (vigorousActivity × 2, or 0). See pa-agg-01.

Both, either, or neither aggregate MAY be present; pa-panel-01 only requires that at least one component (of any kind) exists. Sending only an aggregate (without moderateActivity/vigorousActivity) is valid and expected whenever the source cannot distinguish intensity levels at all (e.g. a single questionnaire total). However, whenever a source CAN distinguish moderate from vigorous activity, it SHOULD send moderateActivity and vigorousActivity individually (in addition to any aggregate) — sending only a pre-computed aggregate discards information a consumer might need. This cannot be enforced by an invariant (an instance cannot express "the source could have distinguished this but chose not to"), so it is stated here as implementation guidance rather than a machine-checkable rule.

Example component combinations (not exhaustive): (a) aggregateActivity only — questionnaire source, no intensity split (Q7/PE7) (b) moderate only — manual source; vigorous implicitly 0, aggregates SHOULD equal moderateActivity (pa-agg-01/pa-agg-02 warning if absent) (c) moderate + aggregateActivityWeighted — partial wearable or manual source (d) vigorous + aggregateActivityWeighted — partial wearable source (e) moderate + vigorous + aggregateActivityWeighted — full wearable source (g) moderate + vigorous + aggregateActivity + aggregateActivityWeighted — full wearable source reporting both aggregate flavors side by side

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..* AtPrenudgeObservation AT APS Observation
Constraints: obs-6, obs-7, at-prenudge-result-present, pa-panel-01, pa-agg-01, pa-agg-02, pa-wearable-01, pa-manual-comp-01
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business Identifier for observation, at least one is assigned by the data provider
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system Σ 1..1 uri The namespace for the identifier value, if no other specifications are given, use your website url
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101691-4
..... display 1..1 string Representation defined by the system
Fixed Value: Duration of physical activity
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime Σ 1..1 dateTime The mandatory clinically relevant time for observation
... issued Σ 1..1 instant The mandatory date/time this version was made available
... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... note S 0..* Annotation Comments about the observation including patient comments have to be possible
... method S 1..1 CodeableConcept How it was done
Binding: AT PreNUDGE Observation Methods (required)
... device S 0..1 Reference(AT APS Device | DeviceMetric) (Measurement) Devices should be documented when used
... Slices for component Σ 0..* BackboneElement Physical activity duration components
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:moderateActivity Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77592-4
....... display 1..1 string Representation defined by the system
Fixed Value: Moderate physical activity [IPAQ]
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:vigorousActivity Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77593-2
....... display 1..1 string Representation defined by the system
Fixed Value: Vigorous physical activity [IPAQ]
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:aggregateActivity Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101691-4
....... display 1..1 string Representation defined by the system
Fixed Value: Duration of physical activity
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:aggregateActivityWeighted Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68130003
....... display 1..1 string Representation defined by the system
Fixed Value: Physical activity
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:classificationMethod SΣ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 246501002
....... display 1..1 string Representation defined by the system
Fixed Value: Technique
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: AT PreNUDGE Physical Activity Classification Method ValueSet (required)
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.method Base required AT PreNUDGE Observation Methods 📦0.1.0 This IG
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:classificationMethod.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:classificationMethod.​value[x] Base required AT PreNUDGE Physical Activity Classification Method ValueSet 📦0.1.0 This IG
Observation.component:classificationMethod.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
at-prenudge-result-present error Observation A PreNUDGE Observation must contain a root result, a root data absent reason, or at least one component result or component data absent reason. value.exists() or dataAbsentReason.exists() or component.where(value.exists() or dataAbsentReason.exists()).exists()
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()
pa-agg-01 warning Observation When moderateActivity or vigorousActivity are present, aggregateActivityWeighted SHOULD equal moderateActivity (or 0) + (vigorousActivity × 2, or 0) (component.where(code.coding.where(code = '77592-4').exists()).exists() or component.where(code.coding.where(code = '77593-2').exists()).exists()) implies component.where(code.coding.where(code = '68130003').exists()).value.ofType(Quantity).value = iif(component.where(code.coding.where(code = '77592-4').exists()).exists(), component.where(code.coding.where(code = '77592-4').exists()).value.ofType(Quantity).value, 0) + (iif(component.where(code.coding.where(code = '77593-2').exists()).exists(), component.where(code.coding.where(code = '77593-2').exists()).value.ofType(Quantity).value, 0) * 2)
pa-agg-02 warning Observation When moderateActivity or vigorousActivity are present, aggregateActivity SHOULD equal moderateActivity (or 0) + vigorousActivity (or 0), with no intensity weighting (component.where(code.coding.where(code = '77592-4').exists()).exists() or component.where(code.coding.where(code = '77593-2').exists()).exists()) implies component.where(code.coding.where(code = '101691-4').exists()).value.ofType(Quantity).value = iif(component.where(code.coding.where(code = '77592-4').exists()).exists(), component.where(code.coding.where(code = '77592-4').exists()).value.ofType(Quantity).value, 0) + iif(component.where(code.coding.where(code = '77593-2').exists()).exists(), component.where(code.coding.where(code = '77593-2').exists()).value.ofType(Quantity).value, 0)
pa-manual-comp-01 warning Observation When method is Manual, classificationMethod component must be absent or carry only code self-rp method.coding.exists(system = 'http://snomed.info/sct' and code = '87982008') implies ( component.where(code.coding.where(code = '246501002').exists()).empty() or component.where(code.coding.where(code = '246501002').exists()) .value.ofType(CodeableConcept).coding.where(code = 'self-rp').exists() )
pa-panel-01 error Observation At least one activity component must be present component.exists()
pa-wearable-01 error Observation When method is Automated, aggregateActivityWeighted must be present method.coding.exists(system = 'http://snomed.info/sct' and code = '8359006') implies component.where(code.coding.where(code = '68130003').exists()).exists()

This structure is derived from AtPrenudgeObservation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* AtPrenudgeObservation AT APS Observation
Constraints: pa-panel-01, pa-agg-01, pa-agg-02, pa-wearable-01, pa-manual-comp-01
... code 1..1 CodeableConcept Type of observation (code / type)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101691-4
..... display 1..1 string Representation defined by the system
Fixed Value: Duration of physical activity
... method S 1..1 CodeableConcept How it was done
... Slices for component 0..* BackboneElement Physical activity duration components
Slice: Unordered, Open by pattern:code
.... component:moderateActivity 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77592-4
....... display 1..1 string Representation defined by the system
Fixed Value: Moderate physical activity [IPAQ]
..... value[x] 0..1 Quantity Actual component result
...... unit 0..1 string Unit representation
Required Pattern: min/wk
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Required Pattern: min/wk
.... component:vigorousActivity 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77593-2
....... display 1..1 string Representation defined by the system
Fixed Value: Vigorous physical activity [IPAQ]
..... value[x] 0..1 Quantity Actual component result
...... unit 0..1 string Unit representation
Required Pattern: min/wk
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Required Pattern: min/wk
.... component:aggregateActivity 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101691-4
....... display 1..1 string Representation defined by the system
Fixed Value: Duration of physical activity
..... value[x] 0..1 Quantity Actual component result
...... unit 0..1 string Unit representation
Required Pattern: min/wk
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Required Pattern: min/wk
.... component:aggregateActivityWeighted 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68130003
....... display 1..1 string Representation defined by the system
Fixed Value: Physical activity
..... value[x] 0..1 Quantity Actual component result
...... unit 0..1 string Unit representation
Required Pattern: min/wk
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Required Pattern: min/wk
.... component:classificationMethod S 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 246501002
....... display 1..1 string Representation defined by the system
Fixed Value: Technique
..... value[x] 0..1 CodeableConcept Actual component result
Binding: AT PreNUDGE Physical Activity Classification Method ValueSet (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component:classificationMethod.​value[x] Base required AT PreNUDGE Physical Activity Classification Method ValueSet 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
pa-agg-01 warning Observation When moderateActivity or vigorousActivity are present, aggregateActivityWeighted SHOULD equal moderateActivity (or 0) + (vigorousActivity × 2, or 0) (component.where(code.coding.where(code = '77592-4').exists()).exists() or component.where(code.coding.where(code = '77593-2').exists()).exists()) implies component.where(code.coding.where(code = '68130003').exists()).value.ofType(Quantity).value = iif(component.where(code.coding.where(code = '77592-4').exists()).exists(), component.where(code.coding.where(code = '77592-4').exists()).value.ofType(Quantity).value, 0) + (iif(component.where(code.coding.where(code = '77593-2').exists()).exists(), component.where(code.coding.where(code = '77593-2').exists()).value.ofType(Quantity).value, 0) * 2)
pa-agg-02 warning Observation When moderateActivity or vigorousActivity are present, aggregateActivity SHOULD equal moderateActivity (or 0) + vigorousActivity (or 0), with no intensity weighting (component.where(code.coding.where(code = '77592-4').exists()).exists() or component.where(code.coding.where(code = '77593-2').exists()).exists()) implies component.where(code.coding.where(code = '101691-4').exists()).value.ofType(Quantity).value = iif(component.where(code.coding.where(code = '77592-4').exists()).exists(), component.where(code.coding.where(code = '77592-4').exists()).value.ofType(Quantity).value, 0) + iif(component.where(code.coding.where(code = '77593-2').exists()).exists(), component.where(code.coding.where(code = '77593-2').exists()).value.ofType(Quantity).value, 0)
pa-manual-comp-01 warning Observation When method is Manual, classificationMethod component must be absent or carry only code self-rp method.coding.exists(system = 'http://snomed.info/sct' and code = '87982008') implies ( component.where(code.coding.where(code = '246501002').exists()).empty() or component.where(code.coding.where(code = '246501002').exists()) .value.ofType(CodeableConcept).coding.where(code = 'self-rp').exists() )
pa-panel-01 error Observation At least one activity component must be present component.exists()
pa-wearable-01 error Observation When method is Automated, aggregateActivityWeighted must be present method.coding.exists(system = 'http://snomed.info/sct' and code = '8359006') implies component.where(code.coding.where(code = '68130003').exists()).exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* AtPrenudgeObservation AT APS Observation
Constraints: obs-6, obs-7, at-prenudge-result-present, pa-panel-01, pa-agg-01, pa-agg-02, pa-wearable-01, pa-manual-comp-01
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business Identifier for observation, at least one is assigned by the data provider
.... id 0..1 string 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: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system Σ 1..1 uri The namespace for the identifier value, if no other specifications are given, use your website url
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 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)
... basedOn Σ 0..* Reference(AT APS CarePlan | DeviceRequest | ImmunizationRecommendation | AT APS MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(AT APS MedicationAdministration | AT APS MedicationDispense | AT APS MedicationStatement | AT APS Procedure | AT APS Immunization | AT APS ImagingStudy) 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 Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101691-4
..... display 1..1 string Representation defined by the system
Fixed Value: Duration of physical activity
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 0..1 Reference(AT APS Patient | Group | AT APS Device | Location) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime Σ 1..1 dateTime The mandatory clinically relevant time for observation
... issued Σ 1..1 instant The mandatory date/time this version was made available
... performer Σ 0..* Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Organization | CareTeam | AT APS Patient | RelatedPerson) Who is responsible for the observation
... value[x] ΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful result is available
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 S 0..* Annotation Comments about the observation including patient comments have to be possible
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 1..1 CodeableConcept How it was done
Binding: AT PreNUDGE Observation Methods (required)
... specimen 0..1 Reference(AT APS Specimen) Specimen used for this observation
... device S 0..1 Reference(AT APS Device | DeviceMetric) (Measurement) Devices should be documented when used
... 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(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(AT APS Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(AT APS DocumentReference | AT APS ImagingStudy | Media | QuestionnaireResponse | AT APS Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component Σ 0..* BackboneElement Physical activity duration components
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: 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
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
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
.... component:moderateActivity Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77592-4
....... display 1..1 string Representation defined by the system
Fixed Value: Moderate physical activity [IPAQ]
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
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
.... component:vigorousActivity Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77593-2
....... display 1..1 string Representation defined by the system
Fixed Value: Vigorous physical activity [IPAQ]
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
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
.... component:aggregateActivity Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101691-4
....... display 1..1 string Representation defined by the system
Fixed Value: Duration of physical activity
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
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
.... component:aggregateActivityWeighted Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68130003
....... display 1..1 string Representation defined by the system
Fixed Value: Physical activity
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
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
.... component:classificationMethod SΣ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 246501002
....... display 1..1 string Representation defined by the system
Fixed Value: Technique
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: AT PreNUDGE Physical Activity Classification Method ValueSet (required)
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base required AT PreNUDGE Observation Methods 📦0.1.0 This IG
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:classificationMethod.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:classificationMethod.​value[x] Base required AT PreNUDGE Physical Activity Classification Method ValueSet 📦0.1.0 This IG
Observation.component:classificationMethod.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:classificationMethod.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
at-prenudge-result-present error Observation A PreNUDGE Observation must contain a root result, a root data absent reason, or at least one component result or component data absent reason. value.exists() or dataAbsentReason.exists() or component.where(value.exists() or dataAbsentReason.exists()).exists()
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
pa-agg-01 warning Observation When moderateActivity or vigorousActivity are present, aggregateActivityWeighted SHOULD equal moderateActivity (or 0) + (vigorousActivity × 2, or 0) (component.where(code.coding.where(code = '77592-4').exists()).exists() or component.where(code.coding.where(code = '77593-2').exists()).exists()) implies component.where(code.coding.where(code = '68130003').exists()).value.ofType(Quantity).value = iif(component.where(code.coding.where(code = '77592-4').exists()).exists(), component.where(code.coding.where(code = '77592-4').exists()).value.ofType(Quantity).value, 0) + (iif(component.where(code.coding.where(code = '77593-2').exists()).exists(), component.where(code.coding.where(code = '77593-2').exists()).value.ofType(Quantity).value, 0) * 2)
pa-agg-02 warning Observation When moderateActivity or vigorousActivity are present, aggregateActivity SHOULD equal moderateActivity (or 0) + vigorousActivity (or 0), with no intensity weighting (component.where(code.coding.where(code = '77592-4').exists()).exists() or component.where(code.coding.where(code = '77593-2').exists()).exists()) implies component.where(code.coding.where(code = '101691-4').exists()).value.ofType(Quantity).value = iif(component.where(code.coding.where(code = '77592-4').exists()).exists(), component.where(code.coding.where(code = '77592-4').exists()).value.ofType(Quantity).value, 0) + iif(component.where(code.coding.where(code = '77593-2').exists()).exists(), component.where(code.coding.where(code = '77593-2').exists()).value.ofType(Quantity).value, 0)
pa-manual-comp-01 warning Observation When method is Manual, classificationMethod component must be absent or carry only code self-rp method.coding.exists(system = 'http://snomed.info/sct' and code = '87982008') implies ( component.where(code.coding.where(code = '246501002').exists()).empty() or component.where(code.coding.where(code = '246501002').exists()) .value.ofType(CodeableConcept).coding.where(code = 'self-rp').exists() )
pa-panel-01 error Observation At least one activity component must be present component.exists()
pa-wearable-01 error Observation When method is Automated, aggregateActivityWeighted must be present method.coding.exists(system = 'http://snomed.info/sct' and code = '8359006') implies component.where(code.coding.where(code = '68130003').exists()).exists()

This structure is derived from AtPrenudgeObservation

Summary

Must-Support: 2 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* AtPrenudgeObservation AT APS Observation
Constraints: obs-6, obs-7, at-prenudge-result-present, pa-panel-01, pa-agg-01, pa-agg-02, pa-wearable-01, pa-manual-comp-01
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business Identifier for observation, at least one is assigned by the data provider
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system Σ 1..1 uri The namespace for the identifier value, if no other specifications are given, use your website url
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101691-4
..... display 1..1 string Representation defined by the system
Fixed Value: Duration of physical activity
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime Σ 1..1 dateTime The mandatory clinically relevant time for observation
... issued Σ 1..1 instant The mandatory date/time this version was made available
... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... note S 0..* Annotation Comments about the observation including patient comments have to be possible
... method S 1..1 CodeableConcept How it was done
Binding: AT PreNUDGE Observation Methods (required)
... device S 0..1 Reference(AT APS Device | DeviceMetric) (Measurement) Devices should be documented when used
... Slices for component Σ 0..* BackboneElement Physical activity duration components
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:moderateActivity Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77592-4
....... display 1..1 string Representation defined by the system
Fixed Value: Moderate physical activity [IPAQ]
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:vigorousActivity Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77593-2
....... display 1..1 string Representation defined by the system
Fixed Value: Vigorous physical activity [IPAQ]
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:aggregateActivity Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101691-4
....... display 1..1 string Representation defined by the system
Fixed Value: Duration of physical activity
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:aggregateActivityWeighted Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68130003
....... display 1..1 string Representation defined by the system
Fixed Value: Physical activity
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:classificationMethod SΣ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 246501002
....... display 1..1 string Representation defined by the system
Fixed Value: Technique
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: AT PreNUDGE Physical Activity Classification Method ValueSet (required)
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.method Base required AT PreNUDGE Observation Methods 📦0.1.0 This IG
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:classificationMethod.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:classificationMethod.​value[x] Base required AT PreNUDGE Physical Activity Classification Method ValueSet 📦0.1.0 This IG
Observation.component:classificationMethod.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
at-prenudge-result-present error Observation A PreNUDGE Observation must contain a root result, a root data absent reason, or at least one component result or component data absent reason. value.exists() or dataAbsentReason.exists() or component.where(value.exists() or dataAbsentReason.exists()).exists()
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()
pa-agg-01 warning Observation When moderateActivity or vigorousActivity are present, aggregateActivityWeighted SHOULD equal moderateActivity (or 0) + (vigorousActivity × 2, or 0) (component.where(code.coding.where(code = '77592-4').exists()).exists() or component.where(code.coding.where(code = '77593-2').exists()).exists()) implies component.where(code.coding.where(code = '68130003').exists()).value.ofType(Quantity).value = iif(component.where(code.coding.where(code = '77592-4').exists()).exists(), component.where(code.coding.where(code = '77592-4').exists()).value.ofType(Quantity).value, 0) + (iif(component.where(code.coding.where(code = '77593-2').exists()).exists(), component.where(code.coding.where(code = '77593-2').exists()).value.ofType(Quantity).value, 0) * 2)
pa-agg-02 warning Observation When moderateActivity or vigorousActivity are present, aggregateActivity SHOULD equal moderateActivity (or 0) + vigorousActivity (or 0), with no intensity weighting (component.where(code.coding.where(code = '77592-4').exists()).exists() or component.where(code.coding.where(code = '77593-2').exists()).exists()) implies component.where(code.coding.where(code = '101691-4').exists()).value.ofType(Quantity).value = iif(component.where(code.coding.where(code = '77592-4').exists()).exists(), component.where(code.coding.where(code = '77592-4').exists()).value.ofType(Quantity).value, 0) + iif(component.where(code.coding.where(code = '77593-2').exists()).exists(), component.where(code.coding.where(code = '77593-2').exists()).value.ofType(Quantity).value, 0)
pa-manual-comp-01 warning Observation When method is Manual, classificationMethod component must be absent or carry only code self-rp method.coding.exists(system = 'http://snomed.info/sct' and code = '87982008') implies ( component.where(code.coding.where(code = '246501002').exists()).empty() or component.where(code.coding.where(code = '246501002').exists()) .value.ofType(CodeableConcept).coding.where(code = 'self-rp').exists() )
pa-panel-01 error Observation At least one activity component must be present component.exists()
pa-wearable-01 error Observation When method is Automated, aggregateActivityWeighted must be present method.coding.exists(system = 'http://snomed.info/sct' and code = '8359006') implies component.where(code.coding.where(code = '68130003').exists()).exists()

Differential View

This structure is derived from AtPrenudgeObservation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* AtPrenudgeObservation AT APS Observation
Constraints: pa-panel-01, pa-agg-01, pa-agg-02, pa-wearable-01, pa-manual-comp-01
... code 1..1 CodeableConcept Type of observation (code / type)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101691-4
..... display 1..1 string Representation defined by the system
Fixed Value: Duration of physical activity
... method S 1..1 CodeableConcept How it was done
... Slices for component 0..* BackboneElement Physical activity duration components
Slice: Unordered, Open by pattern:code
.... component:moderateActivity 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77592-4
....... display 1..1 string Representation defined by the system
Fixed Value: Moderate physical activity [IPAQ]
..... value[x] 0..1 Quantity Actual component result
...... unit 0..1 string Unit representation
Required Pattern: min/wk
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Required Pattern: min/wk
.... component:vigorousActivity 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77593-2
....... display 1..1 string Representation defined by the system
Fixed Value: Vigorous physical activity [IPAQ]
..... value[x] 0..1 Quantity Actual component result
...... unit 0..1 string Unit representation
Required Pattern: min/wk
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Required Pattern: min/wk
.... component:aggregateActivity 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101691-4
....... display 1..1 string Representation defined by the system
Fixed Value: Duration of physical activity
..... value[x] 0..1 Quantity Actual component result
...... unit 0..1 string Unit representation
Required Pattern: min/wk
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Required Pattern: min/wk
.... component:aggregateActivityWeighted 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68130003
....... display 1..1 string Representation defined by the system
Fixed Value: Physical activity
..... value[x] 0..1 Quantity Actual component result
...... unit 0..1 string Unit representation
Required Pattern: min/wk
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Required Pattern: min/wk
.... component:classificationMethod S 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 246501002
....... display 1..1 string Representation defined by the system
Fixed Value: Technique
..... value[x] 0..1 CodeableConcept Actual component result
Binding: AT PreNUDGE Physical Activity Classification Method ValueSet (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component:classificationMethod.​value[x] Base required AT PreNUDGE Physical Activity Classification Method ValueSet 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
pa-agg-01 warning Observation When moderateActivity or vigorousActivity are present, aggregateActivityWeighted SHOULD equal moderateActivity (or 0) + (vigorousActivity × 2, or 0) (component.where(code.coding.where(code = '77592-4').exists()).exists() or component.where(code.coding.where(code = '77593-2').exists()).exists()) implies component.where(code.coding.where(code = '68130003').exists()).value.ofType(Quantity).value = iif(component.where(code.coding.where(code = '77592-4').exists()).exists(), component.where(code.coding.where(code = '77592-4').exists()).value.ofType(Quantity).value, 0) + (iif(component.where(code.coding.where(code = '77593-2').exists()).exists(), component.where(code.coding.where(code = '77593-2').exists()).value.ofType(Quantity).value, 0) * 2)
pa-agg-02 warning Observation When moderateActivity or vigorousActivity are present, aggregateActivity SHOULD equal moderateActivity (or 0) + vigorousActivity (or 0), with no intensity weighting (component.where(code.coding.where(code = '77592-4').exists()).exists() or component.where(code.coding.where(code = '77593-2').exists()).exists()) implies component.where(code.coding.where(code = '101691-4').exists()).value.ofType(Quantity).value = iif(component.where(code.coding.where(code = '77592-4').exists()).exists(), component.where(code.coding.where(code = '77592-4').exists()).value.ofType(Quantity).value, 0) + iif(component.where(code.coding.where(code = '77593-2').exists()).exists(), component.where(code.coding.where(code = '77593-2').exists()).value.ofType(Quantity).value, 0)
pa-manual-comp-01 warning Observation When method is Manual, classificationMethod component must be absent or carry only code self-rp method.coding.exists(system = 'http://snomed.info/sct' and code = '87982008') implies ( component.where(code.coding.where(code = '246501002').exists()).empty() or component.where(code.coding.where(code = '246501002').exists()) .value.ofType(CodeableConcept).coding.where(code = 'self-rp').exists() )
pa-panel-01 error Observation At least one activity component must be present component.exists()
pa-wearable-01 error Observation When method is Automated, aggregateActivityWeighted must be present method.coding.exists(system = 'http://snomed.info/sct' and code = '8359006') implies component.where(code.coding.where(code = '68130003').exists()).exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* AtPrenudgeObservation AT APS Observation
Constraints: obs-6, obs-7, at-prenudge-result-present, pa-panel-01, pa-agg-01, pa-agg-02, pa-wearable-01, pa-manual-comp-01
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business Identifier for observation, at least one is assigned by the data provider
.... id 0..1 string 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: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system Σ 1..1 uri The namespace for the identifier value, if no other specifications are given, use your website url
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 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)
... basedOn Σ 0..* Reference(AT APS CarePlan | DeviceRequest | ImmunizationRecommendation | AT APS MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(AT APS MedicationAdministration | AT APS MedicationDispense | AT APS MedicationStatement | AT APS Procedure | AT APS Immunization | AT APS ImagingStudy) 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 Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101691-4
..... display 1..1 string Representation defined by the system
Fixed Value: Duration of physical activity
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 0..1 Reference(AT APS Patient | Group | AT APS Device | Location) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime Σ 1..1 dateTime The mandatory clinically relevant time for observation
... issued Σ 1..1 instant The mandatory date/time this version was made available
... performer Σ 0..* Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Organization | CareTeam | AT APS Patient | RelatedPerson) Who is responsible for the observation
... value[x] ΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful result is available
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 S 0..* Annotation Comments about the observation including patient comments have to be possible
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 1..1 CodeableConcept How it was done
Binding: AT PreNUDGE Observation Methods (required)
... specimen 0..1 Reference(AT APS Specimen) Specimen used for this observation
... device S 0..1 Reference(AT APS Device | DeviceMetric) (Measurement) Devices should be documented when used
... 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(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(AT APS Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(AT APS DocumentReference | AT APS ImagingStudy | Media | QuestionnaireResponse | AT APS Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component Σ 0..* BackboneElement Physical activity duration components
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: 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
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
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
.... component:moderateActivity Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77592-4
....... display 1..1 string Representation defined by the system
Fixed Value: Moderate physical activity [IPAQ]
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
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
.... component:vigorousActivity Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77593-2
....... display 1..1 string Representation defined by the system
Fixed Value: Vigorous physical activity [IPAQ]
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
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
.... component:aggregateActivity Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101691-4
....... display 1..1 string Representation defined by the system
Fixed Value: Duration of physical activity
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
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
.... component:aggregateActivityWeighted Σ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68130003
....... display 1..1 string Representation defined by the system
Fixed Value: Physical activity
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
Required Pattern: min/wk
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: min/wk
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
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
.... component:classificationMethod SΣ 0..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 246501002
....... display 1..1 string Representation defined by the system
Fixed Value: Technique
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Actual component result
Binding: AT PreNUDGE Physical Activity Classification Method ValueSet (required)
..... dataAbsentReason SC 0..1 CodeableConcept Reason why no clinically or analytically meaningful component result is available
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base required AT PreNUDGE Observation Methods 📦0.1.0 This IG
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:moderateActivity.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:vigorousActivity.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:aggregateActivity.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:aggregateActivityWeighted.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:classificationMethod.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:classificationMethod.​value[x] Base required AT PreNUDGE Physical Activity Classification Method ValueSet 📦0.1.0 This IG
Observation.component:classificationMethod.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:classificationMethod.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
at-prenudge-result-present error Observation A PreNUDGE Observation must contain a root result, a root data absent reason, or at least one component result or component data absent reason. value.exists() or dataAbsentReason.exists() or component.where(value.exists() or dataAbsentReason.exists()).exists()
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
pa-agg-01 warning Observation When moderateActivity or vigorousActivity are present, aggregateActivityWeighted SHOULD equal moderateActivity (or 0) + (vigorousActivity × 2, or 0) (component.where(code.coding.where(code = '77592-4').exists()).exists() or component.where(code.coding.where(code = '77593-2').exists()).exists()) implies component.where(code.coding.where(code = '68130003').exists()).value.ofType(Quantity).value = iif(component.where(code.coding.where(code = '77592-4').exists()).exists(), component.where(code.coding.where(code = '77592-4').exists()).value.ofType(Quantity).value, 0) + (iif(component.where(code.coding.where(code = '77593-2').exists()).exists(), component.where(code.coding.where(code = '77593-2').exists()).value.ofType(Quantity).value, 0) * 2)
pa-agg-02 warning Observation When moderateActivity or vigorousActivity are present, aggregateActivity SHOULD equal moderateActivity (or 0) + vigorousActivity (or 0), with no intensity weighting (component.where(code.coding.where(code = '77592-4').exists()).exists() or component.where(code.coding.where(code = '77593-2').exists()).exists()) implies component.where(code.coding.where(code = '101691-4').exists()).value.ofType(Quantity).value = iif(component.where(code.coding.where(code = '77592-4').exists()).exists(), component.where(code.coding.where(code = '77592-4').exists()).value.ofType(Quantity).value, 0) + iif(component.where(code.coding.where(code = '77593-2').exists()).exists(), component.where(code.coding.where(code = '77593-2').exists()).value.ofType(Quantity).value, 0)
pa-manual-comp-01 warning Observation When method is Manual, classificationMethod component must be absent or carry only code self-rp method.coding.exists(system = 'http://snomed.info/sct' and code = '87982008') implies ( component.where(code.coding.where(code = '246501002').exists()).empty() or component.where(code.coding.where(code = '246501002').exists()) .value.ofType(CodeableConcept).coding.where(code = 'self-rp').exists() )
pa-panel-01 error Observation At least one activity component must be present component.exists()
pa-wearable-01 error Observation When method is Automated, aggregateActivityWeighted must be present method.coding.exists(system = 'http://snomed.info/sct' and code = '8359006') implies component.where(code.coding.where(code = '68130003').exists()).exists()

This structure is derived from AtPrenudgeObservation

Summary

Must-Support: 2 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component

 

Other representations of profile: CSV, Excel, Schematron