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 Work-SoC Category Score

Official URL: https://fhir.hl7.at/prenudge/appdata/r4/StructureDefinition/at-prenudge-work-soc-score-observation Version: 0.1.0
Draft as of 2026-10-21 Responsible: The PreNUDGE Consortium Computable Name: AtPrenudgeObservationWorkSocScore

This FHIR profile defines the calculated work-related sense of coherence (Work-SoC) category score observation. It contains the category scores for comprehensibility, manageability and meaningfulness as Observation components. The raw Work-SoC item answers are represented in the source QuestionnaireResponse.

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: doco
Observation C 0..* AtPrenudgeObservation AT APS Observation
Constraints: obs-6, obs-7, at-prenudge-result-present
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 1..* Identifier Business Identifier for observation, at least one is assigned by the data provider
Observation.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Observation.identifier.system This element is included in summaries. 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
Observation.identifier.value This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-category-score",
      "display" : "Work-SoC category score"
    }
  ]
}
Observation.Slices for effective[x] This element is included in summaries. 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element is included in summaries. 1..1 dateTime The mandatory clinically relevant time for observation
Observation.issued This element is included in summaries. 1..1 instant The mandatory date/time this version was made available
Observation.dataAbsentReason This element must be supported. C 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.
Observation.note This element must be supported. 0..* Annotation Comments about the observation including patient comments have to be possible
Observation.method 1..1 CodeableConcept How it was done
Binding: AT PreNUDGE Observation Methods (required)
Observation.device This element must be supported. 0..1 Reference(AT APS Device | DeviceMetric) (Measurement) Devices should be documented when used
Observation.derivedFrom This element must be supported. This element is included in summaries. 0..* Reference(AT APS DocumentReference | AT APS ImagingStudy | Media | QuestionnaireResponse | AT APS Observation | MolecularSequence) QuestionnaireResponse or other source this Work-SoC score observation was derived from
Observation.Slices for component This element is included in summaries. 3..3 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Slice: Unordered, Closed by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:comprehensibility This element is included in summaries. 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:comprehensibility.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:comprehensibility.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-comprehensibility",
      "display" : "Work-SoC comprehensibility score"
    }
  ]
}
Observation.Slices for component.component:comprehensibility.value[x] This element is included in summaries. 1..1 Quantity Calculated category score: (Item 1 + Item 3 + Item 6 + Item 9) / 4
Observation.Slices for component.component:comprehensibility.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:manageability This element is included in summaries. 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:manageability.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:manageability.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-manageability",
      "display" : "Work-SoC manageability score"
    }
  ]
}
Observation.Slices for component.component:manageability.value[x] This element is included in summaries. 1..1 Quantity Calculated category score: (Item 4 + Item 7) / 2
Observation.Slices for component.component:manageability.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:meaningfulness This element is included in summaries. 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:meaningfulness.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:meaningfulness.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-meaningfulness",
      "display" : "Work-SoC meaningfulness score"
    }
  ]
}
Observation.Slices for component.component:meaningfulness.value[x] This element is included in summaries. 1..1 Quantity Calculated category score: (Item 2 + Item 5 + Item 8) / 3
Observation.Slices for component.component:meaningfulness.dataAbsentReason This element must be supported. C 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:comprehensibility.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:comprehensibility.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:manageability.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:manageability.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:meaningfulness.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:meaningfulness.​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()

This structure is derived from AtPrenudgeObservation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* AtPrenudgeObservation AT APS Observation
Observation.code 1..1 CodeableConcept Type of observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-category-score",
      "display" : "Work-SoC category score"
    }
  ]
}
Observation.value[x] 0..0 Actual result
Observation.derivedFrom This element must be supported. 0..* Reference(AT APS DocumentReference | AT APS ImagingStudy | Media | QuestionnaireResponse | AT APS Observation | MolecularSequence) QuestionnaireResponse or other source this Work-SoC score observation was derived from
Observation.Slices for component.component:comprehensibility 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:comprehensibility.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-comprehensibility",
      "display" : "Work-SoC comprehensibility score"
    }
  ]
}
Observation.Slices for component.component:comprehensibility.value[x] 1..1 Quantity Calculated category score: (Item 1 + Item 3 + Item 6 + Item 9) / 4
Observation.Slices for component.component:manageability 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:manageability.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-manageability",
      "display" : "Work-SoC manageability score"
    }
  ]
}
Observation.Slices for component.component:manageability.value[x] 1..1 Quantity Calculated category score: (Item 4 + Item 7) / 2
Observation.Slices for component.component:meaningfulness 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:meaningfulness.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-meaningfulness",
      "display" : "Work-SoC meaningfulness score"
    }
  ]
}
Observation.Slices for component.component:meaningfulness.value[x] 1..1 Quantity Calculated category score: (Item 2 + Item 5 + Item 8) / 3

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* AtPrenudgeObservation AT APS Observation
Constraints: obs-6, obs-7, at-prenudge-result-present
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.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
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 1..* Identifier Business Identifier for observation, at least one is assigned by the data provider
Observation.identifier.id 0..1 string Unique id for inter-element referencing
Observation.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Observation.identifier.type This element is included in summaries. 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.
Observation.identifier.system This element is included in summaries. 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
Observation.identifier.value This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Observation.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Observation.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Observation.basedOn This element is included in summaries. 0..* Reference(AT APS CarePlan | DeviceRequest | ImmunizationRecommendation | AT APS MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf This element is included in summaries. 0..* Reference(AT APS MedicationAdministration | AT APS MedicationDispense | AT APS MedicationStatement | AT APS Procedure | AT APS Immunization | AT APS ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-category-score",
      "display" : "Work-SoC category score"
    }
  ]
}
Observation.subject This element is included in summaries. 0..1 Reference(AT APS Patient | Group | AT APS Device | Location) Who and/or what the observation is about
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.Slices for effective[x] This element is included in summaries. 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element is included in summaries. 1..1 dateTime The mandatory clinically relevant time for observation
Observation.issued This element is included in summaries. 1..1 instant The mandatory date/time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Organization | CareTeam | AT APS Patient | RelatedPerson) Who is responsible for the observation
Observation.dataAbsentReason This element must be supported. C 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.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note This element must be supported. 0..* Annotation Comments about the observation including patient comments have to be possible
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 1..1 CodeableConcept How it was done
Binding: AT PreNUDGE Observation Methods (required)
Observation.specimen 0..1 Reference(AT APS Specimen) Specimen used for this observation
Observation.device This element must be supported. 0..1 Reference(AT APS Device | DeviceMetric) (Measurement) Devices should be documented when used
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(AT APS Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element must be supported. This element is included in summaries. 0..* Reference(AT APS DocumentReference | AT APS ImagingStudy | Media | QuestionnaireResponse | AT APS Observation | MolecularSequence) QuestionnaireResponse or other source this Work-SoC score observation was derived from
Observation.Slices for component This element is included in summaries. 3..3 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Slice: Unordered, Closed by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x] This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger integer
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:All Slices.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:comprehensibility This element is included in summaries. 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:comprehensibility.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:comprehensibility.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:comprehensibility.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:comprehensibility.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-comprehensibility",
      "display" : "Work-SoC comprehensibility score"
    }
  ]
}
Observation.Slices for component.component:comprehensibility.value[x] This element is included in summaries. 1..1 Quantity Calculated category score: (Item 1 + Item 3 + Item 6 + Item 9) / 4
Observation.Slices for component.component:comprehensibility.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:comprehensibility.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:comprehensibility.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:manageability This element is included in summaries. 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:manageability.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:manageability.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:manageability.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:manageability.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-manageability",
      "display" : "Work-SoC manageability score"
    }
  ]
}
Observation.Slices for component.component:manageability.value[x] This element is included in summaries. 1..1 Quantity Calculated category score: (Item 4 + Item 7) / 2
Observation.Slices for component.component:manageability.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:manageability.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:manageability.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:meaningfulness This element is included in summaries. 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:meaningfulness.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:meaningfulness.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:meaningfulness.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:meaningfulness.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-meaningfulness",
      "display" : "Work-SoC meaningfulness score"
    }
  ]
}
Observation.Slices for component.component:meaningfulness.value[x] This element is included in summaries. 1..1 Quantity Calculated category score: (Item 2 + Item 5 + Item 8) / 3
Observation.Slices for component.component:meaningfulness.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:meaningfulness.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:meaningfulness.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:comprehensibility.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:comprehensibility.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:comprehensibility.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:manageability.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:manageability.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:manageability.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:meaningfulness.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:meaningfulness.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:meaningfulness.​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()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from AtPrenudgeObservation

Summary

Mandatory: 6 elements
Must-Support: 1 element
Prohibited: 1 element

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* AtPrenudgeObservation AT APS Observation
Constraints: obs-6, obs-7, at-prenudge-result-present
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 1..* Identifier Business Identifier for observation, at least one is assigned by the data provider
Observation.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Observation.identifier.system This element is included in summaries. 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
Observation.identifier.value This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-category-score",
      "display" : "Work-SoC category score"
    }
  ]
}
Observation.Slices for effective[x] This element is included in summaries. 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element is included in summaries. 1..1 dateTime The mandatory clinically relevant time for observation
Observation.issued This element is included in summaries. 1..1 instant The mandatory date/time this version was made available
Observation.dataAbsentReason This element must be supported. C 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.
Observation.note This element must be supported. 0..* Annotation Comments about the observation including patient comments have to be possible
Observation.method 1..1 CodeableConcept How it was done
Binding: AT PreNUDGE Observation Methods (required)
Observation.device This element must be supported. 0..1 Reference(AT APS Device | DeviceMetric) (Measurement) Devices should be documented when used
Observation.derivedFrom This element must be supported. This element is included in summaries. 0..* Reference(AT APS DocumentReference | AT APS ImagingStudy | Media | QuestionnaireResponse | AT APS Observation | MolecularSequence) QuestionnaireResponse or other source this Work-SoC score observation was derived from
Observation.Slices for component This element is included in summaries. 3..3 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Slice: Unordered, Closed by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:comprehensibility This element is included in summaries. 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:comprehensibility.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:comprehensibility.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-comprehensibility",
      "display" : "Work-SoC comprehensibility score"
    }
  ]
}
Observation.Slices for component.component:comprehensibility.value[x] This element is included in summaries. 1..1 Quantity Calculated category score: (Item 1 + Item 3 + Item 6 + Item 9) / 4
Observation.Slices for component.component:comprehensibility.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:manageability This element is included in summaries. 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:manageability.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:manageability.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-manageability",
      "display" : "Work-SoC manageability score"
    }
  ]
}
Observation.Slices for component.component:manageability.value[x] This element is included in summaries. 1..1 Quantity Calculated category score: (Item 4 + Item 7) / 2
Observation.Slices for component.component:manageability.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:meaningfulness This element is included in summaries. 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:meaningfulness.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:meaningfulness.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-meaningfulness",
      "display" : "Work-SoC meaningfulness score"
    }
  ]
}
Observation.Slices for component.component:meaningfulness.value[x] This element is included in summaries. 1..1 Quantity Calculated category score: (Item 2 + Item 5 + Item 8) / 3
Observation.Slices for component.component:meaningfulness.dataAbsentReason This element must be supported. C 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:comprehensibility.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:comprehensibility.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:manageability.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:manageability.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:meaningfulness.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:meaningfulness.​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()

Differential View

This structure is derived from AtPrenudgeObservation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* AtPrenudgeObservation AT APS Observation
Observation.code 1..1 CodeableConcept Type of observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-category-score",
      "display" : "Work-SoC category score"
    }
  ]
}
Observation.value[x] 0..0 Actual result
Observation.derivedFrom This element must be supported. 0..* Reference(AT APS DocumentReference | AT APS ImagingStudy | Media | QuestionnaireResponse | AT APS Observation | MolecularSequence) QuestionnaireResponse or other source this Work-SoC score observation was derived from
Observation.Slices for component 3..3 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Slice: Unordered, Closed by pattern:code
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:comprehensibility 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:comprehensibility.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-comprehensibility",
      "display" : "Work-SoC comprehensibility score"
    }
  ]
}
Observation.Slices for component.component:comprehensibility.value[x] 1..1 Quantity Calculated category score: (Item 1 + Item 3 + Item 6 + Item 9) / 4
Observation.Slices for component.component:manageability 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:manageability.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-manageability",
      "display" : "Work-SoC manageability score"
    }
  ]
}
Observation.Slices for component.component:manageability.value[x] 1..1 Quantity Calculated category score: (Item 4 + Item 7) / 2
Observation.Slices for component.component:meaningfulness 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:meaningfulness.code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-meaningfulness",
      "display" : "Work-SoC meaningfulness score"
    }
  ]
}
Observation.Slices for component.component:meaningfulness.value[x] 1..1 Quantity Calculated category score: (Item 2 + Item 5 + Item 8) / 3

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* AtPrenudgeObservation AT APS Observation
Constraints: obs-6, obs-7, at-prenudge-result-present
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.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
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 1..* Identifier Business Identifier for observation, at least one is assigned by the data provider
Observation.identifier.id 0..1 string Unique id for inter-element referencing
Observation.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Observation.identifier.type This element is included in summaries. 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.
Observation.identifier.system This element is included in summaries. 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
Observation.identifier.value This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Observation.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Observation.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Observation.basedOn This element is included in summaries. 0..* Reference(AT APS CarePlan | DeviceRequest | ImmunizationRecommendation | AT APS MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf This element is included in summaries. 0..* Reference(AT APS MedicationAdministration | AT APS MedicationDispense | AT APS MedicationStatement | AT APS Procedure | AT APS Immunization | AT APS ImagingStudy) Part of referenced event
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-category-score",
      "display" : "Work-SoC category score"
    }
  ]
}
Observation.subject This element is included in summaries. 0..1 Reference(AT APS Patient | Group | AT APS Device | Location) Who and/or what the observation is about
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.Slices for effective[x] This element is included in summaries. 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element is included in summaries. 1..1 dateTime The mandatory clinically relevant time for observation
Observation.issued This element is included in summaries. 1..1 instant The mandatory date/time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Organization | CareTeam | AT APS Patient | RelatedPerson) Who is responsible for the observation
Observation.dataAbsentReason This element must be supported. C 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.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note This element must be supported. 0..* Annotation Comments about the observation including patient comments have to be possible
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 1..1 CodeableConcept How it was done
Binding: AT PreNUDGE Observation Methods (required)
Observation.specimen 0..1 Reference(AT APS Specimen) Specimen used for this observation
Observation.device This element must be supported. 0..1 Reference(AT APS Device | DeviceMetric) (Measurement) Devices should be documented when used
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(AT APS Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element must be supported. This element is included in summaries. 0..* Reference(AT APS DocumentReference | AT APS ImagingStudy | Media | QuestionnaireResponse | AT APS Observation | MolecularSequence) QuestionnaireResponse or other source this Work-SoC score observation was derived from
Observation.Slices for component This element is included in summaries. 3..3 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Slice: Unordered, Closed by pattern:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x] This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger integer
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:All Slices.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:comprehensibility This element is included in summaries. 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:comprehensibility.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:comprehensibility.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:comprehensibility.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:comprehensibility.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-comprehensibility",
      "display" : "Work-SoC comprehensibility score"
    }
  ]
}
Observation.Slices for component.component:comprehensibility.value[x] This element is included in summaries. 1..1 Quantity Calculated category score: (Item 1 + Item 3 + Item 6 + Item 9) / 4
Observation.Slices for component.component:comprehensibility.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:comprehensibility.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:comprehensibility.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:manageability This element is included in summaries. 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:manageability.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:manageability.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:manageability.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:manageability.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-manageability",
      "display" : "Work-SoC manageability score"
    }
  ]
}
Observation.Slices for component.component:manageability.value[x] This element is included in summaries. 1..1 Quantity Calculated category score: (Item 4 + Item 7) / 2
Observation.Slices for component.component:manageability.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:manageability.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:manageability.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:meaningfulness This element is included in summaries. 1..1 BackboneElement Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Observation.Slices for component.component:meaningfulness.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:meaningfulness.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:meaningfulness.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:meaningfulness.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/prenudge-workability",
      "code" : "work-soc-meaningfulness",
      "display" : "Work-SoC meaningfulness score"
    }
  ]
}
Observation.Slices for component.component:meaningfulness.value[x] This element is included in summaries. 1..1 Quantity Calculated category score: (Item 2 + Item 5 + Item 8) / 3
Observation.Slices for component.component:meaningfulness.dataAbsentReason This element must be supported. C 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.
Observation.Slices for component.component:meaningfulness.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:meaningfulness.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:comprehensibility.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:comprehensibility.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:comprehensibility.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:manageability.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:manageability.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:manageability.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:meaningfulness.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:meaningfulness.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:meaningfulness.​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()
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from AtPrenudgeObservation

Summary

Mandatory: 6 elements
Must-Support: 1 element
Prohibited: 1 element

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron