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 ( Abstract )

Official URL: https://fhir.hl7.at/prenudge/appdata/r4/StructureDefinition/at-prenudge-observation | Version: 0.1.0
Draft as of 2026-06-25 | Responsible: The PreNUDGE Consortium | Computable Name: AtPrenudgeObservation

This FHIR profile is defining the overall Observation for PreNUDGE. It is abstract, so no instances of this profile directly are allowed. Be aware that if the user enters values from a device into a questionnaire, it is still considered a manual input. Please keep in mind that all observations must comply with the qualification matrix on https://prenudge.at/qualificationmatrix/.

Usages:

- Derived from this Profile: AT PreNUDGE Observation Blood Glucose (only in mg/dL), AT PreNUDGE Observation Body Mass Index, AT PreNUDGE Observation Body Height, AT PreNUDGE Observation Body Weight... Show 11 more, AT PreNUDGE Observation Highest Completed Education, AT PreNUDGE Observation Muscle Strengthening Sessions, AT PreNUDGE Observation Other not Quantities, AT PreNUDGE Observation Other Quantities, AT PreNUDGE Observation Physical Activity Minutes, AT PreNUDGE Observation Sitting Hours, AT PreNUDGE Observation Sleep Duration, AT PreNUDGE Observation Sleep Quality, AT PreNUDGE Observation Step Count, AT PreNUDGE Observation WHOQOL-BREF Score and AT PreNUDGE Observation Work-SoC Category Score

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | AtApsObservation | This is an abstract profile. Child profiles: AtPrenudgeObservationBodyMassIndex, AtPrenudgeObservationSittingHours, AtPrenudgeObservationMuscleStrengthening, AtPrenudgeObservationStepCount, AtPrenudgeObservationWorkSocScore, AtPrenudgeObservationEducation, AtPrenudgeObservationBloodGlucose, AtPrenudgeObservationSleepDuration, AtPrenudgeObservationBodyWeight, AtPrenudgeObservationPhysicalActivity, AtPrenudgeObservationOtherNotQuantities, AtPrenudgeObservationSleepQuality, AtPrenudgeObservationBodyHeight, AtPrenudgeObservationOtherQuantities, AtPrenudgeObservationWHOQOLBrefScore AT APS Observation Constraints: obs-6, obs-7
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
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
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
note | S | 0..* | Annotation | Comments about the observation including patient comments have to be possible
method |  | 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
component | Σ | 0..* | 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.
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.method | Base | required | AT PreNUDGE Observation Methods | 📦0.1.0 | This IG
Observation.component.​code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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 AtApsObservation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | AtApsObservation | This is an abstract profile. Child profiles: AtPrenudgeObservationBodyMassIndex, AtPrenudgeObservationSittingHours, AtPrenudgeObservationMuscleStrengthening, AtPrenudgeObservationStepCount, AtPrenudgeObservationWorkSocScore, AtPrenudgeObservationEducation, AtPrenudgeObservationBloodGlucose, AtPrenudgeObservationSleepDuration, AtPrenudgeObservationBodyWeight, AtPrenudgeObservationPhysicalActivity, AtPrenudgeObservationOtherNotQuantities, AtPrenudgeObservationSleepQuality, AtPrenudgeObservationBodyHeight, AtPrenudgeObservationOtherQuantities, AtPrenudgeObservationWHOQOLBrefScore AT APS Observation
identifier |  | 1..* | Identifier | Business Identifier for observation, at least one is assigned by the data provider
system |  | 1..1 | uri | The namespace for the identifier value, if no other specifications are given, use your website url
value |  | 1..1 | string | The value that is unique
Slices for effective[x] |  | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime |  | 1..1 | dateTime | The mandatory clinically relevant time for observation
issued |  | 1..1 | instant | The mandatory date/time this version was made available
note | S | 0..* | Annotation | Comments about the observation including patient comments have to be possible
method |  | 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
component |  | 0..* | BackboneElement | Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.method | Base | required | AT PreNUDGE Observation Methods | 📦0.1.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | AtApsObservation | This is an abstract profile. Child profiles: AtPrenudgeObservationBodyMassIndex, AtPrenudgeObservationSittingHours, AtPrenudgeObservationMuscleStrengthening, AtPrenudgeObservationStepCount, AtPrenudgeObservationWorkSocScore, AtPrenudgeObservationEducation, AtPrenudgeObservationBloodGlucose, AtPrenudgeObservationSleepDuration, AtPrenudgeObservationBodyWeight, AtPrenudgeObservationPhysicalActivity, AtPrenudgeObservationOtherNotQuantities, AtPrenudgeObservationSleepQuality, AtPrenudgeObservationBodyHeight, AtPrenudgeObservationOtherQuantities, AtPrenudgeObservationWHOQOLBrefScore AT APS Observation Constraints: obs-6, obs-7
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 Bindings | Purpose
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.
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] | Σ C | 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 | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note | 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 |  | 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
component | Σ | 0..* | 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.
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 | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### 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.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()`

This structure is derived from AtApsObservation

Summary

Mandatory: 7 elements
Must-Support: 2 elements

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.effective[x]

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | AtApsObservation | This is an abstract profile. Child profiles: AtPrenudgeObservationBodyMassIndex, AtPrenudgeObservationSittingHours, AtPrenudgeObservationMuscleStrengthening, AtPrenudgeObservationStepCount, AtPrenudgeObservationWorkSocScore, AtPrenudgeObservationEducation, AtPrenudgeObservationBloodGlucose, AtPrenudgeObservationSleepDuration, AtPrenudgeObservationBodyWeight, AtPrenudgeObservationPhysicalActivity, AtPrenudgeObservationOtherNotQuantities, AtPrenudgeObservationSleepQuality, AtPrenudgeObservationBodyHeight, AtPrenudgeObservationOtherQuantities, AtPrenudgeObservationWHOQOLBrefScore AT APS Observation Constraints: obs-6, obs-7
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
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
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
note | S | 0..* | Annotation | Comments about the observation including patient comments have to be possible
method |  | 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
component | Σ | 0..* | 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.
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.method | Base | required | AT PreNUDGE Observation Methods | 📦0.1.0 | This IG
Observation.component.​code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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 AtApsObservation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | AtApsObservation | This is an abstract profile. Child profiles: AtPrenudgeObservationBodyMassIndex, AtPrenudgeObservationSittingHours, AtPrenudgeObservationMuscleStrengthening, AtPrenudgeObservationStepCount, AtPrenudgeObservationWorkSocScore, AtPrenudgeObservationEducation, AtPrenudgeObservationBloodGlucose, AtPrenudgeObservationSleepDuration, AtPrenudgeObservationBodyWeight, AtPrenudgeObservationPhysicalActivity, AtPrenudgeObservationOtherNotQuantities, AtPrenudgeObservationSleepQuality, AtPrenudgeObservationBodyHeight, AtPrenudgeObservationOtherQuantities, AtPrenudgeObservationWHOQOLBrefScore AT APS Observation
identifier |  | 1..* | Identifier | Business Identifier for observation, at least one is assigned by the data provider
system |  | 1..1 | uri | The namespace for the identifier value, if no other specifications are given, use your website url
value |  | 1..1 | string | The value that is unique
Slices for effective[x] |  | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime |  | 1..1 | dateTime | The mandatory clinically relevant time for observation
issued |  | 1..1 | instant | The mandatory date/time this version was made available
note | S | 0..* | Annotation | Comments about the observation including patient comments have to be possible
method |  | 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
component |  | 0..* | BackboneElement | Components should only be used when multiple values are inseparably connected to a single measurement (e.g., score domains).
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.method | Base | required | AT PreNUDGE Observation Methods | 📦0.1.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | AtApsObservation | This is an abstract profile. Child profiles: AtPrenudgeObservationBodyMassIndex, AtPrenudgeObservationSittingHours, AtPrenudgeObservationMuscleStrengthening, AtPrenudgeObservationStepCount, AtPrenudgeObservationWorkSocScore, AtPrenudgeObservationEducation, AtPrenudgeObservationBloodGlucose, AtPrenudgeObservationSleepDuration, AtPrenudgeObservationBodyWeight, AtPrenudgeObservationPhysicalActivity, AtPrenudgeObservationOtherNotQuantities, AtPrenudgeObservationSleepQuality, AtPrenudgeObservationBodyHeight, AtPrenudgeObservationOtherQuantities, AtPrenudgeObservationWHOQOLBrefScore AT APS Observation Constraints: obs-6, obs-7
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 Bindings | Purpose
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.
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] | Σ C | 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 | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note | 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 |  | 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
component | Σ | 0..* | 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.
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 | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### 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.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()`

This structure is derived from AtApsObservation

Summary

Mandatory: 7 elements
Must-Support: 2 elements

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.effective[x]

Other representations of profile: CSV, Excel, Schematron