Uzbekistan Digital Health Platform - Integrations
0.10.0 - draft Uzbekistan flag

This page is part of the Uzbekistan Digital Health Platform - Integrations (v0.10.0: Releases Draft) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: Screening Immunohistochemistry Observation ( Experimental )

Official URL: https://dhp.uz/fhir/integrations/StructureDefinition/screening-immunohistochemistry-observation Version: 0.10.0
Active as of 2026-09-30 Computable Name: ScreeningImmunohistochemistryObservation

Structured breast or cervical immunohistochemistry results: ER, PR, Ki-67, HER2 and p16.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ScreeningObservation(0.10.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8, smeta-1
... meta SΣ 1..1 Meta Metadata about the resource
.... source SΣ 1..1 uri https://dhp.uz/fhir/source/screening | https://dhp.uz/fhir/source/dmed
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | MedicationRequest | ServiceRequest | UZ Core ImmunizationRecommendation(0.10.0)) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(UZ Core Observation(0.10.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredByTypeVS (0.10.0) (required)
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | UZ Core Procedure(0.10.0) | UZ Core Immunization(0.10.0) | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatusVS (0.10.0) (required)
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryVS (0.10.0) (required)
... code SΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: ScreeningObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 117617002
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(UZ Core Patient(0.10.0) | UZ Core Location(0.10.0) | UZ Core Organization(0.10.0) | UZ Core Procedure(0.10.0) | UZ Core Practitioner(0.10.0) | UZ Core Medication(0.10.0)) Who and/or what the observation is about
... focus SΣ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(UZ Core Encounter(0.10.0)) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 dateTime Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 1..* Reference(UZ Core Practitioner(0.10.0) | UZ Core PractitionerRole(0.10.0) | UZ Core Organization(0.10.0)) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: ScreeningObservationValuesVS (0.10.0) (preferred)
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
... note S 0..* Annotation Comments about the observation
... bodySite SC 0..1 CodeableConcept Observed body part
Binding: ScreeningBodySiteVS (0.10.0) (required)
.... Slices for extension Content/Rules for all slices
..... extension:quadrant S 0..* CodeableConcept Breast Quadrant Extension
URL: https://dhp.uz/fhir/integrations/StructureDefinition/breast-quadrant
Binding: ScreeningBreastQuadrantVS (0.10.0) (required)
Constraints: ext-1
... specimen SC 0..1 Reference(UZ Core Specimen(0.10.0)) Specimen used for this observation
Constraints: obs-9
... device S 0..1 Reference(Device | DeviceMetric) A reference to the device that generates the measurements or the device settings for the device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low SC 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue S 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationNormalValueVS (0.10.0) (extensible)
.... age S 0..1 Range Applicable age range, if relevant
.... text SC 0..1 markdown Text based reference range in an observation
... hasMember SΣ 0..* Reference(UZ Core Observation(0.10.0) | UZ Core QuestionnaireResponse(0.10.0)) Related resource that belongs to the Observation group
... derivedFrom SΣ 1..* Reference(DocumentReference | ImagingStudy | UZ Core QuestionnaireResponse(0.10.0) | UZ Core Observation(0.10.0)) Related resource from which the observation is made
... Slices for component SΣC 1..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
..... value[x] SΣ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... valueAttachment Attachment
...... valueReference Reference(MolecularSequence)
.... component:allredER SΣC 0..1 BackboneElement Allred score for estrogen receptor (ER), 0 to 8
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00002
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 integer Actual component result
.... component:allredPR SΣC 0..1 BackboneElement Allred score for progesterone receptor (PR), 0 to 8
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00003
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 integer Actual component result
.... component:ki67 SΣC 0..1 BackboneElement Ki-67 proliferation index, 0 to 100 percent
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00049
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 Quantity Actual component result
Required Pattern: At least the following
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code ΣC 1..1 code Coded form of the unit
Fixed Value: %
.... component:her2Ihc SΣC 0..1 BackboneElement HER2 immunohistochemistry score
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85319-2
....... display 1..1 string Representation defined by the system
Fixed Value: HER2 Ag [Presence] in Breast cancer specimen by Immune stain
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 CodeableConcept Actual component result
Binding: ScreeningHer2IhcScoreVS (0.10.0) (required)
.... component:p16 SΣC 0..1 BackboneElement p16 immunohistochemistry result
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00030
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 CodeableConcept Actual component result
Binding: ScreeningP16ResultVS (0.10.0) (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.triggeredBy.​type Base required Triggered by type 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.status Base required Observation status 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.category Base required Observation category 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.code Base preferred Screening Observation Codes Composite ValueSet 📍0.10.0 This IG
Observation.value[x]:valueCodeableConcept Base preferred Screening Observation Values Composite ValueSet 📍0.10.0 This IG
Observation.dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.bodySite Base required Observed Body Site VS 📍0.10.0 This IG
Observation.referenceRange.​normalValue Base extensible Observation normal value 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:transformationZone.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:transformationZone.​value[x] Base required Transformation Zone ValueSet 📍0.10.0 This IG
Observation.component:birads.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:birads.​value[x] Base required BI-RADS ValueSet 📍0.10.0 This IG
Observation.component:breastDensity.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:breastDensity.​value[x] Base required Breast Form ValueSet 📍0.10.0 This IG
Observation.component:imageQuality.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:imageQuality.​value[x] Base required Image Quality ValueSet 📍0.10.0 This IG
Observation.component:allredER.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredPR.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:ki67.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:ki67.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:her2Ihc.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:her2Ihc.​value[x] Base required Screening HER2 IHC Score ValueSet 📍0.10.0 This IG
Observation.component:p16.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:p16.​value[x] Base required Screening p16 Result ValueSet 📍0.10.0 This IG

Constraints

Id Grade Path(s) Description Expression

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* ScreeningObservation(0.10.0) Measurements and simple assertions
... code 1..1 CodeableConcept Type of observation (code / type)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 117617002
... subject 1..1 Reference(UZ Core Patient(0.10.0) | UZ Core Location(0.10.0) | UZ Core Organization(0.10.0) | UZ Core Procedure(0.10.0) | UZ Core Practitioner(0.10.0) | UZ Core Medication(0.10.0)) Who and/or what the observation is about
... effective[x] 1..1 dateTime Clinically relevant time/time-period for observation
... value[x] 0..1 CodeableConcept Actual result
... derivedFrom 1..* Reference(DocumentReference | ImagingStudy | UZ Core QuestionnaireResponse(0.10.0) | UZ Core Observation(0.10.0)) Related resource from which the observation is made
... component 1..* BackboneElement Component results
... Slices for component Content/Rules for all slices
.... component:transformationZone 0..0 Cervical transformation zone type (colposcopy)
.... component:birads 0..0 BI-RADS assessment category (mammography)
.... component:breastDensity 0..0 Mammographic breast density (mammography)
.... component:imageQuality 0..0 Image quality (mammography)
.... component:allredER S 0..1 BackboneElement Allred score for estrogen receptor (ER), 0 to 8
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00002
..... value[x] 1..1 integer Actual component result
.... component:allredPR S 0..1 BackboneElement Allred score for progesterone receptor (PR), 0 to 8
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00003
..... value[x] 1..1 integer Actual component result
.... component:ki67 S 0..1 BackboneElement Ki-67 proliferation index, 0 to 100 percent
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00049
..... value[x] 1..1 Quantity Actual component result
Required Pattern: At least the following
...... value 1..1 decimal Numerical value (with implicit precision)
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: %
.... component:her2Ihc S 0..1 BackboneElement HER2 immunohistochemistry score
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85319-2
....... display 1..1 string Representation defined by the system
Fixed Value: HER2 Ag [Presence] in Breast cancer specimen by Immune stain
..... value[x] 1..1 CodeableConcept Actual component result
Binding: ScreeningHer2IhcScoreVS (0.10.0) (required)
.... component:p16 S 0..1 BackboneElement p16 immunohistochemistry result
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00030
..... value[x] 1..1 CodeableConcept Actual component result
Binding: ScreeningP16ResultVS (0.10.0) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component:her2Ihc.​value[x] Base required Screening HER2 IHC Score ValueSet 📍0.10.0 This IG
Observation.component:p16.​value[x] Base required Screening p16 Result ValueSet 📍0.10.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ScreeningObservation(0.10.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8, smeta-1
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 1..1 uri https://dhp.uz/fhir/source/screening | https://dhp.uz/fhir/source/dmed
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | MedicationRequest | ServiceRequest | UZ Core ImmunizationRecommendation(0.10.0)) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(UZ Core Observation(0.10.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredByTypeVS (0.10.0) (required)
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | UZ Core Procedure(0.10.0) | UZ Core Immunization(0.10.0) | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatusVS (0.10.0) (required)
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryVS (0.10.0) (required)
... code SΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: ScreeningObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 117617002
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(UZ Core Patient(0.10.0) | UZ Core Location(0.10.0) | UZ Core Organization(0.10.0) | UZ Core Procedure(0.10.0) | UZ Core Practitioner(0.10.0) | UZ Core Medication(0.10.0)) Who and/or what the observation is about
... focus SΣ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(UZ Core Encounter(0.10.0)) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 dateTime Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 1..* Reference(UZ Core Practitioner(0.10.0) | UZ Core PractitionerRole(0.10.0) | UZ Core Organization(0.10.0)) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: ScreeningObservationValuesVS (0.10.0) (preferred)
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (required)
... note S 0..* Annotation Comments about the observation
... bodySite SC 0..1 CodeableConcept Observed body part
Binding: ScreeningBodySiteVS (0.10.0) (required)
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:quadrant S 0..* CodeableConcept Breast Quadrant Extension
URL: https://dhp.uz/fhir/integrations/StructureDefinition/breast-quadrant
Binding: ScreeningBreastQuadrantVS (0.10.0) (required)
Constraints: ext-1
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... bodyStructure C 0..1 Reference(BodyStructure) Observed body structure
... method 0..1 CodeableConcept How it was done
Binding: LabMethodsVS (0.10.0) (extensible)
... specimen SC 0..1 Reference(UZ Core Specimen(0.10.0)) Specimen used for this observation
Constraints: obs-9
... device S 0..1 Reference(Device | DeviceMetric) A reference to the device that generates the measurements or the device settings for the device
... referenceRange SC 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low SC 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue S 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationNormalValueVS (0.10.0) (extensible)
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ReferenceRangeMeaningVS (0.10.0) (preferred)
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age S 0..1 Range Applicable age range, if relevant
.... text SC 0..1 markdown Text based reference range in an observation
... hasMember SΣ 0..* Reference(UZ Core Observation(0.10.0) | UZ Core QuestionnaireResponse(0.10.0)) Related resource that belongs to the Observation group
... derivedFrom SΣ 1..* Reference(DocumentReference | ImagingStudy | UZ Core QuestionnaireResponse(0.10.0) | UZ Core Observation(0.10.0)) Related resource from which the observation is made
... Slices for component SΣC 1..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
..... value[x] SΣ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... valueAttachment Attachment
...... valueReference Reference(MolecularSequence)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (extensible)
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:allredER SΣC 0..1 BackboneElement Allred score for estrogen receptor (ER), 0 to 8
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00002
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 integer Actual component result
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (extensible)
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:allredPR SΣC 0..1 BackboneElement Allred score for progesterone receptor (PR), 0 to 8
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00003
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 integer Actual component result
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (extensible)
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:ki67 SΣC 0..1 BackboneElement Ki-67 proliferation index, 0 to 100 percent
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00049
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code ΣC 1..1 code Coded form of the unit
Fixed Value: %
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (extensible)
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:her2Ihc SΣC 0..1 BackboneElement HER2 immunohistochemistry score
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85319-2
....... display 1..1 string Representation defined by the system
Fixed Value: HER2 Ag [Presence] in Breast cancer specimen by Immune stain
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 CodeableConcept Actual component result
Binding: ScreeningHer2IhcScoreVS (0.10.0) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (extensible)
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:p16 SΣC 0..1 BackboneElement p16 immunohistochemistry result
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00030
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 CodeableConcept Actual component result
Binding: ScreeningP16ResultVS (0.10.0) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (extensible)
..... 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.meta.security Base extensible All Security Labels 📍5.0.0 FHIR Std.
Observation.meta.tag Base example Common Tags 📍5.0.0 FHIR Std.
Observation.language Base required All Languages 📍5.0.0 FHIR Std.
Observation.triggeredBy.​type Base required Triggered by type 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.status Base required Observation status 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.category Base required Observation category 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.code Base preferred Screening Observation Codes Composite ValueSet 📍0.10.0 This IG
Observation.value[x]:valueCodeableConcept Base preferred Screening Observation Values Composite ValueSet 📍0.10.0 This IG
Observation.dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.interpretation Base required UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.bodySite Base required Observed Body Site VS 📍0.10.0 This IG
Observation.method Base extensible Observation Laboratory methods 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.referenceRange.​normalValue Base extensible Observation normal value 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.referenceRange.​type Base preferred Reference range meaning 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:transformationZone.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:transformationZone.​value[x] Base required Transformation Zone ValueSet 📍0.10.0 This IG
Observation.component:transformationZone.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:transformationZone.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:birads.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:birads.​value[x] Base required BI-RADS ValueSet 📍0.10.0 This IG
Observation.component:birads.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:birads.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:breastDensity.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:breastDensity.​value[x] Base required Breast Form ValueSet 📍0.10.0 This IG
Observation.component:breastDensity.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:breastDensity.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:imageQuality.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:imageQuality.​value[x] Base required Image Quality ValueSet 📍0.10.0 This IG
Observation.component:imageQuality.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:imageQuality.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredER.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredER.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredER.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredPR.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredPR.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredPR.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:ki67.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:ki67.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:ki67.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:ki67.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:her2Ihc.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:her2Ihc.​value[x] Base required Screening HER2 IHC Score ValueSet 📍0.10.0 This IG
Observation.component:her2Ihc.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:her2Ihc.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:p16.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:p16.​value[x] Base required Screening p16 Result ValueSet 📍0.10.0 This IG
Observation.component:p16.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:p16.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10

Constraints

Id Grade Path(s) Description Expression

Summary

Mandatory: 5 elements(8 nested mandatory elements)
Must-Support: 5 elements
Prohibited: 4 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ScreeningObservation(0.10.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8, smeta-1
... meta SΣ 1..1 Meta Metadata about the resource
.... source SΣ 1..1 uri https://dhp.uz/fhir/source/screening | https://dhp.uz/fhir/source/dmed
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | MedicationRequest | ServiceRequest | UZ Core ImmunizationRecommendation(0.10.0)) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(UZ Core Observation(0.10.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredByTypeVS (0.10.0) (required)
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | UZ Core Procedure(0.10.0) | UZ Core Immunization(0.10.0) | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatusVS (0.10.0) (required)
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryVS (0.10.0) (required)
... code SΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: ScreeningObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 117617002
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(UZ Core Patient(0.10.0) | UZ Core Location(0.10.0) | UZ Core Organization(0.10.0) | UZ Core Procedure(0.10.0) | UZ Core Practitioner(0.10.0) | UZ Core Medication(0.10.0)) Who and/or what the observation is about
... focus SΣ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(UZ Core Encounter(0.10.0)) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 dateTime Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 1..* Reference(UZ Core Practitioner(0.10.0) | UZ Core PractitionerRole(0.10.0) | UZ Core Organization(0.10.0)) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: ScreeningObservationValuesVS (0.10.0) (preferred)
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
... note S 0..* Annotation Comments about the observation
... bodySite SC 0..1 CodeableConcept Observed body part
Binding: ScreeningBodySiteVS (0.10.0) (required)
.... Slices for extension Content/Rules for all slices
..... extension:quadrant S 0..* CodeableConcept Breast Quadrant Extension
URL: https://dhp.uz/fhir/integrations/StructureDefinition/breast-quadrant
Binding: ScreeningBreastQuadrantVS (0.10.0) (required)
Constraints: ext-1
... specimen SC 0..1 Reference(UZ Core Specimen(0.10.0)) Specimen used for this observation
Constraints: obs-9
... device S 0..1 Reference(Device | DeviceMetric) A reference to the device that generates the measurements or the device settings for the device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low SC 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue S 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationNormalValueVS (0.10.0) (extensible)
.... age S 0..1 Range Applicable age range, if relevant
.... text SC 0..1 markdown Text based reference range in an observation
... hasMember SΣ 0..* Reference(UZ Core Observation(0.10.0) | UZ Core QuestionnaireResponse(0.10.0)) Related resource that belongs to the Observation group
... derivedFrom SΣ 1..* Reference(DocumentReference | ImagingStudy | UZ Core QuestionnaireResponse(0.10.0) | UZ Core Observation(0.10.0)) Related resource from which the observation is made
... Slices for component SΣC 1..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
..... value[x] SΣ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... valueAttachment Attachment
...... valueReference Reference(MolecularSequence)
.... component:allredER SΣC 0..1 BackboneElement Allred score for estrogen receptor (ER), 0 to 8
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00002
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 integer Actual component result
.... component:allredPR SΣC 0..1 BackboneElement Allred score for progesterone receptor (PR), 0 to 8
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00003
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 integer Actual component result
.... component:ki67 SΣC 0..1 BackboneElement Ki-67 proliferation index, 0 to 100 percent
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00049
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 Quantity Actual component result
Required Pattern: At least the following
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code ΣC 1..1 code Coded form of the unit
Fixed Value: %
.... component:her2Ihc SΣC 0..1 BackboneElement HER2 immunohistochemistry score
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85319-2
....... display 1..1 string Representation defined by the system
Fixed Value: HER2 Ag [Presence] in Breast cancer specimen by Immune stain
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 CodeableConcept Actual component result
Binding: ScreeningHer2IhcScoreVS (0.10.0) (required)
.... component:p16 SΣC 0..1 BackboneElement p16 immunohistochemistry result
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00030
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 CodeableConcept Actual component result
Binding: ScreeningP16ResultVS (0.10.0) (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.triggeredBy.​type Base required Triggered by type 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.status Base required Observation status 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.category Base required Observation category 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.code Base preferred Screening Observation Codes Composite ValueSet 📍0.10.0 This IG
Observation.value[x]:valueCodeableConcept Base preferred Screening Observation Values Composite ValueSet 📍0.10.0 This IG
Observation.dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.bodySite Base required Observed Body Site VS 📍0.10.0 This IG
Observation.referenceRange.​normalValue Base extensible Observation normal value 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:transformationZone.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:transformationZone.​value[x] Base required Transformation Zone ValueSet 📍0.10.0 This IG
Observation.component:birads.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:birads.​value[x] Base required BI-RADS ValueSet 📍0.10.0 This IG
Observation.component:breastDensity.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:breastDensity.​value[x] Base required Breast Form ValueSet 📍0.10.0 This IG
Observation.component:imageQuality.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:imageQuality.​value[x] Base required Image Quality ValueSet 📍0.10.0 This IG
Observation.component:allredER.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredPR.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:ki67.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:ki67.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:her2Ihc.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:her2Ihc.​value[x] Base required Screening HER2 IHC Score ValueSet 📍0.10.0 This IG
Observation.component:p16.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:p16.​value[x] Base required Screening p16 Result ValueSet 📍0.10.0 This IG

Constraints

Id Grade Path(s) Description Expression

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* ScreeningObservation(0.10.0) Measurements and simple assertions
... code 1..1 CodeableConcept Type of observation (code / type)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 117617002
... subject 1..1 Reference(UZ Core Patient(0.10.0) | UZ Core Location(0.10.0) | UZ Core Organization(0.10.0) | UZ Core Procedure(0.10.0) | UZ Core Practitioner(0.10.0) | UZ Core Medication(0.10.0)) Who and/or what the observation is about
... effective[x] 1..1 dateTime Clinically relevant time/time-period for observation
... value[x] 0..1 CodeableConcept Actual result
... derivedFrom 1..* Reference(DocumentReference | ImagingStudy | UZ Core QuestionnaireResponse(0.10.0) | UZ Core Observation(0.10.0)) Related resource from which the observation is made
... component 1..* BackboneElement Component results
... Slices for component Content/Rules for all slices
.... component:transformationZone 0..0 Cervical transformation zone type (colposcopy)
.... component:birads 0..0 BI-RADS assessment category (mammography)
.... component:breastDensity 0..0 Mammographic breast density (mammography)
.... component:imageQuality 0..0 Image quality (mammography)
.... component:allredER S 0..1 BackboneElement Allred score for estrogen receptor (ER), 0 to 8
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00002
..... value[x] 1..1 integer Actual component result
.... component:allredPR S 0..1 BackboneElement Allred score for progesterone receptor (PR), 0 to 8
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00003
..... value[x] 1..1 integer Actual component result
.... component:ki67 S 0..1 BackboneElement Ki-67 proliferation index, 0 to 100 percent
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00049
..... value[x] 1..1 Quantity Actual component result
Required Pattern: At least the following
...... value 1..1 decimal Numerical value (with implicit precision)
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: %
.... component:her2Ihc S 0..1 BackboneElement HER2 immunohistochemistry score
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85319-2
....... display 1..1 string Representation defined by the system
Fixed Value: HER2 Ag [Presence] in Breast cancer specimen by Immune stain
..... value[x] 1..1 CodeableConcept Actual component result
Binding: ScreeningHer2IhcScoreVS (0.10.0) (required)
.... component:p16 S 0..1 BackboneElement p16 immunohistochemistry result
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00030
..... value[x] 1..1 CodeableConcept Actual component result
Binding: ScreeningP16ResultVS (0.10.0) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component:her2Ihc.​value[x] Base required Screening HER2 IHC Score ValueSet 📍0.10.0 This IG
Observation.component:p16.​value[x] Base required Screening p16 Result ValueSet 📍0.10.0 This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ScreeningObservation(0.10.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8, smeta-1
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 1..1 uri https://dhp.uz/fhir/source/screening | https://dhp.uz/fhir/source/dmed
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | MedicationRequest | ServiceRequest | UZ Core ImmunizationRecommendation(0.10.0)) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(UZ Core Observation(0.10.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredByTypeVS (0.10.0) (required)
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | UZ Core Procedure(0.10.0) | UZ Core Immunization(0.10.0) | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatusVS (0.10.0) (required)
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryVS (0.10.0) (required)
... code SΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: ScreeningObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 117617002
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(UZ Core Patient(0.10.0) | UZ Core Location(0.10.0) | UZ Core Organization(0.10.0) | UZ Core Procedure(0.10.0) | UZ Core Practitioner(0.10.0) | UZ Core Medication(0.10.0)) Who and/or what the observation is about
... focus SΣ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(UZ Core Encounter(0.10.0)) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 dateTime Clinically relevant time/time-period for observation
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 1..* Reference(UZ Core Practitioner(0.10.0) | UZ Core PractitionerRole(0.10.0) | UZ Core Organization(0.10.0)) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: ScreeningObservationValuesVS (0.10.0) (preferred)
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (required)
... note S 0..* Annotation Comments about the observation
... bodySite SC 0..1 CodeableConcept Observed body part
Binding: ScreeningBodySiteVS (0.10.0) (required)
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:quadrant S 0..* CodeableConcept Breast Quadrant Extension
URL: https://dhp.uz/fhir/integrations/StructureDefinition/breast-quadrant
Binding: ScreeningBreastQuadrantVS (0.10.0) (required)
Constraints: ext-1
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... bodyStructure C 0..1 Reference(BodyStructure) Observed body structure
... method 0..1 CodeableConcept How it was done
Binding: LabMethodsVS (0.10.0) (extensible)
... specimen SC 0..1 Reference(UZ Core Specimen(0.10.0)) Specimen used for this observation
Constraints: obs-9
... device S 0..1 Reference(Device | DeviceMetric) A reference to the device that generates the measurements or the device settings for the device
... referenceRange SC 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low SC 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue S 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationNormalValueVS (0.10.0) (extensible)
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ReferenceRangeMeaningVS (0.10.0) (preferred)
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age S 0..1 Range Applicable age range, if relevant
.... text SC 0..1 markdown Text based reference range in an observation
... hasMember SΣ 0..* Reference(UZ Core Observation(0.10.0) | UZ Core QuestionnaireResponse(0.10.0)) Related resource that belongs to the Observation group
... derivedFrom SΣ 1..* Reference(DocumentReference | ImagingStudy | UZ Core QuestionnaireResponse(0.10.0) | UZ Core Observation(0.10.0)) Related resource from which the observation is made
... Slices for component SΣC 1..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
..... value[x] SΣ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... valueAttachment Attachment
...... valueReference Reference(MolecularSequence)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (extensible)
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:allredER SΣC 0..1 BackboneElement Allred score for estrogen receptor (ER), 0 to 8
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00002
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 integer Actual component result
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (extensible)
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:allredPR SΣC 0..1 BackboneElement Allred score for progesterone receptor (PR), 0 to 8
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00003
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 integer Actual component result
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (extensible)
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:ki67 SΣC 0..1 BackboneElement Ki-67 proliferation index, 0 to 100 percent
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00049
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code ΣC 1..1 code Coded form of the unit
Fixed Value: %
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (extensible)
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:her2Ihc SΣC 0..1 BackboneElement HER2 immunohistochemistry score
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85319-2
....... display 1..1 string Representation defined by the system
Fixed Value: HER2 Ag [Presence] in Breast cancer specimen by Immune stain
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 CodeableConcept Actual component result
Binding: ScreeningHer2IhcScoreVS (0.10.0) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (extensible)
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:p16 SΣC 0..1 BackboneElement p16 immunohistochemistry result
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: ObservationCodesVS (0.10.0) (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: scrn-0073-00030
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] SΣ 1..1 CodeableConcept Actual component result
Binding: ScreeningP16ResultVS (0.10.0) (required)
..... dataAbsentReason 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReasonVS (0.10.0) (extensible)
..... interpretation 0..* CodeableConcept High, low, normal, etc
Binding: ObservationInterpretationVS (0.10.0) (extensible)
..... 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.meta.security Base extensible All Security Labels 📍5.0.0 FHIR Std.
Observation.meta.tag Base example Common Tags 📍5.0.0 FHIR Std.
Observation.language Base required All Languages 📍5.0.0 FHIR Std.
Observation.triggeredBy.​type Base required Triggered by type 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.status Base required Observation status 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.category Base required Observation category 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.code Base preferred Screening Observation Codes Composite ValueSet 📍0.10.0 This IG
Observation.value[x]:valueCodeableConcept Base preferred Screening Observation Values Composite ValueSet 📍0.10.0 This IG
Observation.dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.interpretation Base required UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.bodySite Base required Observed Body Site VS 📍0.10.0 This IG
Observation.method Base extensible Observation Laboratory methods 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.referenceRange.​normalValue Base extensible Observation normal value 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.referenceRange.​type Base preferred Reference range meaning 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:transformationZone.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:transformationZone.​value[x] Base required Transformation Zone ValueSet 📍0.10.0 This IG
Observation.component:transformationZone.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:transformationZone.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:birads.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:birads.​value[x] Base required BI-RADS ValueSet 📍0.10.0 This IG
Observation.component:birads.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:birads.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:breastDensity.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:breastDensity.​value[x] Base required Breast Form ValueSet 📍0.10.0 This IG
Observation.component:breastDensity.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:breastDensity.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:imageQuality.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:imageQuality.​value[x] Base required Image Quality ValueSet 📍0.10.0 This IG
Observation.component:imageQuality.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:imageQuality.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredER.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredER.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredER.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredPR.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredPR.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:allredPR.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:ki67.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:ki67.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:ki67.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:ki67.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:her2Ihc.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:her2Ihc.​value[x] Base required Screening HER2 IHC Score ValueSet 📍0.10.0 This IG
Observation.component:her2Ihc.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:her2Ihc.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:p16.​code Base preferred Observation codes 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:p16.​value[x] Base required Screening p16 Result ValueSet 📍0.10.0 This IG
Observation.component:p16.​dataAbsentReason Base extensible UZCore Data Absent Reason 📍0.10.0 Uzbekistan Digital Health Platform v0.10
Observation.component:p16.​interpretation Base extensible UZCore observation interpretation 📍0.10.0 Uzbekistan Digital Health Platform v0.10

Constraints

Id Grade Path(s) Description Expression

Summary

Mandatory: 5 elements(8 nested mandatory elements)
Must-Support: 5 elements
Prohibited: 4 elements

 

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