Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	observation-vitalsigns	MedNet Interface (MNI) - Blood Group obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
id	SΣ	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	final Binding: ObservationStatus (required) Fixed Value: final
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
coding	SΣ	1..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
display	SΣ	0..1	string	Representation defined by the system Fixed Value: Vital Signs
code	SΣ	1..1	CodeableConcept	Coded Responses from C-CDA Vital Sign Results Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices for coding				Content/Rules for all slices
coding:BloodGroupCode	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: 883-9
display	SΣ	0..1	string	Representation defined by the system Fixed Value: ABO group [Type] in Blood
subject	SΣ	1..1	Reference(MedNet Interface (MNI) - Patient)	Link to the Patient
Slices for effective[x]	SΣC	1..1	dateTime	Often just a dateTime for Vital Signs Slice: Unordered, Closed by type:$this vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effective[x]:effectiveDateTime	SΣC	1..1	dateTime	If no datetime is available for this observation it can be the current dateTime vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
Slices for value[x]	SΣC	1..1	CodeableConcept	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	SΣC	1..1	CodeableConcept	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Binding: MedNet Interface (MNI) - Blood Group Observation ValueSet (required)
Slices for coding	Σ	1..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	SΣ	1..1	code	112144000 (Blood group A (finding)) | 278152006 (Blood group A Rh(D) negative (finding)) | 278149003 (Blood group A Rh(D) positive (finding)) | 165743006 (Blood group AB (finding)) | 278154007 (Blood group AB Rh(D) negative (finding)) | 278151004 (Blood group AB Rh(D) positive (finding)) | 112149005 (Blood group B (finding)) | 278153001 (Blood group B Rh(D) negative (finding)) | 278150003 (Blood group B Rh(D) positive (finding)) | 58460004 (Blood group O (finding)) | 278148006 (Blood group O Rh(D) negative (finding)) | 278147001 (Blood group O Rh(D) positive (finding))
display	SΣ	0..1	string	Representation defined by the system
coding:mednet	SΣ	0..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://mednet.swiss/fhir/CodeSystem/mni-obs-bloodGroup
code	SΣ	1..1	code	A (Blood group A) | A- (Blood group A Rh(D) negative) | A+ (Blood group A Rh(D) positive) | AB (Blood group B) | AB- (Blood group B Rh(D) negative) | AB+ (Blood group B Rh(D) positive) | B (Blood group B) | B- (Blood group B Rh(D) negative) | B+ (Blood group B Rh(D) positive) | O (Blood group O) | O- (Blood group O Rh(D) negative) | O+ (Blood group O Rh(D) positive)
display	SΣ	0..1	string	Representation defined by the system
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component	SΣC	0..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x]	SΣC	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.value[x]:valueCodeableConcept	required	MNIBloodGroupValueSet https://mednet.swiss/fhir/ValueSet/mni-obs-bloodGroup from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	extensible	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1	error	Observation.effective[x], Observation.effective[x]:effectiveDateTime	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	observation-vitalsigns	MedNet Interface (MNI) - Blood Group
id	S	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
status	S	1..1	code	final Fixed Value: final
Slices for category				Content/Rules for all slices
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation
coding	S	1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system Fixed Value: Vital Signs
code	S	1..1	CodeableConcept	Coded Responses from C-CDA Vital Sign Results
Slices for coding				Content/Rules for all slices
coding:BloodGroupCode	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	S	0..1	code	Symbol in syntax defined by the system Fixed Value: 883-9
display	S	0..1	string	Representation defined by the system Fixed Value: ABO group [Type] in Blood
subject	S	1..1	Reference(MedNet Interface (MNI) - Patient)	Link to the Patient
effectiveDateTime	S	1..1	dateTime	If no datetime is available for this observation it can be the current dateTime
value[x]		1..1	CodeableConcept	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
valueCodeableConcept	S	1..1	CodeableConcept	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Binding: MedNet Interface (MNI) - Blood Group Observation ValueSet (required)
Slices for coding		1..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	S	0..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	1..1	code	112144000 (Blood group A (finding)) | 278152006 (Blood group A Rh(D) negative (finding)) | 278149003 (Blood group A Rh(D) positive (finding)) | 165743006 (Blood group AB (finding)) | 278154007 (Blood group AB Rh(D) negative (finding)) | 278151004 (Blood group AB Rh(D) positive (finding)) | 112149005 (Blood group B (finding)) | 278153001 (Blood group B Rh(D) negative (finding)) | 278150003 (Blood group B Rh(D) positive (finding)) | 58460004 (Blood group O (finding)) | 278148006 (Blood group O Rh(D) negative (finding)) | 278147001 (Blood group O Rh(D) positive (finding))
display	S	0..1	string	Representation defined by the system
coding:mednet	S	0..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://mednet.swiss/fhir/CodeSystem/mni-obs-bloodGroup
code	S	1..1	code	A (Blood group A) | A- (Blood group A Rh(D) negative) | A+ (Blood group A Rh(D) positive) | AB (Blood group B) | AB- (Blood group B Rh(D) negative) | AB+ (Blood group B Rh(D) positive) | B (Blood group B) | B- (Blood group B Rh(D) negative) | B+ (Blood group B Rh(D) positive) | O (Blood group O) | O- (Blood group O Rh(D) negative) | O+ (Blood group O Rh(D) positive)
display	S	0..1	string	Representation defined by the system
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.valueCodeableConcept	required	MNIBloodGroupValueSet https://mednet.swiss/fhir/ValueSet/mni-obs-bloodGroup from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	observation-vitalsigns	MedNet Interface (MNI) - Blood Group obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
id	SΣ	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	final Binding: ObservationStatus (required) Fixed Value: final
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
display	SΣ	0..1	string	Representation defined by the system Fixed Value: Vital Signs
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Coded Responses from C-CDA Vital Sign Results Binding: VitalSigns (extensible): This identifies the vital sign result type.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding				Content/Rules for all slices
coding:BloodGroupCode	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: 883-9
display	SΣ	0..1	string	Representation defined by the system Fixed Value: ABO group [Type] in Blood
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(MedNet Interface (MNI) - Patient)	Link to the Patient
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Slices for effective[x]	SΣC	1..1	dateTime	Often just a dateTime for Vital Signs Slice: Unordered, Closed by type:$this vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effective[x]:effectiveDateTime	SΣC	1..1	dateTime	If no datetime is available for this observation it can be the current dateTime vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Slices for value[x]	SΣC	1..1	CodeableConcept	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	SΣC	1..1	CodeableConcept	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Binding: MedNet Interface (MNI) - Blood Group Observation ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	112144000 (Blood group A (finding)) | 278152006 (Blood group A Rh(D) negative (finding)) | 278149003 (Blood group A Rh(D) positive (finding)) | 165743006 (Blood group AB (finding)) | 278154007 (Blood group AB Rh(D) negative (finding)) | 278151004 (Blood group AB Rh(D) positive (finding)) | 112149005 (Blood group B (finding)) | 278153001 (Blood group B Rh(D) negative (finding)) | 278150003 (Blood group B Rh(D) positive (finding)) | 58460004 (Blood group O (finding)) | 278148006 (Blood group O Rh(D) negative (finding)) | 278147001 (Blood group O Rh(D) positive (finding))
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:mednet	SΣ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://mednet.swiss/fhir/CodeSystem/mni-obs-bloodGroup
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	A (Blood group A) | A- (Blood group A Rh(D) negative) | A+ (Blood group A Rh(D) positive) | AB (Blood group B) | AB- (Blood group B Rh(D) negative) | AB+ (Blood group B Rh(D) positive) | B (Blood group B) | B- (Blood group B Rh(D) negative) | B+ (Blood group B Rh(D) positive) | O (Blood group O) | O- (Blood group O Rh(D) negative) | O+ (Blood group O Rh(D) positive)
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Related measurements the observation is made from
component	SΣC	0..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x]	SΣC	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.value[x]:valueCodeableConcept	required	MNIBloodGroupValueSet https://mednet.swiss/fhir/ValueSet/mni-obs-bloodGroup from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	extensible	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1	error	Observation.effective[x], Observation.effective[x]:effectiveDateTime	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

Summary

Mandatory: 5 elements(4 nested mandatory elements)
Must-Support: 23 elements
Fixed: 7 elements

Structures

This structure refers to these other structures:

• MedNet Interface (MNI) - Patient (https://mednet.swiss/fhir/StructureDefinition/mni-patient)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Observation.valueCodeableConcept.coding

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	observation-vitalsigns	MedNet Interface (MNI) - Blood Group obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
id	SΣ	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	final Binding: ObservationStatus (required) Fixed Value: final
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
coding	SΣ	1..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
display	SΣ	0..1	string	Representation defined by the system Fixed Value: Vital Signs
code	SΣ	1..1	CodeableConcept	Coded Responses from C-CDA Vital Sign Results Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices for coding				Content/Rules for all slices
coding:BloodGroupCode	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: 883-9
display	SΣ	0..1	string	Representation defined by the system Fixed Value: ABO group [Type] in Blood
subject	SΣ	1..1	Reference(MedNet Interface (MNI) - Patient)	Link to the Patient
Slices for effective[x]	SΣC	1..1	dateTime	Often just a dateTime for Vital Signs Slice: Unordered, Closed by type:$this vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effective[x]:effectiveDateTime	SΣC	1..1	dateTime	If no datetime is available for this observation it can be the current dateTime vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
Slices for value[x]	SΣC	1..1	CodeableConcept	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	SΣC	1..1	CodeableConcept	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Binding: MedNet Interface (MNI) - Blood Group Observation ValueSet (required)
Slices for coding	Σ	1..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	SΣ	1..1	code	112144000 (Blood group A (finding)) | 278152006 (Blood group A Rh(D) negative (finding)) | 278149003 (Blood group A Rh(D) positive (finding)) | 165743006 (Blood group AB (finding)) | 278154007 (Blood group AB Rh(D) negative (finding)) | 278151004 (Blood group AB Rh(D) positive (finding)) | 112149005 (Blood group B (finding)) | 278153001 (Blood group B Rh(D) negative (finding)) | 278150003 (Blood group B Rh(D) positive (finding)) | 58460004 (Blood group O (finding)) | 278148006 (Blood group O Rh(D) negative (finding)) | 278147001 (Blood group O Rh(D) positive (finding))
display	SΣ	0..1	string	Representation defined by the system
coding:mednet	SΣ	0..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://mednet.swiss/fhir/CodeSystem/mni-obs-bloodGroup
code	SΣ	1..1	code	A (Blood group A) | A- (Blood group A Rh(D) negative) | A+ (Blood group A Rh(D) positive) | AB (Blood group B) | AB- (Blood group B Rh(D) negative) | AB+ (Blood group B Rh(D) positive) | B (Blood group B) | B- (Blood group B Rh(D) negative) | B+ (Blood group B Rh(D) positive) | O (Blood group O) | O- (Blood group O Rh(D) negative) | O+ (Blood group O Rh(D) positive)
display	SΣ	0..1	string	Representation defined by the system
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component	SΣC	0..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x]	SΣC	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.value[x]:valueCodeableConcept	required	MNIBloodGroupValueSet https://mednet.swiss/fhir/ValueSet/mni-obs-bloodGroup from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	extensible	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1	error	Observation.effective[x], Observation.effective[x]:effectiveDateTime	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	observation-vitalsigns	MedNet Interface (MNI) - Blood Group
id	S	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
status	S	1..1	code	final Fixed Value: final
Slices for category				Content/Rules for all slices
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation
coding	S	1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system Fixed Value: Vital Signs
code	S	1..1	CodeableConcept	Coded Responses from C-CDA Vital Sign Results
Slices for coding				Content/Rules for all slices
coding:BloodGroupCode	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	S	0..1	code	Symbol in syntax defined by the system Fixed Value: 883-9
display	S	0..1	string	Representation defined by the system Fixed Value: ABO group [Type] in Blood
subject	S	1..1	Reference(MedNet Interface (MNI) - Patient)	Link to the Patient
effectiveDateTime	S	1..1	dateTime	If no datetime is available for this observation it can be the current dateTime
value[x]		1..1	CodeableConcept	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
valueCodeableConcept	S	1..1	CodeableConcept	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Binding: MedNet Interface (MNI) - Blood Group Observation ValueSet (required)
Slices for coding		1..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	S	0..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	1..1	code	112144000 (Blood group A (finding)) | 278152006 (Blood group A Rh(D) negative (finding)) | 278149003 (Blood group A Rh(D) positive (finding)) | 165743006 (Blood group AB (finding)) | 278154007 (Blood group AB Rh(D) negative (finding)) | 278151004 (Blood group AB Rh(D) positive (finding)) | 112149005 (Blood group B (finding)) | 278153001 (Blood group B Rh(D) negative (finding)) | 278150003 (Blood group B Rh(D) positive (finding)) | 58460004 (Blood group O (finding)) | 278148006 (Blood group O Rh(D) negative (finding)) | 278147001 (Blood group O Rh(D) positive (finding))
display	S	0..1	string	Representation defined by the system
coding:mednet	S	0..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://mednet.swiss/fhir/CodeSystem/mni-obs-bloodGroup
code	S	1..1	code	A (Blood group A) | A- (Blood group A Rh(D) negative) | A+ (Blood group A Rh(D) positive) | AB (Blood group B) | AB- (Blood group B Rh(D) negative) | AB+ (Blood group B Rh(D) positive) | B (Blood group B) | B- (Blood group B Rh(D) negative) | B+ (Blood group B Rh(D) positive) | O (Blood group O) | O- (Blood group O Rh(D) negative) | O+ (Blood group O Rh(D) positive)
display	S	0..1	string	Representation defined by the system
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.valueCodeableConcept	required	MNIBloodGroupValueSet https://mednet.swiss/fhir/ValueSet/mni-obs-bloodGroup from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	observation-vitalsigns	MedNet Interface (MNI) - Blood Group obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
id	SΣ	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	final Binding: ObservationStatus (required) Fixed Value: final
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
display	SΣ	0..1	string	Representation defined by the system Fixed Value: Vital Signs
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Coded Responses from C-CDA Vital Sign Results Binding: VitalSigns (extensible): This identifies the vital sign result type.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding				Content/Rules for all slices
coding:BloodGroupCode	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: 883-9
display	SΣ	0..1	string	Representation defined by the system Fixed Value: ABO group [Type] in Blood
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(MedNet Interface (MNI) - Patient)	Link to the Patient
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Slices for effective[x]	SΣC	1..1	dateTime	Often just a dateTime for Vital Signs Slice: Unordered, Closed by type:$this vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effective[x]:effectiveDateTime	SΣC	1..1	dateTime	If no datetime is available for this observation it can be the current dateTime vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Slices for value[x]	SΣC	1..1	CodeableConcept	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	SΣC	1..1	CodeableConcept	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Binding: MedNet Interface (MNI) - Blood Group Observation ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	112144000 (Blood group A (finding)) | 278152006 (Blood group A Rh(D) negative (finding)) | 278149003 (Blood group A Rh(D) positive (finding)) | 165743006 (Blood group AB (finding)) | 278154007 (Blood group AB Rh(D) negative (finding)) | 278151004 (Blood group AB Rh(D) positive (finding)) | 112149005 (Blood group B (finding)) | 278153001 (Blood group B Rh(D) negative (finding)) | 278150003 (Blood group B Rh(D) positive (finding)) | 58460004 (Blood group O (finding)) | 278148006 (Blood group O Rh(D) negative (finding)) | 278147001 (Blood group O Rh(D) positive (finding))
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:mednet	SΣ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://mednet.swiss/fhir/CodeSystem/mni-obs-bloodGroup
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	A (Blood group A) | A- (Blood group A Rh(D) negative) | A+ (Blood group A Rh(D) positive) | AB (Blood group B) | AB- (Blood group B Rh(D) negative) | AB+ (Blood group B Rh(D) positive) | B (Blood group B) | B- (Blood group B Rh(D) negative) | B+ (Blood group B Rh(D) positive) | O (Blood group O) | O- (Blood group O Rh(D) negative) | O+ (Blood group O Rh(D) positive)
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Related measurements the observation is made from
component	SΣC	0..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x]	SΣC	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.value[x]:valueCodeableConcept	required	MNIBloodGroupValueSet https://mednet.swiss/fhir/ValueSet/mni-obs-bloodGroup from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	extensible	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1	error	Observation.effective[x], Observation.effective[x]:effectiveDateTime	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

Summary

Mandatory: 5 elements(4 nested mandatory elements)
Must-Support: 23 elements
Fixed: 7 elements

Structures

This structure refers to these other structures:

• MedNet Interface (MNI) - Patient (https://mednet.swiss/fhir/StructureDefinition/mni-patient)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Observation.valueCodeableConcept.coding