HL7中国症状数据交换实施指南
2026.02.23 - release

HL7中国症状数据交换实施指南 - Local Development build (v2026.02.23) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: 患者无症状结构定义

官方URL: http://hl7.org.cn/fhir-ig/symptoms/StructureDefinition/Symptoms-Absent 版本: 2026.02.23
Draft as of 2026-02-23 机读名称: SymptomAbsentObservation

记录患者就诊时无症状信息的本地化结构定义。

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value).
obs-8: bodyStructure SHALL only be present if Observation.bodySite is not present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:associatedSymptomOrCondition 0..* (Complex) 应支持与此症状相关的其他症状或状况
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"
..... value[x] 1..1 Reference(患者症状结构定义 | 患者无症状结构定义 | Condition) Value of extension
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ 1..1 code 患者无症状的状态
Binding: ObservationStatus (required): Codes providing the status of an observation.


ele-1: All FHIR elements must have a @value or children
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


ele-1: All FHIR elements must have a @value or children
.... category:symptomCode S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


ele-1: All FHIR elements must have a @value or children

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://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: symptom
... code SΣC 1..1 CodeableConcept 表示本资源记录的是患者不存在的症状
Binding: LOINCCodes (example): Codes identifying names of simple observations.


ele-1: All FHIR elements must have a @value or children
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: 111551-8
..... display 1..1 string Representation defined by the system
Fixed Value: Symptom absent
... subject SΣ 1..1 Reference(Patient) 指向患者的引用
ele-1: All FHIR elements must have a @value or children
... encounter SΣ 0..1 Reference(Encounter) 指向诊疗或健康活动资源
ele-1: All FHIR elements must have a @value or children
... effective[x] SΣ 0..1 无该症状的时间或时间段
ele-1: All FHIR elements must have a @value or children
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 1..1 instant 无症状的记录时间
ele-1: All FHIR elements must have a @value or children
... performer SΣ 1..1 Reference(Patient | RelatedPerson) 报告无症状信息的人
ele-1: All FHIR elements must have a @value or children
... value[x] SΣC 1..1 CodeableConcept 症状的编码表示
Binding: 患者症状代码表 (preferred)
ele-1: All FHIR elements must have a @value or children
... note 0..* Annotation 应该支持患者或护理人员对无症状的描述
ele-1: All FHIR elements must have a @value or children
... bodySite SC 0..1 CodeableConcept 用于指示无症状的身体部位
Binding: SNOMEDCTBodyStructures (preferred)
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|5.0.0
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:symptomCodepreferredPattern: symptom
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexamplePattern: LOINC Code 111551-8("Symptom absent")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]preferredCNSymptomCodes
http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-symptom-codes
from this IG
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value).
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8errorObservationbodyStructure SHALL only be present if Observation.bodySite is not present
: bodySite.exists() implies bodyStructure.empty()

该结构继承自 Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:associatedSymptomOrCondition 0..* (Complex) 应支持与此症状相关的其他症状或状况
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
..... value[x] 1..1 Reference(患者症状结构定义 | 患者无症状结构定义 | Condition) Value of extension
... status S 1..1 code 患者无症状的状态
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
.... category:symptomCode S 1..1 CodeableConcept Classification of type of observation
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://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: symptom
.... 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: 111551-8
..... display 1..1 string Representation defined by the system
Fixed Value: Symptom absent
... subject S 1..1 Reference(Patient) 指向患者的引用
... encounter S 0..1 Reference(Encounter) 指向诊疗或健康活动资源
... effective[x] S 0..1 无该症状的时间或时间段
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued S 1..1 instant 无症状的记录时间
... performer S 1..1 Reference(Patient | RelatedPerson) 报告无症状信息的人
... value[x] S 1..1 CodeableConcept 症状的编码表示
Binding: 患者症状代码表 (preferred)
... dataAbsentReason 0..0
... interpretation 0..0
... note 0..* Annotation 应该支持患者或护理人员对无症状的描述
... bodySite S 0..1 CodeableConcept 用于指示无症状的身体部位
Binding: SNOMEDCTBodyStructures (preferred)
... specimen 0..0
... device 0..0
... referenceRange 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.value[x]preferredCNSymptomCodes
http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-symptom-codes
from this IG
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value).
obs-8: bodyStructure SHALL only be present if Observation.bodySite is not present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter Set
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:associatedSymptomOrCondition 0..* (Complex) 应支持与此症状相关的其他症状或状况
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"
..... value[x] 1..1 Reference(患者症状结构定义 | 患者无症状结构定义 | Condition) Value of extension
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... instantiates[x] Σ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy 0..* BackboneElement Triggering observation(s)
.... 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
.... observation Σ 1..1 Reference(Observation) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.

.... reason 0..1 string Reason that the observation was triggered
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code 患者无症状的状态
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:symptomCode S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



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://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: symptom
...... 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
... code SΣC 1..1 CodeableConcept 表示本资源记录的是患者不存在的症状
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 111551-8
..... display 1..1 string Representation defined by the system
Fixed Value: Symptom absent
..... 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(Patient) 指向患者的引用
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encounter) 指向诊疗或健康活动资源
... effective[x] SΣ 0..1 无该症状的时间或时间段
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 1..1 instant 无症状的记录时间
... performer SΣ 1..1 Reference(Patient | RelatedPerson) 报告无症状信息的人
... value[x] SΣC 1..1 CodeableConcept 症状的编码表示
Binding: 患者症状代码表 (preferred)
... note 0..* Annotation 应该支持患者或护理人员对无症状的描述
... bodySite SC 0..1 CodeableConcept 用于指示无症状的身体部位
Binding: SNOMEDCTBodyStructures (preferred)
... bodyStructure C 0..1 Reference(BodyStructure) Observed body structure
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) Related resource from which the observation is made
... component ΣC 0..* BackboneElement Component results
.... 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 ΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... valueAttachment Attachment
..... valueReference Reference(MolecularSequence)
.... dataAbsentReason 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagerequiredAllLanguages (a valid code from urn:ietf:bcp:47)
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Observation.triggeredBy.typerequiredTriggeredBytype
http://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|5.0.0
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:symptomCodepreferredPattern: symptom
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexamplePattern: LOINC Code 111551-8("Symptom absent")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]preferredCNSymptomCodes
http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-symptom-codes
from this IG
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.normalValueextensibleObservationReferenceRangeNormalValueCodes
http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalue
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value).
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8errorObservationbodyStructure SHALL only be present if Observation.bodySite is not present
: bodySite.exists() implies bodyStructure.empty()

该结构继承自 Observation

Summary

Mandatory: 6 elements
Must-Support: 11 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

关键元素视图

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value).
obs-8: bodyStructure SHALL only be present if Observation.bodySite is not present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:associatedSymptomOrCondition 0..* (Complex) 应支持与此症状相关的其他症状或状况
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"
..... value[x] 1..1 Reference(患者症状结构定义 | 患者无症状结构定义 | Condition) Value of extension
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ 1..1 code 患者无症状的状态
Binding: ObservationStatus (required): Codes providing the status of an observation.


ele-1: All FHIR elements must have a @value or children
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


ele-1: All FHIR elements must have a @value or children
.... category:symptomCode S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


ele-1: All FHIR elements must have a @value or children

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://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: symptom
... code SΣC 1..1 CodeableConcept 表示本资源记录的是患者不存在的症状
Binding: LOINCCodes (example): Codes identifying names of simple observations.


ele-1: All FHIR elements must have a @value or children
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: 111551-8
..... display 1..1 string Representation defined by the system
Fixed Value: Symptom absent
... subject SΣ 1..1 Reference(Patient) 指向患者的引用
ele-1: All FHIR elements must have a @value or children
... encounter SΣ 0..1 Reference(Encounter) 指向诊疗或健康活动资源
ele-1: All FHIR elements must have a @value or children
... effective[x] SΣ 0..1 无该症状的时间或时间段
ele-1: All FHIR elements must have a @value or children
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 1..1 instant 无症状的记录时间
ele-1: All FHIR elements must have a @value or children
... performer SΣ 1..1 Reference(Patient | RelatedPerson) 报告无症状信息的人
ele-1: All FHIR elements must have a @value or children
... value[x] SΣC 1..1 CodeableConcept 症状的编码表示
Binding: 患者症状代码表 (preferred)
ele-1: All FHIR elements must have a @value or children
... note 0..* Annotation 应该支持患者或护理人员对无症状的描述
ele-1: All FHIR elements must have a @value or children
... bodySite SC 0..1 CodeableConcept 用于指示无症状的身体部位
Binding: SNOMEDCTBodyStructures (preferred)
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|5.0.0
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:symptomCodepreferredPattern: symptom
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexamplePattern: LOINC Code 111551-8("Symptom absent")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]preferredCNSymptomCodes
http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-symptom-codes
from this IG
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value).
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8errorObservationbodyStructure SHALL only be present if Observation.bodySite is not present
: bodySite.exists() implies bodyStructure.empty()

差异视图

该结构继承自 Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:associatedSymptomOrCondition 0..* (Complex) 应支持与此症状相关的其他症状或状况
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
..... value[x] 1..1 Reference(患者症状结构定义 | 患者无症状结构定义 | Condition) Value of extension
... status S 1..1 code 患者无症状的状态
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
.... category:symptomCode S 1..1 CodeableConcept Classification of type of observation
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://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: symptom
.... 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: 111551-8
..... display 1..1 string Representation defined by the system
Fixed Value: Symptom absent
... subject S 1..1 Reference(Patient) 指向患者的引用
... encounter S 0..1 Reference(Encounter) 指向诊疗或健康活动资源
... effective[x] S 0..1 无该症状的时间或时间段
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued S 1..1 instant 无症状的记录时间
... performer S 1..1 Reference(Patient | RelatedPerson) 报告无症状信息的人
... value[x] S 1..1 CodeableConcept 症状的编码表示
Binding: 患者症状代码表 (preferred)
... dataAbsentReason 0..0
... interpretation 0..0
... note 0..* Annotation 应该支持患者或护理人员对无症状的描述
... bodySite S 0..1 CodeableConcept 用于指示无症状的身体部位
Binding: SNOMEDCTBodyStructures (preferred)
... specimen 0..0
... device 0..0
... referenceRange 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.value[x]preferredCNSymptomCodes
http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-symptom-codes
from this IG
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

快照视图

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value).
obs-8: bodyStructure SHALL only be present if Observation.bodySite is not present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter Set
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:associatedSymptomOrCondition 0..* (Complex) 应支持与此症状相关的其他症状或状况
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"
..... value[x] 1..1 Reference(患者症状结构定义 | 患者无症状结构定义 | Condition) Value of extension
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... instantiates[x] Σ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy 0..* BackboneElement Triggering observation(s)
.... 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
.... observation Σ 1..1 Reference(Observation) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.

.... reason 0..1 string Reason that the observation was triggered
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code 患者无症状的状态
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:symptomCode S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



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://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: symptom
...... 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
... code SΣC 1..1 CodeableConcept 表示本资源记录的是患者不存在的症状
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 111551-8
..... display 1..1 string Representation defined by the system
Fixed Value: Symptom absent
..... 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(Patient) 指向患者的引用
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(Encounter) 指向诊疗或健康活动资源
... effective[x] SΣ 0..1 无该症状的时间或时间段
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 1..1 instant 无症状的记录时间
... performer SΣ 1..1 Reference(Patient | RelatedPerson) 报告无症状信息的人
... value[x] SΣC 1..1 CodeableConcept 症状的编码表示
Binding: 患者症状代码表 (preferred)
... note 0..* Annotation 应该支持患者或护理人员对无症状的描述
... bodySite SC 0..1 CodeableConcept 用于指示无症状的身体部位
Binding: SNOMEDCTBodyStructures (preferred)
... bodyStructure C 0..1 Reference(BodyStructure) Observed body structure
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) Related resource from which the observation is made
... component ΣC 0..* BackboneElement Component results
.... 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 ΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... valueAttachment Attachment
..... valueReference Reference(MolecularSequence)
.... dataAbsentReason 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagerequiredAllLanguages (a valid code from urn:ietf:bcp:47)
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Observation.triggeredBy.typerequiredTriggeredBytype
http://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|5.0.0
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:symptomCodepreferredPattern: symptom
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexamplePattern: LOINC Code 111551-8("Symptom absent")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]preferredCNSymptomCodes
http://hl7.org.cn/fhir-ig/symptoms/ValueSet/cn-symptom-codes
from this IG
Observation.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.normalValueextensibleObservationReferenceRangeNormalValueCodes
http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalue
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value).
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8errorObservationbodyStructure SHALL only be present if Observation.bodySite is not present
: bodySite.exists() implies bodyStructure.empty()

该结构继承自 Observation

Summary

Mandatory: 6 elements
Must-Support: 11 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

 

本 Profile 的其它表示法: CSV, Excel, Schematron